腔室症候群
腔室症候群是對肢體、生命產生威脅的一種狀況，是由於身體某部位神經、血管及肌肉在一個封閉的空間（腔室）中受到壓迫[1]。起因於腔室中升高的壓力，造成血管灌流不足，導致組織缺氧而壞死。腔室症候群最常發生在前臂及小腿，[2] 並可分成急性、亞急性及慢性腔室症候群。根據蘭金（Rankin, 1981）的定義，腔室症候群的起因是一個密閉空間中的壓力，使得該空間的循環及組織功能的受到阻礙。
| 腔室症候群 | |
|---|---|
 | |
| 小腿施行肌膜切開術，並覆蓋著植皮的樣子。 | |
| 类型 | 缺血、疾病 |
| 分类和外部资源 | |
| 醫學專科 | 急診醫學 |
| 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
因為組成腔室的結締組織延展性降低使得流經該腔室的血流量減少，或是由於腔室中肌肉的腫脹造成腔室中壓力的劇烈升高。常造成腔室症候群的原因包括脛骨或前臂骨折，由於組織的傷害、出血、血管穿刺、靜脈藥物注射，長時間固定、肢體的壓迫，粉碎性的傷害及燒燙傷造成的再灌注性損傷。[3][4] 另一個可能的原因是由於服用肌氨酸，有研究指出服用肌氨酸的病史與腔室症候群有一定關係。[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.
延伸閱讀 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計畫中的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）