【摘要】 目的　总结烧伤后筋膜室综合征的预防和诊治经验。方法　回顾性分析近年来我院收治的 5例烧伤后并发筋膜室综合征患者的临床资料及治疗结果。结果　 5例共 7个肢体均未能及时诊断 ,诊断前均未行焦痂切开减压 ,诊断后虽行焦痂、筋膜切开减压 ,但均发生了不同程度的肌肉坏死。其中 2例 3个肢体因肌肉完全坏死行截肢术 ,1例 2个肢体 2 / 3以上肌肉坏死 ,创面愈合后对肢体功能影响较大 ,2例 2个肢体少部分肌肉坏死 ,愈合后功能影响较小。结论　对于四肢深度烧伤 ,应早期行焦痂切开减压。四肢切、削痂后植皮创面 ,包扎不能过紧 ,术后除了密切观察末端循环外 ,更应注意观察指 (趾 )端的感觉和运动功能。更多还原

【Abstract】 Objective To summarize the experiences in the prevention and treatment of compartment syndrome in burn patients.Methods The clinical data and treatment of 5 compartment syndrome cases in burn patients were retrospectively analyzed.Results Among the 5 patients ,the diagnosis were all postponed and muscle necrosis occurred:2 patients( 3 limbs) required amputations because of complete muscle necrosis; the function of limbs in 3 other patients were affected to different degree.Conclusion Early limb escharotomies or fasciotomies in patients with deep burn was necessary .The wound shouldn’t be bandaged tightly after skingrafting, and the feels and motor function of fingers or toes ought to be observed carefully besides distal end circulation after operation.更多还原