肌酸激酶在骨筋膜室综合征早期诊断中的意义

摘要

目的 为早期诊断骨筋膜室综合征，降低其致残率，提供一项简便、易行的生化指标。方法 对27例骨筋膜室综合征患者分别测定血清肌酸激酶及筋膜室压力，其中15例作筋膜室切开减压，取肌肉标本进行组织学检查。结果 肌酸激酶值与肌肉组织病理变化程度一致。结论 肌酸激酶值测定可用于骨筋膜室综合征的早期诊断及评估预后。%Objective To diagnose the compartment syndrome early and decreaseits disability rate.Methods The serum creatine kinase (CK) and the compartment pressures were measured in 27 cases of compartment syndrome. Histological examination of muscle specimens were taken in 15 cases who received fasciotomy.Results The serum CK level was corresponded to the pathological changes.Conclusion CK is useful in the early diagnosis and evaluation of prognosis of compartment syndrome.