题目内容

男,23岁。右小腿开放性骨折伴严重肌肉挤压伤,手术复位、石膏固定。伤后3天,诉患肢疼痛剧烈,烦躁不安,大量出汗,尿色发红。查体:39.5℃,P110次/分。右小腿肿胀明显,已蔓延至大腿,皮肤呈大理石样花纹,伤口有大量浆液血性渗出物。预防此类疾病最关键的措施是

A. 免使用止血带
B. 膏包扎不宜过紧
C. 期行筋膜切开减张
D. 用大剂量抗生素
E. 早彻底清创

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