由于树木倒塌造成的伤害,多个地区的分区综合征的治疗策略:一个案例报告
Tomotaka Miura1, Takahito Miyake2, Hideshi Okada1
1Advanced Critical Care Center, Gifu University Hospital, 1-1 Yanagido, Gifu-Shi, Gifu, 501-1194, Japan.
International journal of emergency medicine
|July 15, 2024
概括
分区综合征可以影响多个身体区域. 一种经过修改的科赫-兰根贝克方法为同时发生的部和大腿区综合征提供了单切口法西切除术,改善了治疗.
科学领域:
- 创伤外科 手术 创伤外科
- 整形外科手术 整形外科手术
- 紧急医疗 紧急医疗
背景情况:
- 隔间综合征是一种需要及时诊断和断层切除的外科紧急情况.
- 虽然在四肢中很常见,但部和大腿区综合征很少见,特别是当与其他区域同时发生时.
- 有限的文献存在于管理多区域或ipsilateral部和大腿区综合征.
研究的目的:
- 报告前臂,下腿,部和大腿区域同时出现的隔间综合征病例.
- 描述一种新的手术方法来治疗ipsilateral gluteal和大腿区综合征.
主要方法:
- 一名76岁的男性受到了持续的压伤,导致右前臂和左下腿的隔间综合征,接受了紧急带切除术.
- 随后发展的左部和大腿区综合征是通过区内压力测量来诊断的.
- 在部和大腿部进行了一次带切割,延伸Kocher-Langenbeck方法横向到大腿,进行了部和大腿部.
主要成果:
- 在四个解剖学区域中成功实现了隔间综合征的减压.
- 经过修改的科赫-兰根贝克方法允许单次切割来解决部和大腿的两侧部.
- 这种方法促进了伤口管理和关闭.
结论:
- 在严重的创伤后,多个区域 (包括部和大腿) 的同时 compartment 综合征可能发生.
- 将科赫-兰根贝克方法延伸到横腿部提供了一个可行的手术策略,用于ipsilateral gluteal和 thigh compartment综合征.
- 及时诊断和适当的手术干预对于管理复杂的隔间综合征至关重要.
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