间歇性气动压缩和弹性后的双边下肢隔间综合征:一个治疗挑战
Adenauer Marinho de Oliveira Góes1,2,3,4, Clarisse Gripp Aita3, Sellena Polyana Soares de Souza Brito3
1Sociedade Brasileira de Angiologia e Cirurgia Vascular SBACV, São Paulo, SP, Brasil.
Jornal vascular brasileiro
|September 11, 2025
概括
间歇性气动压缩和压缩可以在整形手术患者中引起腿部隔间综合征. 快速的断层切除术导致了一个病人.
科学领域:
- 整形外科 整形外科 整形外科
- 血管外科 血管外科
- 整形外科手术 整形外科手术
背景情况:
- 静脉血栓塞栓症 (VTE) 预防是外科外科整形外科的标准.
- 间歇性气动压缩 (IPC) 和压缩是常见的VTE预防方法.
- 由于VTE预防而产生的并发症虽然很少见,但需要仔细考虑.
研究的目的:
- 在VTE预防后报告双边下肢区综合征的病例.
- 审查下肢隔间综合征的诊断和治疗.
- 讨论作为术后并发症的隔间综合征的病理生理学.
主要方法:
- 一个整形手术患者的病例报告.
- 关于下肢部位综合征的文献综述.
- 对病理生理机制的分析.
主要成果:
- 患者在接受IPC和压缩后发展了双边腿部隔间综合征.
- 为了治疗,进行了外科带切除术.
- 患者经历了无事件的复苏后fasciotomy.
结论:
- 像IPC和压缩这样的VTE预防方法可以导致隔间综合征.
- 早期诊断和外科干预 (切术) 对于管理下肢隔间综合征至关重要.
- 了解病理生理学是预防和管理这种并发症的关键.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
379
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
379
Peripheral Artery Disease IV: Nursing Management
351
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
351
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
365
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
365
Peripheral Artery Disease III: Interprofessional Care
252
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
252
Varicose Veins II: Diagnostic Studies and Interprofessional Care
192
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
192
Venous Thrombosis IV: Nursing Management
202
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
202


