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３２例小儿前臂严重骨筋膜室综合征中，除４例为骨折直接合并肱动脉程度不同损伤继发外，余下之２８例均为医源性处理不当所致。基于儿童上肢功能重建的特点，有必要选择外科综合治疗。早期采用骨筋膜室彻底减压，尤其强调早期恢复神经干革命的血运。对５例晚期缺血性挛缩处理，采用游离吻合血管神经的腓肠肌内侧头肌皮瓣重建手及前臂功能，随访１年以上结果满意。
Among the 32 cases of severe compartment syndrome of pediatric forearm, except for 4 cases whose fracture was directly associated with different degree of brachial artery secondary to fracture, the remaining 28 cases were all caused by iatrogenic improper handling. Based on the characteristics of children’s upper limb reconstruction, it is necessary to choose surgical treatment. The early use of complete decompression of the compartment of the fascia, with particular emphasis on the early recovery of nerve dry revolution blood. Five cases of advanced ischemic contracture, the use of free anastomosis vascular gastrocnemius medial head muscle flap to reconstruct the hand and forearm function, follow-up more than 1 year results were satisfactory.