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目的探讨踝周骨折后出现踝部筋膜室高压综合征的机制和诊疗措施。方法回顾3例踝周骨折后足部血循障碍患者的诊疗及结果。例1,跟骨骨折,踝部肿胀剧痛,未切开减压,最终足趾坏死;例2,胫骨远端骨折内固定术毕足部缺血,4h无改善,拆除踝前深筋膜缝线后血运恢复;例3,同侧下肢多发骨折,踝部肿胀,足趾血氧饱和度渐降至0%,踝前筋膜切开即血运恢复。结果踝部筋膜下压力增高可引起足部血循、感觉障碍。结论严密的足趾血氧饱和度监测和充分踝前筋膜切开减张是处置踝部筋膜室高压综合征的关键。
Objective To investigate the mechanism and diagnosis and treatment of ankle compartment syndrome after ankle fracture. Methods Three cases of ankle fracture after pediatric patients with blood disorders and diagnosis and treatment results. Case 1, calcaneus fractures, painful ankle swelling, no decompression, the final toe necrosis; Example 2, distal tibial fracture fixation complete ischemic foot, 4h no improvement, removal of the anterior fascia deep fascia Suture blood supply recovery; Example 3, ipsilateral lower extremity multiple fractures, swelling of the ankle, toe oxygen saturation decreased to 0%, ankle anterior fasciotomy that blood supply recovery. Results ankle subfascial pressure can cause foot blood circulation, sensory disturbances. Conclusion The close toe oxygen saturation monitoring and adequate ankle ankle incision and reduction is the key to the treatment of ankle compartment syndrome.