腔室症候群
腔室症候群是对肢体、生命产生威胁的一种状况，是由于身体某部位神经、血管及肌肉在一个封闭的空间（腔室）中受到压迫[1]。起因于腔室中升高的压力，造成血管灌流不足，导致组织缺氧而坏死。腔室症候群最常发生在前臂及小腿，[2] 并可分成急性、亚急性及慢性腔室症候群。根据兰金（Rankin, 1981）的定义，腔室症候群的起因是一个密闭空间中的压力，使得该空间的循环及组织功能的受到阻碍。
| 腔室症候群 | |
|---|---|
 | |
| 小腿施行肌膜切开术，并覆盖著植皮的样子。 | |
| 类型 | 缺血、疾病 |
| 分类和外部资源 | |
| 医学专科 | 急诊医学 |
| ICD-10 | M62.2, T79.6 |
| ICD-9-CM | 729.7, 958.9 |
| DiseasesDB | 3028 |
| MedlinePlus | 001224 |
| eMedicine | emerg/739 |
| MeSH | D003161 |
原因
编辑因为组成腔室的结缔组织延展性降低使得流经该腔室的血流量减少，或是由于腔室中肌肉的肿胀造成腔室中压力的剧烈升高。常造成腔室症候群的原因包括胫骨或前臂骨折，由于组织的伤害、出血、血管穿刺、静脉药物注射，长时间固定、肢体的压迫，粉碎性的伤害及烧烫伤造成的再灌注性损伤。[3][4] 另一个可能的原因是由于服用肌氨酸，有研究指出服用肌氨酸的病史与腔室症候群有一定关系。[5][6]
参考资料
编辑- ^ 存档副本. [2011-12-28]. （原始内容存档于2011-09-04）.
- ^ Medline Plus. URL: http://www.nlm.nih.gov/medlineplus/ency/article/001224.htm （页面存档备份，存于互联网档案馆） Accessed 23 December 2009
- ^ Konstantakos EK, Dalstrom DJ, Nelles ME, Laughlin RT, Prayson MJ. Diagnosis and management of extremity compartment syndromes: an orthopaedic perspective. Am Surg. December 2007, 73 (12): 1199–209. PMID 18186372.
- ^ Maerz L, Kaplan LJ. Abdominal compartment syndrome. Crit. Care Med. April 2008, 36 (4 Suppl): S212–5. PMID 18382196. doi:10.1097/CCM.0b013e318168e333. （原始内容存档于2018-10-01）.
- ^ Potteiger JA, Carper MJ, Randall JC, Magee LJ, Jacobsen DJ, Hulver MW. Changes in Lower Leg Anterior Compartment Pressure Before, During, and After Creatine Supplementation (PDF). J Athl Train. June 2002, 37 (2): 157–163. PMC 164339
. PMID 12937429. （原始内容 (PDF)存档于2008-12-17）.
- ^ Hile AM, Anderson JM, Fiala KA, Stevenson JH, Casa DJ, Maresh CM. Creatine supplementation and anterior compartment pressure during exercise in the heat in dehydrated men. J Athl Train. 2006, 41 (1): 30–5. PMC 1421498 . PMID 16619092.
延伸阅读
编辑- Floyd R. and Thompson C. Manual of Structural Kinesiology 17th Ed., McCrawHill. ISBN 978-0-07-337643-1
- Blackman, Paul G.. "A review of chronic exertional compartment syndrome in the lower leg." Medicine and Science in Sports and Exercise 32.3 (supp): S4-S10.
- Hamill, J and Knutzem KM. Biomechanical Basis of Human Movement, 3rd Ed. Lippincott Williams&Wilkins. ISBN 978-0-7817-9128-1
- Leung, Y.F., Ip, S.P., Chung, O.M., Wai, Y.L., (2003, June). Unimuscular neuromuscular insult of the leg in partial anterior compartment syndrome in a patient with combined fractures. Hong Kong Medical Journal, 9.
- Rankin, E.A., Andrews, G. (1981, December). Anterior tibial compartmental syndrome: an unusual presentation. Journal of the National Medical Association, 73.
- Rorabeck, C.H., (1984, January). The treatment of compartment syndromes of the leg. Journal of Bone and Joint Surgery-British, 66-B. Retrieved from https://web.archive.org/web/20110724152659/http://web.jbjs.org.uk/cgi/content/abstract/66-B/1/93
- Shadgan, B., et. al. (2010, October). Current thinking about acute compartment syndrome of the lower extremity, Canadian Journal of Surgery, 53.
- Shears, E., Porter, K. (2006). Acute compartment syndrome of the limb. Trauma, 8.
- Touliopolous, S., Hershman, E.B., (1999, March). Lower leg pain: diagnosis and treatment of compartment syndromes and other pain syndromes of the leg. Sports Medicine, 27.
外部链接
编辑- Chronic Exertional Compartment Syndrome detailed at MayoClinic.com （页面存档备份，存于互联网档案馆）
- 杜克大学医学中心整形外科计画中的Compartment syndrome
- 05-062a. at Merck Manual of Diagnosis and Therapy Home Edition
- Fasciotomy, Chronic Venous Insufficiency, and the Calf Muscle Pump （页面存档备份，存于互联网档案馆）
- Compartment syndrome
- Saphenous nerve injury after fasciotomy for compartment syndrome （页面存档备份，存于互联网档案馆）
- American Association of Orthopaedic Surgeons Compartment Syndrome （页面存档备份，存于互联网档案馆）