臨床整形外科53巻1号

2018年01月発行

症例報告

砕石位に伴う両側下腿コンパートメント症候群の1例

著者： 永谷健太郎¹ 石坂隆博¹ 谷口健太¹ 中村優¹ 畔柳裕二¹ 今林英明¹ 千葉一裕¹

所属機関： ¹防衛医科大学校整形外科学講座

ページ範囲：P.83 - P.87

　術中体位により生じた両下腿コンパートメント症候群の1症例を経験した．51歳男性(BMI：36.8)で，約5時間の低血圧麻酔下に砕石位での尿道形成術を受けた．術後両下腿外側区画のコンパートメント症候群を発症したため，筋膜切開術を施行し，症状の改善を得た．手術中の体位により下肢に生じたコンパートメント症候群をwell leg compartment syndrome(WLCS)と称し，不適切な体位による圧迫のための筋区画内圧の上昇が原因とされる．加えて本症例では，低血圧麻酔による拡張期血圧の低下も発症に関与したと推測された．

参考文献

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