Fasciotomy versus amputation in patients with compartment syndrome in Bam earthquake victims
Journal Title: مجله دانشگاه علوم پزشکی شهرکرد - Year 2006, Vol 7, Issue 4
Abstract
Background and aim: Compartment syndrome following the injuries in earthquake is a big problem and may cause amputation and psychological problems. The aim of this study was evaluation of the effects of fasciotomy on the prognoses of these patients, especially for the function of the limbs and the function of the kidneys. Methods: In a clinical trial all patients referred to Alzahra hospital in Isfahan city from the Bam earthquake area, were taken part in this study. The compartment pressure were measured and following suitable liquid therapy, they were fasciotomized. Then, the bloodshed, infections, fever and the prognoses of the operation especially the need for amputation were recorded. The kidney function was also evaluated by measuring the creatinin. Results: Twenty patients out of 255 patients referred to Alzahra hospital, from the Bam earthquake had compartment syndrome in 26 limbs. This patients were fasciotomized. The average of their age was 36.1 years and 55% of them were female. 1.1 cases had pulses in their limbs. However, all of them had hardness and inflammations in their limbs, without any function. Before surgery, 5 patients had increased blood creatinin. 2 months after surgery, all patients had normal kedney function. 3 patients had amputation. Conclusion: Fasciotomy in patients with compartment syndrome may rescue patients limbs, without any significant adverse effects on their kidney function, and is recommended for all patients with this particular problem
Authors and Affiliations
aliakbar Beigi, saidebrahim Nourian, hafez Ghaheri, hosain Taheri
Keywords
Related Articles
- EP ID EP159866
- DOI -
- Views 100
- Downloads 0
Predictive value of variation in blood flow of the middle cerebral artery measured using transcranial Doppler sonography in patients with acute brain stroke
Background and aim: Transcranial Doppler sonography (TCD) is a noninvasive, inexpensive, timesaving and portable imaging modality for localizing cerebral arterial pathology in patients with acute stroke especially in mid...
Sleep disorders in patients with congestive heart failure hospitalized in Hajar hospital, Shahrekord, 2003
Background and aim: Sleep is an important regular and repeated biologic period and leads to refreshment of human life both physically and mentally. One third of human life is spending in sleep and lack of it, endangers h...
The rate of exposure of patients in common X-ray examinations in radiology centers of Chaharmahal & Bakhtiari province
Background and Aim: Among the man-made radiation sources, X-ray machines cause most of the patient exposures. The aim of this study was to measure the radiation doses received by patients in diagnostic radiology departme...
بررسي پاسخ عفونت‌هاي قارچي سر به درمان دو هفته‌اي تربينافين خوراكي
چکیده: زمینه و هدف: درماتوفيتوز سر عبارت است از عفونت قارچي پوست سر كه در اثر تهاجم درماتوفيت‌ها به ساقه مو ايجاد مي شود. از ميان درماتوفيت‌هاي پاتوژن فقط انواع ميكروسپوروم و ترايكوفايتون باعث‌آلوده شدن...
Study effect of relaxation technique on anxiety and stress in elders with hypertension
Background and aim: Anxiety and stress are among the most important problems of modern life. These problems, particularly in elders who their adaptation to the problems is low, result in serious complications in health....