摘要
目的探索采用血氧饱和度(SPO2)动态监测早期诊断骨筋膜室综合征的方法。方法对36例小腿严重创伤患者采用SPO2仪动态观测患肢末端SPO2指标,以间接观察伤肢组织血运状况,结合临床症状和体征,对骨筋膜室综合征进行早期诊断和处理。结果5例经手术减压,其中3例痊愈,功能良好;1例术后继发感染,经抗感染换药治疗,功能恢复较好;1例因创伤重、就诊晚,术中发现组织缺血严重,部分肌肉坏死,后遗留肢体挛缩,功能有部分影响。36例均获得随访,时间6～18个月。根据Johner-Wruhs评分:优26例,良8例,可1例,差1例。结论采用SPO2仪动态监测患肢末端SPO2指标方法简单直观,可作为临床早期诊断骨筋膜室综合征的一个重要的参考指标,对治疗有一定的指导价值。
Objective To investigate of the value of monitoring of saturation of blood oxygen of the injuried extremity on prevention of osteocompartment syndrome. Methods 36 cases of severe leg injuries were undergone SPO2 dynamic monitoring on the end of injuried extremities, blood support observing, and clinical symptom and sign analysis, with which osteocompartment syndrome was diagnosed and treated. Results 5 were treated with fasciotomy, of which 3 healed and got good function recovery, 1 was complicated with infection and healed with good function recovery fol- lowing anti-infection and dress changing, and 1 got soft tissue contracture and fuction compromise because of severe injury and late presentation, and severe tissue ischemia and muscular necrosis were found in operation. 36 cases were followed up for 6 - 18 months. According to Johner-Wruhs system, the results were excellent in 26 cases, good in 8, fair in 1, and poor in 1. Conclusions Monitoring of SPO2 on the end of injuried extremities is simple and effective for early diagnosis of osteocompartment syndrome.
出处
《临床骨科杂志》
2007年第5期409-411,共3页
Journal of Clinical Orthopaedics
