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【medical-news】小腿急性筋膜综合征诊断技术
Current State of the Art
Abstract:
Objectives: To review the efficacy of the current diagnostic methods of acute compartment syndrome (ACS) after leg fractures.
Data Sources: A Medline (PubMed) search of the English literature extending from 1950 to May 2007 was performed using "compartment syndromes" as the main key word. Also a manual search of orthopaedic texts was performed.
Study Selection and Extraction: The results were limited to articles involving human subjects. Of 2605 primary titles, 489 abstracts limited to compartment syndromes in the leg and 577 articles related to the diagnosis of compartment syndromes were identified and their abstracts reviewed. Further articles were identified by reviewing the references. Sixty-six articles were found to be relevant to diagnostic techniques for compartment syndrome in the leg and formed the basis of this review.
Conclusions: Early diagnosis of an ACS is important. Despite its drawbacks, clinical assessment is still the diagnostic cornerstone of ACS. Intracompartmental pressure measurement can confirm the diagnosis in suspected patients and may have a role in the diagnosis of this condition in unconscious patients or those unable to cooperate. Whitesides suggests that the perfusion of the compartment depends on the difference between the diastolic blood pressure and the intracompartmental pressure. They recommend fasciotomy when this pressure difference, known as the [DELTA]p, is less than 30 mm Hg. Access to a precise, reliable, and noninvasive method for early diagnosis of ACS would be a landmark achievement in orthopaedic and emergency medicine.
http://www.jorthotrauma.com/pt/re/jorthotrauma/abstract.00005131-200809000-00014.htm
本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 Diagnostic Techniques in Acute Compartment Syndrome of the Leg.
小腿部急性筋膜综合征的诊断技术
Current State of the Art 此项技术目前的状况
Abstract: 摘要
Objectives: To review the efficacy of the current diagnostic methods of acute compartment syndrome (ACS) after leg fractures.
目的：回顾目前小腿骨折后急性筋膜综合征(ACS)诊断方法的有效性。
Data Sources: A Medline (PubMed) search of the English literature extending from 1950 to May 2007 was performed using "compartment syndromes" as the main key word. Also a manual search of orthopaedic texts was performed.
资料来源：在Medline (PubMed)中检索1950年到2007年5月的英文文献，以“筋膜综合征”为关键词。同时也手工检索骨科文献。
Study Selection and Extraction: The results were limited to articles involving human subjects. Of 2605 primary titles, 489 abstracts limited to compartment syndromes in the leg and 577 articles related to the diagnosis of compartment syndromes were identified and their abstracts reviewed. Further articles were identified by reviewing the references. Sixty-six articles were found to be relevant to diagnostic techniques for compartment syndrome in the leg and formed the basis of this review.
研究的选择和排除：限制为以人类为研究目标的文献。从相关的2605篇中489篇摘要限制为小腿筋膜综合征，577篇与筋膜综合征的诊断相关的文献被选出来评估。进一步通过分析其参考文献确定符合的文献，66篇文献和小腿筋膜综合征的诊断有关，构成此研究的基础。
Conclusions: Early diagnosis of an ACS is important. Despite its drawbacks, clinical assessment is still the diagnostic cornerstone of ACS. Intracompartmental pressure measurement can confirm the diagnosis in suspected patients and may have a role in the diagnosis of this condition in unconscious patients or those unable to cooperate. Whitesides suggests that the perfusion of the compartment depends on the difference between the diastolic blood pressure and the intracompartmental pressure. They recommend fasciotomy when this pressure difference, known as the [DELTA]p, is less than 30 mm Hg. Access to a precise, reliable, and noninvasive method for early diagnosis of ACS would be a landmark achievement in orthopaedic and emergency medicine.
结论：小腿筋膜综合征的早期诊断非常重要。尽管有一定存在不足，临床评估仍然是ACS的诊断的关键。筋膜间压力测量能证实疑似患者的诊断并且对此类同时伴有意识障碍或不配合患者的诊断有非常重要的作用。Whitesides认为筋膜的灌注主要取决于血管舒张压和筋膜内压的压力差。他们建议当压力差，也称为[DELTA]p,小于30 mm Hg时，行筋膜切开术。精确、可靠、无创的早期诊断ACS方法将是骨科学和急诊医学重要的里程碑。 编译：
此项技术目前的状况
回顾目前小腿骨折后急性筋膜综合征(ACS)诊断方法的有效性。在Medline (PubMed)中检索1950年到2007年5月的英文文献，以“筋膜综合征”为关键词。同时也手工检索骨科文献。限制为以人类为研究目标的文献。从相关的2605篇中489篇摘要限制为小腿筋膜综合征，577篇与筋膜综合征的诊断相关的文献被选出来评估。进一步通过分析其参考文献确定符合的文献，66篇文献和小腿筋膜综合征的诊断有关，构成此研究的基础。小腿筋膜综合征的早期诊断非常重要。尽管有一定存在不足，临床评估仍然是ACS的诊断的关键。筋膜间压力测量能证实疑似患者的诊断并且对此类同时伴有意识障碍或不配合患者的诊断有非常重要的作用。Whitesides认为筋膜的灌注主要取决于血管舒张压和筋膜内压的压力差。他们建议当压力差，也称为[DELTA]p,小于30 mm Hg时，行筋膜切开术。精确、可靠、无创的早期诊断ACS方法将是骨科学和急诊医学重要的里程碑。 [标签:content1][标签:content2]
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作者:admin@医学,生命科学 2011-06-20 23:45
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