Sindroma Kompartmen

7/25/2019 Sindroma Kompartmen

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Agustus 10


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Meskipun bisa terjadi pada seluruhbagian tubuh, yang paling rentan terjadipada lengan bawah dan lutut ke bawah

Normal tekanan didalam kompartmen 010 mmHg. Pada 0 mmHg aliran kapilerterganggu dan pada !"0#0 mmHg ototdan sara$ akan mengalami is%hemi%ne%rosis.


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&hree thigh%ompartments

'our leg

%ompartments 'our $oot

%ompartments

&hree gluteal%ompartments


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&wo arm%ompartments(

) &wo $orearm

%ompartments( ) 'our hand

%ompartments


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Pain ,results when swelling o%%urs within agroup o$ mus%les, ner*es, and blood*essels within the arms, legs, $eet, or

butto%ks en%losed within a membrane%alled $as%ia

&he $as%ia is tough and does not easilye+pand there$ore, when swelling o%%urs it

%auses pressure to build within the $as%ial%ompartment and the %ontents o$ the%ompartment %an be damaged -ui%kly.


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$ surrounding pressures rise abo*e thatin the %apillaries, nutrients %annot /owout to the %ells and the byprodu%ts o$

metabolism %annot be remo*ed n just hours, unnourished %ells are

e+posed to damage.


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'irst the %ell swell die, releasing%hemi%als that %ause $urther swellingmore in%reasing pressure.

roni%ally, pulses %an still be $elt on theother side o$ an in*ol*ed %ompartmentbe%ause arterial blood pressures aremu%h higher


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&issues die at dierent rates $ore+ample, ner*e tissue %annot last morethan a $ew hours without %ir%ulation.

Mus%le tissue is not $ar behind. esides the loss o$ the mus%le2s $un%tion,

the dead mus%le %an release to+ins that%an %ause kidney $ailure and death.


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Akibat peningkatan tekanan dalamkompartemen (osteofascial compartment)

Mengakibatkan gangguan aliran darah kapiler

dan iskemia seluler Sering pada tungkai bawah dan lengan bawah

Penyebab : internal (dari dalam) atau external

Penekanan pada saraf, otot, pembdarah

!ila dibiarkan : "olkman ischaemic contracture


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#ambaran klinis :

$yeri pada peregangan pasif

Nyeri sangat, tidak sebanding

dengan %edera atau temuan 3sik #angguan sensoris (paresthesi, tebal)

%elemahan otot progresif

&edema Peningkatan tekanan dalam kompartemen

'ilangnya denyut nadi


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4linik

Pengukuran tekanan intrakompartmen, 5%m diatas %edera6 $raktur


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4endurkan semua ikatan .

715 mmHg( tak ada tindakan.

) 0"0 mmHg( obser*asi dan e*aluasi ,

ele*asi bagian tubuh 8 terapi hyperbarik 'as%iotomy., bila ! "0 mm Hg , khusus

untuk gigitan ular hindari prosedur ini

out%ome jelek


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Documents

Sindroma Kompartmen