「內外科護理學-外科護理學」腔隙症候群:不可忽視的肢體疼痛警訊Compartment Syndrome: An Overlooked Warning Sign of Limb Pain

腔隙症候群(compartment syndrome)的臨床表徵 
Clinical Manifestations of Compartment Syndrome 

腔隙症候群是一種由於肌肉腔室內的壓力過高,壓迫到血管和神經,導致組織缺血的急症。其臨床表徵主要有「5P」:
Compartment syndrome is an acute condition caused by increased pressure within a muscle compartment, which compresses blood vessels and nerves, leading to tissue ischemia. The classic clinical presentation includes the "5 Ps":
疼痛(Pain): 患肢疼痛劇烈,且通常遠超過預期的傷害程度。
Pain: Severe pain, often out of proportion to the apparent injury.
蒼白(Pallor): 患肢皮膚顏色蒼白。
Pallor: Pale skin in the affected limb
感覺異常(Paresthesia): 患肢出現麻木、刺痛等感覺異常。
Paresthesia: Numbness or tingling in the affected limb.
無力(Paralysis): 患肢肌肉無力,甚至癱瘓。
Paralysis: Weakness or paralysis of the affected limb.
無脈搏(Pulselessness): 患肢動脈搏動減弱或消失。
Pulselessness: Diminished or absent pulses in the affected limb.
患肢有緊縮感: 這是由於腔室內的壓力增加,導致組織腫脹,進而產生緊繃感。
Tightness: A feeling of tightness or pressure in the affected compartment.
患肢比健肢冰冷: 這是由於組織缺血,血液循環不良所致。
Coldness: The affected limb is colder than the unaffected limb.
腔隙症候群的疼痛是由於組織缺血所引起的,並非一般性的疼痛。普通的止痛藥物對這種深層的、與缺血相關的疼痛效果甚微。
腔隙症候群的疼痛是身體發出的警訊,提醒我們組織正在受到嚴重威脅。如果僅僅依靠止痛藥物來掩蓋疼痛,可能會延誤病情,導致更嚴重的後果。
The pain associated with compartment syndrome is caused by tissue ischemia and is often resistant to analgesics. It serves as a warning sign that the tissue is under severe stress. Relying solely on pain medications to mask the pain can delay diagnosis and lead to more severe complications.

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