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首页> 外文期刊>The Journal of trauma >Acute forearm compartment syndrome secondary to local arterial injury after penetrating trauma.
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Acute forearm compartment syndrome secondary to local arterial injury after penetrating trauma.

机译：穿透性创伤后继发于局部动脉损伤的急性前臂室综合征。

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BACKGROUND: Acute compartment syndrome (ACS) is a well-described surgical emergency that requires an immediate diagnosis and emergent operative intervention. Failure to either make the diagnosis or to implement the appropriate treatment quickly can result in severe long-term morbidity. The purpose of this article is to document evidence that penetrating trauma which results in arterial injury may cause acute forearm compartment syndrome. As a result, this mechanism should alert surgeons to the possibility of acute compartment syndrome secondary to arterial injury. METHODS: A retrospective review of all penetrating trauma patients treated at our Level 1 Trauma Center was performed within 2001 and 2005. Patients who sustained penetrating injuries to the forearm were reviewed in detail and all patients diagnosed with acute forearm compartment syndrome in this setting were included in this article. RESULTS: Five cases of ACS of the forearm secondary to a mechanism rarely described in the surgical literature were documented over five years. All cases in this series were the result of a named forearm arterial injury sustained by penetrating trauma. Every patient in this article was taken emergently to the operating room for a fasciotomy following diagnosis. CONCLUSION: This article establishes the incidence of a specific mechanism of ACS in our penetrating trauma population. As a result of these findings, a thorough evaluation of the forearm vasculature and a careful search for arterial injury is recommended at the time of fasciotomy. Securing a rapid diagnosis and executing early definitive management will result in fewer devastating long-term outcomes.
机译：背景：急性车厢综合症（ACS）是一种描述广泛的外科急症，需要立即诊断和紧急手术干预。未能做出诊断或快速实施适当的治疗可能会导致严重的长期发病。本文的目的是记录证明导致动脉损伤的穿透性创伤可能引起急性前臂腔室综合征的证据。因此，该机制应使外科医生注意动脉损伤继发的急性室综合征的可能性。方法：回顾性回顾了2001年至2005年在我院1级创伤中心接受治疗的所有穿透性创伤患者。详细回顾了遭受前臂穿透性损伤的患者，包括所有在这种情况下被诊断为急性前臂腔室综合征的患者在这篇文章中。结果：五年以来，已有5例外科手术文献中很少描述的继发于前臂ACS的病例。该系列的所有病例都是由穿透性创伤所致的前臂动脉损伤所致。诊断后，本文中的每个患者都被紧急带到手术室进行筋膜切开术。结论：本文建立了ACS在我们穿透性创伤人群中的一种特定机制的发生率。由于这些发现，建议在筋膜切开术时对前臂脉管系统进行彻底评估并仔细寻找动脉损伤。确保快速诊断并执行早期明确管理将减少破坏性的长期结果。

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