骨筋膜室综合征的诊断与治疗

目的：探讨骨筋膜室综合征的病因，诊断及治疗，方法：总结分析26例骨筋膜综合征发生的病因，临床表现，诊断及治疗，结果：胫腓骨骨折并软组织挫伤4例，骨折合并胫后动脉断裂出血血肿6例，骨折出血血肿8例，Guo动静脉挫伤栓塞4例，尺桡骨近端骨折并软组织挫伤2例；头压伤前臂1例，刀砍伤前臂清创缝合后包扎过紧并感染1例，经手术探查，清除血栓，吻合血管，清除血肿，止血，引流，减压，术后抗凝，扩容，脱水，抗炎等治疗后功能无缺失20例，发生缺血性肌挛缩4例，截肢2例，结论：早期正确判断伤肢缺血的病因，进行相应的手术及术后抗凝，扩容，脱水，抗炎等治疗是防治骨筋膜室综合征的根本措施，切不可单纯行切开减压术。

Diagnosis and teatment of osteofascial compartment syndrome

Objective To explore the pathogeny, diagnosis and treatment of osteofascial compartment syndrome. Methods. The 26 cases of osteofascial compartment syndrome were reviewed retrospectively. Results There were 4 cases fractures of the shafts of tibial and fibula, 6 cases of rupture of popliteal tibial artery, 8 cases of gore, 4 cases of rupture of popliteal tibial artery and vein, 2 cases fractures of the shafts of ulna and radius, 1 cases of forearm injury caused by press under head and 1 cases of chopped forearm . Among the 26 cases , the 20 cases were cured, the 4 cases were developed volkmann and the 2 cases were amputated. Conclusion Essential measures of treatment and prevention of osteofascial compartment syndrome are correct estimation of pathogeny, proper operation, prevention of cruor, increase of blood volume, dehydration and sterilization.