Evaluation of acute compartment syndrome of extremities in emergency room: a case series of 32 children

A. Singh, Sabir Ali, R. Srivastava
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Abstract

The aim of this study was to analyze the clinical signs of diagnosis, treatment and followup of the pediatric population presenting with acute compartment syndrome in the emergency room at an Institutional Level II trauma center. The study is a prospective case series. Thirty-two samples were selected from Institutional Trauma Centre, King George’s Medical University, Lucknow, between January 2005 and December 2010. Children presenting with clinically suspected acute compartment syndrome were studied. These were divided into two age related groups: Group A (children to 18 years) comprised of 20 children. Patients’ demographics, diagnosis, treatment, follow-up and complications were analyzed. Acute compartment syndrome represents a surgical emergency. The clinical signs predict and corroborate with acute increases in compartment pressure effectively. KEY WORDS: Acute compartment syndrome; Raised compartment pressure; Acute compartment syndrome in children; Acute compartment syndrome and fasciotomy
急诊对32例儿童急性四肢筋膜室综合征的评价
本研究的目的是分析在二级创伤中心急诊室出现急性筋膜间室综合征的儿科人群的临床症状、治疗和随访。本研究为前瞻性病例系列研究。2005年1月至2010年12月期间,从勒克瑙乔治国王医科大学机构创伤中心选取了32个样本。对临床怀疑为急性筋膜室综合征的儿童进行了研究。这些儿童被分为两个年龄相关的组:A组(儿童至18岁)由20名儿童组成。分析患者的人口学特征、诊断、治疗、随访及并发症。急性筋膜室综合征是一种外科急诊。临床体征能有效地预测和证实室压的急性升高。关键词:急性筋膜室综合征;舱室压力升高;儿童急性筋膜室综合征;急性筋膜室综合征和筋膜切开术
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