摘要
目的总结自发性小腿肌内血肿的诊断和治疗要点,减少误诊、防止骨筋膜室综合征的发生。方法2003—2007年我院收治的自发性小腿肌内血肿患者12例,入院后行彩色B超及CT检查,确诊后予以止血、抗感染等保守治疗10例,行切开减压、血肿清除术治疗2例。结果所有病例中有2例出现骨筋膜室综合征,病愈出院,出院后随访6～12月,患肢活动感觉正常,未发现复发病例。结论自发性小腿肌内血肿的诊断要点是全面分析病史、体征及辅助检查等,特别是与深静脉血栓形成的鉴别诊断;治疗上应密切观察病情,必要时手术治疗,以防止骨筋膜室综合征的发生。
OBJECTIVE To summarize the main pionts of diagnosis and therapy of spontaneous intramuscular haematoma of cnemis, decrease misdiagnosis, to prevent osteofaseial compartment syndrome. METHODS 12 cases of spontaneous intramuscular haematoma of cnemis had been collected from 2003 to 2007, these patients had been examined by B-ultrasound and Computed Tomogrphy.10 cases had been given expectant treatment of haemostasis and anti-infection after final diagnosis.2 cases had been given operation of open decmpression and haematoma cleaning. RESVLTS 2 of cases occured osteofascial compartment syndrome, had been free of disease and discharged.All cases of post-discharge had been followed-up 6-12 months, all of affected extremities had recovered normal action and sensation. CONCLUSIONS The main pionts of diagnosis spontaneous intramuscular haematoma of cnemis are multi-analysis of case history and physical sign and auxiliary examination, especially antidiastole to deep venous thrombosis.Observe pathogenetic condition intimately in treatment, operate necessarily to prevent occuring osteofascial compartment syndrome.
出处
《中国初级卫生保健》
2008年第6期96-97,共2页
Chinese Primary Health Care
关键词
血肿
血栓形成
骨筋膜室综合征
haematoma, thrombopiesis, osteofascial compartment syndrome
