最後更新：2026年10月1日
筋膜腔室內壓力升高壓迫血管及神經,導致組織缺血壞死。需緊急筋膜切開減壓。
Feline emergencies frequently include urethral obstruction (FIC/FLUTD in male cats), ATE, dyspnea (CHF, asthma, pleural effusion), and trauma (high-rise syndrome). Cats are adept at masking pain — subtle changes in behavior may indicate severe distress.
Common canine emergencies include GDV, urethral obstruction, anaphylaxis, heatstroke, and vehicular trauma. Triage using a modified Glasgow Coma Scale (for head trauma) or shock index guides initial stabilization. FAST ultrasound is rapid and non-invasive for detecting free fluid.
這頁有幾個欄位是同系統共用的模板，還沒針對本疾病單獨改寫過。請以臨床判斷為準，記得對照下方文獻。
腔室症候群急救處置： 1. **快速 5P 評估**：Pain（不成比例）/ Pallor（蒼白）/ Pulselessness（脈搏消失）/ Paresthesia（感覺異常）/ Paralysis（癱瘓） 2. **移除所有限制性包紮 / 固定 / 石膏**：立即解壓 3. **建立 IV 通路**：14-18 gauge × 1 條（非患肢端）；測 compartment pressure（>30 mmHg 或 ΔP <30 確診） 4. **手術會診**：筋膜切開術（fasciotomy）是唯一確定性治療 — 6 hr 內為黃金時窗，超過則不可逆神經肌肉損傷 5. **支持性處置**：止痛（opioid，避免阻斷 ischemic pain 監測能力）；輸液維持灌流；ICU 監測 hyperkalemia / myoglobinuria（橫紋肌溶解） 6. **術後監測**：傷口照護、感染、再灌流症候群（rhabdomyolysis / AKI）、二期關閉 ⚠️ **禁忌**：抬高患肢（會減少灌流壓）；冰敷（加重血管收縮）；不及時 fasciotomy（>6 hr 神經不可逆損傷）
建議：Shock dose crystalloid 20-30 mL/kg IV bolus（犬），10-15 mL/kg（貓），評估反應後調整
速率：20-30 mL/kg
監測頻率：q2-4h
[1]Researcher's guide to preclinical animal models of acute extremity compartment syndrome.
[2]Animal models in compartment syndrome: a review of existing literature.
[3]Utilizing Dynamic Phosphorous-31 Magnetic Resonance Spectroscopy for the Early Detection of Acute Compartment Syndrome: A Pilot Study on Rats.
[4]Early assessment of extremity compartment syndrome by biochemical markers in a rat model.
[5]Electrical impedance myography for the early detection of muscle ischemia secondary to compartment syndrome: a study in a rat model.
屬於急診緊急處置，延遲治療顯著增加死亡率 (delay significantly increases mortality)
飼主衛教
用藥指引
⚠ 警訊症狀（立即回診）
環境調整
長期計畫：依根本病因制定長期計畫
限制活動
穩定後漸進恢復活動
期間：依病因
早期減壓可挽救肢體。延遲>6-8小時可能永久損傷或截肢。
Diagnostic Approach for Compartment Syndrome
Rapid ABC assessment: airway patency, breathing, circulation; assess mentation
PCV/TS, blood glucose, lactate, electrolytes, blood gas; FAST ultrasound
IV access, fluid resuscitation, pain management; complete physical after stabilization