Acute compartment syndrome

Schmidt Andrew H.

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Acute compartment syndrome

机译：急性室综合征

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Acute compartment syndrome is a well-known complication of tibial fractures, yet it remains difficult to diagnose and the only effective treatment is surgical fasciotomy. Delayed fasciotomy is the most important factor contributing to poor outcomes, and as a result, treatment is biased towards performing early fasciotomy. Current diagnosis of ACS is based on clinical findings and intramuscular pressure (IMP) measurement, and is targeted at identifying safe thresholds for when fasciotomy can be avoided. Since clinical findings are variable and difficult to quantify, measurement of IMP - ideally continuously - is the cornerstone of surgical decision - making. Numerous investigators are searching for less invasive and more direct measurements of tissue ischemia, including measurement of oxygenation, biomarkers, and even neurologic monitoring. This article provides a brief but thorough review of the current state of the art in compartment syndrome diagnosis and treatment. (C) 2017 Elsevier Ltd. All rights reserved.

机译：急性隔间综合征是胫骨骨折的着名并发症，但诊断仍然难以诊断，唯一有效的治疗是外科粉丝。延迟的粉丝是有助于差的结果的最重要因素，结果，治疗偏向于表演早期粉丝。目前对ACS的诊断基于临床发现和肌内压力（IMP）测量，并且旨在识别可以避免腓素术时的安全阈值。由于临床发现是可变的并且难以量化，因此Imp - 理想地连续测量 - 是手术决策的基石。许多调查人员正在寻找较少的侵入性和更直接的组织缺血，包括氧合，生物标志物和甚至神经系统监测的测量。本文在隔间综合征诊断和治疗中对当前最新的技术进行了简要但彻底的审查。（c）2017 Elsevier Ltd.保留所有权利。

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来源
《Injury》 |2017年第1期|共4页
作者
Schmidt Andrew H.;
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作者单位

Univ Minnesota Dept Orthopaed Surg Hennepin Cty Med Ctr 701 Pk Ave South Mailcode G2;

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原文格式 PDF
正文语种 eng
中图分类创伤外科学;
关键词
Compartment syndrome; Fasciotomy; Intramuscular pressure; Tibia fracture; Perfusion pressure;

机译：隔室综合征;粉丝;肌肉压力;胫骨骨折;灌注压力;

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1. The thickness of the anterior compartment does not indicate compartment syndrome in acutely traumatised legs? [J] . WangS.-H., LinK.-Y., YangJ.-J., Injury . 2014,第3期

机译：前房的厚度不表示急性外伤的腿有房室综合征吗？
2. Atraumatic Acute Compartment Syndrome in Isolated Medial Compartment of Foot, A Rare Case Report [J] . Tan Wei How, Bahari Syah Irwan Journal of Biosciences and Medicines . 2021,第6期

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3. Atraumatic Acute Compartment Syndrome in Isolated Medial Compartment of Foot, A Rare Case Report [J] . Tan Wei How, Bahari Syah Irwan 生物科学与医学（英文） . 2021,第006期

机译：Atraumatic Acute Compartment Syndrome in Isolated Medial Compartment of Foot, A Rare Case Report
4. The impact of acute exposure to desert dust on bospitalizations due to acute coronary syndrome. Gender effect [C] . Alina Vodonos, Michael Friger, Itzhak Katra, Annual conference of the International Society of Exposure Science . 2014

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5. The Association between Unfractionated Heparin and Bivalirudin Used during Percutaneous Coronary Intervention for Stable Angina and Acute Coronary Syndromes and the In-Hospital and Mortality Outcomes Observed across All Body Mass Index Groups [D] . Chen, Christine. 2021

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6. Low compartment pressure and myoglobin levels in tibial fractures with suspected acute compartment syndrome [O] . Abraham Nilsson, Björn Alkner, Patrick Wetterlöv, 2019

机译：疑似急性室综合征的胫骨骨折中的低室压和肌红蛋白水平
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Acute compartment syndrome

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