摘要
目的：探讨急性下肢动脉阻塞取栓术后并发症骨筋膜室综合征的治疗。方法：回顾性分析1997年11月至2008年12月我院血管外科8例急性下肢动脉阻塞取栓术后骨筋膜室综合征的治疗。结果：5例保守治疗痊愈，3例保守治疗后行切开减压术，其中1例术后截肢，1例术后急性肾功能衰竭，血透后恢复；无死亡。结论：根据病程的不同及时采用对应的治疗方法是治疗急性下肢动脉阻塞取栓术后骨筋膜室综合征的关键。
Objective To evaluate the effective therapy of osteofascial compartment syndrome after the treatment for acute ischemia of lower extremities. Method From Nov 1997 to Dec 2008, 8 cases of osteofascial compartment syndrome were therapied by combination of endovaseular intervention and traditional surgical thrombeetomy after the treatment for acute ischemia of lower extremities. The complications were analysed. Results Expectant treatment was intruduced first; 5 cases were cured; 3 cases were open decompressed, 1 case was amputated extremity, 1 case was acute renal failure,it was cured after haemodialysis. It was no death. Conclusion The key of treating Osteofascial Compartment Syndrome is deploying promptly and exactly according to the course of disease.
关键词
急性下肢动脉阻塞
并发症
骨筋膜室综合征
Acute Isehemia of Lower Extremities
Complication
Osteofascial Compartment Syndrome
