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首页> 外文期刊>European Journal of General Medicine >Fasciotomy Procedures on Acute Compartment Syndromes of the Upper Extremity Related to Burns
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Fasciotomy Procedures on Acute Compartment Syndromes of the Upper Extremity Related to Burns

机译：上肢急性烧伤综合征筋膜切开术

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摘要

Compartment syndrome is a serious complication of extremity burns. The goal of this study is to review cases with upper extremity compartment syndrome that had fasciotomy and to underline the significance of emergency fasciotomy procedures. The medical records of 43 patients who had fasciotomy because of compartment syndrome of the upper extremity between 2007 and 2013 were retrospectively reviewed. Etiology, age, sex, fasciotomy area, the period between the burn and fasciotomy, and treatment options were evaluated. Patients with arm, forearm, and hand or digit fasciotomy were presented. Scalding and electric were the predominant cause among all patients. While 12 patients were adults, 31 of them were children and the patients’ ages ranged between 1 and 39. Defect areas formed after fasciotomy were closed with skin grafts and primary closure. Length of hospital stay in electrical burns group was significantly longer than in other burn groups (p<0.002). Burn injuries of the upper extremity are frequently seen. Most of the patients with circular burns occur compartment syndrome. Compartment syndrome is a surgical emergency requiring rapid diagnosis and treatment by urgent fasciotomy procedure. Thus, early diagnosis and adequate surgical decompression prevents function losses in the affected extremity.
机译：室综合征是四肢烧伤的严重并发症。这项研究的目的是审查患有筋膜切开术的上肢室综合征的病例，并强调紧急筋膜切开术的重要性。回顾性分析了2007年至2013年间因上肢隔室综合征筋膜切开术的43例患者的病历。评估病因，年龄，性别，筋膜切开面积，烧伤和筋膜切开之间的时间以及治疗方案。介绍了手臂，前臂，手或手指筋膜切开术的患者。烫伤和电击是所有患者中的主要原因。成人12例，儿童31例，年龄在1至39岁之间。筋膜切开术后形成的缺损区域通过植皮术和初次闭合术封闭。电烧伤组的住院时间明显长于其他烧伤组（p <0.002）。经常看到上肢烧伤。多数圆形烧伤患者发生房室综合征。室综合征是一种外科急症，需要通过紧急筋膜切开术进行快速诊断和治疗。因此，早期诊断和适当的手术减压可防止患肢的功能丧失。

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