肢体硬度测量对筋膜间室综合征的诊断作用

To measure the limbs′hardness for the diagnosis of compartment syndrome

摘要: 目的: 通过对肢体肿胀硬度的测量,探求筋膜间室综合征的无创性诊断方法。方法: 用70 6代血浆注入6条狗的胫前外侧筋膜间室内,使其压力上升而建立筋膜间室综合征模型,测定狗后腿的组织压和肢体硬度。结果: 随着组织压的升高,肢体硬度逐渐增加。肢体硬度与组织压呈正相关,二者之间的回归方程为:Y=-2 45 2+0 34 4X。结论: 通过测量肢体硬度可以推算出筋膜间室内组织压,其优点是无创伤,可长时间、连续监测。

Abstract: Objective: To measure the limbs′hardness for the invasive diagnosis of compartment syndrome.Methods: Six adult dogs were subjected to an infusion of 706 hetastarch into the anterolateral muscle compartment of the left handlimb to create an elevation in compartment pressure Then the limbs′hardness and intracompartmental pressure were measured.Results: It was founded that When the intracompartmental pressure was raised, the limb′s hardness rose The correlation coefficient found between the intracompartmental pressure measurements and the quantitative hardness measurements was 0.967.Conclusion: The determination of surface hardness of the limbs, which appears accurate and reproducible, offers the advantages of being noninvasive and well suited for longer term assessments of the intracompartmental interstitial pressure