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患儿,女,3岁。因跌伤致右股骨干骨折,在当地医院行悬吊皮牵引后,未作任何交待便让其回家治疗。牵引5d后,家属发现患儿哭闹不安,后发现左足肿胀、青紫、左足不能活动,于牵引第10d来我院就诊。检查:右大腿肿胀,右大腿中段疼痛,有反常活动。双小腿皮牵引胶布呈环形粘贴,左小腿左足肿胀,皮肤青紫,痛觉消失。诊断:①左小腿骨筋膜室综合征。②右股骨干闭合性骨折。入院后急诊行左小腿骨筋膜室切开减压术,术中见左小腿各室压力均升高,胫前室肌肉呈灰暗色,无弹性,切割无出血。予彻底减压并切除坏死肌肉,用凡士林纱布覆盖创面包扎。右下肢更换牵引呈水平位牵引治疗。术后给脱水、改
Children, female, 3 years old. Due to falls caused by right femoral shaft fractures, traction in the local hospital hanging leather, did not make any explanation to let go home for treatment. Traction 5d, the family found that children crying uneasy, found that left foot swelling, bruising, left foot can not move, traction in the first 10d to our hospital. Check: Right thigh swelling, pain in the middle of the right thigh, abnormal activity. Double calf skin traction tape was ring-shaped paste, left leg left foot swelling, bruising, pain disappeared. Diagnosis: ① left leg compartment syndrome. ② right femoral shaft closed fracture. After admission, the left leg osteotomies were performed decompression and decompression. The intra-articular pressure of the left leg was increased, and the muscle of the anterior tibial compartment was gray, inelastic and cut without bleeding. To complete decompression and removal of necrotic muscles, with Vaseline gauze wound dressing. Right lower extremity replacement traction was horizontal traction treatment. After dehydration, change