...
首页> 外文期刊>Injury >The 'silent' compartment syndrome (Injury 2009; 40:220-2)
【24h】

The 'silent' compartment syndrome (Injury 2009; 40:220-2)

机译:“沉默的”隔室综合征(伤害2009; 40:220-2)

获取原文
获取原文并翻译 | 示例
           

摘要

Dear Sir, In reading the text presented by Badhe et al.I was reminded of my experiences with similar problems. The authors provide an elegant explanation of the differences between silent compartment syndrome and occult compartment syndrome, which has been previously described. The first time I saw a similar case with silent compartment syndrome was in October 1991, during the war in Croatia. During a military action to rescue injured soldiers, our ambulance drove over an anti-tank mine. Of the four occupants of the vehicle, I alone escaped serious injury. My younger brother (21 years at the time), who had been the driver sustained multiple closed fractures to both legs. He was subsequently treated in the intensive care unit at our hospital in Osijek. Because of the number of admissions time was not available for surgical intervention, so both legs were splinted. The next day, 30 h after injury, I came to see him and noticed that his left leg had a clinical picture of compartment syndrome below the left knee, just as described by Badhe et al. The duty surgeons and anesthetists had not noticed the development of compartment syndrome because my brother had not complained of pain. When I realized what was happening and informed the other doctors, the duty vascular surgeon performed emergency fasciotomy, and his leg was saved.
机译:亲爱的先生,在阅读Badhe等人的文章时,我想起了我遇到类似问题的经历。作者对沉默隔室综合征和隐性隔室综合征之间的区别进行了优美的解释,这已在前面进行了描述。 1991年10月,在克罗地亚战争期间,我第一次看到类似的沉默舱室综合征病例。在采取军事行动营救受伤的士兵时,我们的救护车驶过反坦克地雷。在这辆车的四名乘客中,我一个人幸免于重伤。我的弟弟(当时21岁)曾是司机,但双腿多处闭合性骨折。随后,他在奥西耶克我们医院的重症监护室接受治疗。由于入院时间不多,无法进行手术干预,因此双腿都被夹住了。第二天,受伤后30小时,我来见他,发现他的左腿在左膝下方有隔室综合征的临床表现,正如Badhe等人所述。值班医生和麻醉师没有注意到房室综合征的发生,因为我的兄弟没有抱怨疼痛。当我意识到发生了什么并通知其他医生时,值班的血管外科医师进行了紧急筋膜切开术,并挽救了他的腿。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号