DIAGNOSIS AND TREATMENT OF COMPARTMENT SYNDROME IN DEEP BURNS

Burn injuries and their treatment is an important medical social problem. Compartment syndrome a serious complication of deep circular burns, which causes increased subfascial pressure local tissue ischemia with the development intercellular interstitial edema significant rise intra−tissue pressure, exacerbates blood supply, enhancing hypoxicity. Treatment performed by necrotomy, due to decompression helps reduce scale necrobiotic processes in damaged tissues. To develop method treat study was conducted 15 patients. Dynamic monitoring fascial sheaths each muscle allowed determine direction degree degenerative−destructive changes caused zonal microcirculation disorders, increasing edema, hypoxia, necrosis individual fibers, helped need for surgery. The included necrofasciotomies opening fascial−aponeurotic muscular bed−cases first order paranecrosis areas; general anti−shock detoxification therapy; ozone therapy complex cytoprotectants antioxidants; necrectomy autodermoplasty. According results study, it concluded that place compartment patients burns objectification pressure. determining dynamics surgical tactics will allow preserving viability part mass, volume tissues underwent necrectomy, restore skin timely. Key words: syndrome, intratissue treatment.