Application of monitoring phosphocreatine kinase continuously and dynamically in early diagnosis of compartment syndrome / 中国骨伤
China Journal of Orthopaedics and Traumatology
;
(12): 602-604, 2009.
Artigo
em Chinês
| WPRIM
| ID: wpr-232449
ABSTRACT
<p><b>OBJECTIVE</b>To determine the efficacy of phosphocreatine kinase in the early diagnosis of compartment syndrome.</p><p><b>METHODS</b>Forty patients with compartment syndrome of limbs were reviewed from 2005 to 2008 including 34 males and 6 females with an average age of (37.03 +/- 13.02) years. Monitoring phosphocreatine kinase continuously and dynamically after injured 2, 24 hours, 1, 2, 3 and 4 weeks later. The concentration of CK were measured by using Japanese Olympus automatic biochemistry analysator. The muscle preparations from affected extremity were taken after operation and 1, 2, 3 weeks later for biopsy.</p><p><b>RESULTS</b>Two hours later after injury, the contents of CK increased sharply and the contents of CK were about 20 times more than the nomal. Twenty-four hours later, the contents of CK reached its maximum,the contents of CK were about 42 times more than the nomal. One week later, the contents of CK recovered to normal level. Pathological changes of muscle were irreversible.</p><p><b>CONCLUSION</b>The change of the contents of CK can reflect the progression of disease objectively. If it increased sharply, the chance of compartment syndrome was high. Monitored it dynamicly and continuously can provide assistant for early diagnosis of compartment syndrome and evaluating pathogenetic condition.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Fatores de Tempo
/
Sangue
/
Síndromes Compartimentais
/
Creatina Quinase
/
Diagnóstico
Tipo de estudo:
Estudo diagnóstico
/
Estudo de rastreamento
Limite:
Adolescente
/
Adulto
/
Idoso
/
Criança
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
China Journal of Orthopaedics and Traumatology
Ano de publicação:
2009
Tipo de documento:
Artigo
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