肢体的筋膜间室综合征

证据评分

证据 A 筋膜切开术：有高质量的证据显示筋膜切开术是急性四肢间室综合征的最佳治疗手段。[13]Wall CJ, Lynch J, Harris IA, et al; Liverpool (Sydney) and Royal Melbourne Hospitals. Clinical practice guidelines for the management of acute limb compartment syndrome following trauma. ANZ J Surg. 2010;80:151-156.http://www.ncbi.nlm.nih.gov/pubmed/20575916?tool=bestpractice.com[1]Mubarak SJ, Owen CA. Double-incision fasciotomy of the leg for decompression in compartment syndromes. J Bone Joint Surg Am. 1977;59:184-187.http://www.ncbi.nlm.nih.gov/pubmed/15455478?tool=bestpractice.com 系统评价或者受试者＞200名的随机对照临床试验（RCT）。

筋膜切开术：有高质量的证据显示筋膜切开术是急性四肢间室综合征的最佳治疗手段。[13]Wall CJ, Lynch J, Harris IA, et al; Liverpool (Sydney) and Royal Melbourne Hospitals. Clinical practice guidelines for the management of acute limb compartment syndrome following trauma. ANZ J Surg. 2010;80:151-156.http://www.ncbi.nlm.nih.gov/pubmed/20575916?tool=bestpractice.com[1]Mubarak SJ, Owen CA. Double-incision fasciotomy of the leg for decompression in compartment syndromes. J Bone Joint Surg Am. 1977;59:184-187.http://www.ncbi.nlm.nih.gov/pubmed/15455478?tool=bestpractice.com

证据 B 舒张压和测量的间室压力之间的差异：有中等质量的证据显示差异压力<20 mmHg 是四肢间室综合征的强有力指征。[9]Olson SA, Glasgow RR. Acute compartment syndrome in lower extremity musculoskeletal trauma. J Am Acad Orthop Surg. 2005;13:436-444.http://www.ncbi.nlm.nih.gov/pubmed/16272268?tool=bestpractice.com。 系统评价或者受试者＞200名的随机对照临床试验（RCT）。

舒张压和测量的间室压力之间的差异：有中等质量的证据显示差异压力<20 mmHg 是四肢间室综合征的强有力指征。[9]Olson SA, Glasgow RR. Acute compartment syndrome in lower extremity musculoskeletal trauma. J Am Acad Orthop Surg. 2005;13:436-444.http://www.ncbi.nlm.nih.gov/pubmed/16272268?tool=bestpractice.com。