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通过对患间隔综合征的31例患儿复查,总结如何正确作出早期诊断和治疗的经验。31例患儿中,上肢病变16例,其中9例为肱骨髁上骨折(56%),下肢病变15例,其中7例为胫腓骨骨折(40%)。25例行筋膜减张术,17例获得随访,平均随访时间为28个月,14例肢体功能恢复(82%)。治疗成功的关键在于早期诊断和治疗,彻底的筋膜减张是预防神经、肌肉坏死唯一有效的方法。临床诊断间隔综合征的五大要点:疼痛是最早最常见的症状,感觉障碍是很早出现而易被忽视的体征,疼痛消失和麻痹是晚期标志,被动牵拉试验阳性是手术适应证,但不能作为唯一的确诊指标。
Through the review of 31 cases of patients with compartment syndrome, summarizes how to correctly make early diagnosis and treatment experience. Of the 31 children, 16 had upper extremity lesions, of which 9 were humeral supracondylar fracture (56%) and lower extremity disease (15), of which 7 were tibiofibular fractures (40%). Twenty-five patients underwent fascia decompression and 17 patients were followed up for a mean follow-up of 28 months and 14 cases of functional recovery (82%). The key to successful treatment is early diagnosis and treatment. Complete fascia decompression is the only effective way to prevent nerve and muscle necrosis. Five main points of clinical diagnosis of interval syndrome: pain is the earliest and most common symptoms, sensory disturbances are very early signs of neglect, pain disappear and paralysis is a sign of late, passive traction test positive indications for surgery, but not As the only diagnostic indicator.