双边下肢急性隔间综合征与药物滥用有关:两个病例报告
Takayuki Matsuda1, Shimpei Ono1, Taishi Murakami1
1From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Nippon Medical School Hospital, Tokyo, Japan.
Plastic and reconstructive surgery. Global open
|October 3, 2025
概括
双边下肢急性隔间综合征 (ACS) 是罕见的. 这项研究强调长时间的Seiza坐着与药物滥用结合在一起是原因,强调在固定患者中早期ACS诊断.
科学领域:
- 整形外科 整形外科 整形外科
- 毒理学 毒理学 毒理学
- 紧急医疗 紧急医疗
背景情况:
- 急性隔间综合征 (ACS) 通常影响单一的四肢.
- 双边下肢ACS异常罕见,只有有限的病例报告.
研究的目的:
- 报告两例罕见的双边下肢ACS病例.
- 确定导致因素,特别是长时间的Seiza姿势和药物滥用.
- 强调在与药物滥用相关的固定中对ACS的临床怀疑.
主要方法:
- 两名患者的病例报告呈现双边下肢ACS.
- 分析患者病史,包括药物使用 (安非他命,类药物) 和在Seiza姿势中长期不动.
- 对治疗结果的审查,包括断层切除和截肢.
主要成果:
- 双边下肢ACS的两个病例成功地通过带切除术治疗.
- 由于感染和伤口愈合不良等并发症,这两名患者都需要截肢.
- 长时间的Seiza姿势与物质诱导的无意识相结合被确定为主要原因.
结论:
- 长时间的Seiza姿势可以诱导严重的双边ACS.
- 双边ACS应立即考虑药物或酒精滥用.
- 早期诊断和干预对于管理与药物滥用相关的固定和预防截肢等严重结果至关重要.
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