Two cases of acute atraumatic compartment syndrome complicated with severe heat stroke
スポンサーリンク
概要
- 論文の詳細を見る
Acute compartment syndrome is a life-threatening complication in trauma patients. Not only regional neuromuscular disability, but also systemic organ disorders can result from prolonged tissue ischemia. In this report, we describe 2 cases of acute atraumatic compartment syndrome complicated with severe heat stroke. In both cases, emergency fasciotomy was rapidly performed after recognition of the syndrome, but serious regional neuromuscular disabilities remained. Microvascular endothelial injury is an important mechanism of acute atraumatic compartment syndrome. Thrombi diffusely formed in the compartmental space hinder establishment of reperfusion even after fasciotomy. Furthermore, disruption of fibrinolysis due to heat stroke could enhance this damage.
著者
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Tase Choichiro
Department Of Anesthesiology Fukushima Medical College
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Abe Yoshinobu
Department Of Applied Biological Chemistry Faculty Of Agriculture Shizuoka University
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Hasegawa Arifumi
Department Of Surgery Ii Fukushima Medical University School Of Medicine
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IKEGAMI YUKIHIRO
Department of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine
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Tsukada Yasuhiko
Department of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine
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Shimada Jiro
Department of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine
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ABE YOSHINOBU
Department of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine
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HASEGAWA ARIFUMI
Department of Emergency and Critical Care Medicine, Fukushima Medical University School of Medicine
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SHIMADA Jiro
Department of Critical Care and Emergency Medicine, Fukushima Medical University
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TSUKADA Yasuhiko
Department of Critical Care and Emergency Medicine, Fukushima Medical University
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