摘译:笔者发现2例无骨折及外伤的胫骨前肌局部坏死。其中1例为38岁菲律宾人士兵,长途行军后出现双小腿前面剧烈疼痛,两侧肌腹明显肿胀与发红,足、趾背伸力消失。两侧同时进行纵行切开并切除筋膜后,见胫骨前肌缺血呈灰白色,明显肿胀。筋膜下张力较大,切开后肌肉向筋膜外方膨隆,减张后见右小腿肌肉仅仅表层坏死,左侧肌肉坏死呈完全性。行坏死肌肉切除术。病理检查报告显示两小腿同一肌肉坏死。该病例在陆军外科具有重要意义,与行军骨折类似,故笔者暂且将其称之为行军后肌炎。 Excerpt: I found two cases of non-fractured and traumatic tibialis anterior muscle necrosis. One case was a 38-year-old Filipino soldier. After long-distance march, there appeared severe pain in front of both lower legs. On both sides of the belly, there was obvious swelling and redness. The extensor force of the toe back disappeared. Both sides of the longitudinal incision at the same time and excision of the fascia, see the tibialis anterior muscle was gray-white, obviously swelling. Under the fascia, the muscle is bulged to the outside of the fascia after incision, and only the superficial calf muscle of the right calf muscle is necrotic after decompression. The left muscle necrosis is complete. Line necrotic muscle resection. Pathological examination revealed necrosis of the same muscle in both lower legs. This case is of great significance in the Army Surgery, and fractures similar to march, so for the time being the author I call it post-march myositis.