地震后挤压综合征围解压期现场救治现状及进展
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摘要
地震破坏性巨大,尤其是强震后往往出现大量人员伤亡,挤压综合征是地震后除直接创伤外导致伤员死亡的第二大因素。震后有效现场救治可避免30%~40%挤压综合征伤员的早期死亡,减轻并发症,改善预后。通过回顾相关文献对震后现场救治挤压综合征的技术手段和装备的研究现状及进展予以综述。
Earthquakes are destructive and cause a considerable number of deaths and injuries. Crush syndrome is the second factor which leads to death in addition to the direct trauma after earthquakes. Effective and early medical treatment on the scene of earthquakes to avoid the death of 30% ~ 40% victims with crush syndrome,reduce the complications and improve the prognosis. By reviewing the related literatures,this paper summarized the present situation and development of medical technology and equipments to treat crush syndrome on the scene after earthquake.
Earthquakes are destructive and cause a considerable number of deaths and injuries. Crush syndrome is the second factor which leads to death in addition to the direct trauma after earthquakes. Effective and early medical treatment on the scene of earthquakes to avoid the death of 30% ~ 40% victims with crush syndrome,reduce the complications and improve the prognosis. By reviewing the related literatures,this paper summarized the present situation and development of medical technology and equipments to treat crush syndrome on the scene after earthquake.
引文
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[17]Chen X,Zhong H,Fu P,et al.Infections in crush syndrome:a retrospectiveobservational study after the Wenchuan earthquake[J].Emerg Med J,2011,28(1):14-17.
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[20]贺永,杨伟莉,付德会,等.高压氧治疗震后埋压152小时1例的护理[J].中国误诊学杂志,2009,9(11):2718-2719.
[21]Bhutani S,Vishwanath G.Hyperbaric oxygen and wound healing[J].Indian J Plast Surg,2012,45(2):316-324.
[22]胡慧军,范丹峰,田丽丽,等.便携式加压舱在海军军事医学领域的应用进展[J].医疗卫生装备,2014,35(8):109-111.
[23]挤压综合征急性肾损伤诊治协助组.挤压综合征急性肾损伤诊治的专家共识[J].中华医学杂志,2013,93(17):1297-1300.
[24]Bonomini M,Stuard S,Dal Canton A.Dialysis practice and patient outcome in the aftermath of the earthquake at L’Aquila,Italy,April 2009[J].Nephrol Dial Transplant,2011,26(8):2595-2603.
[25]蒲蕾,吴姝妮,张萍,等.地震相关挤压综合征患者炎症状态分析及连续性血液净化对其影响[J].中国血液净化,2010,9(6):336-338.
[26]He Q,Wang F,Li G,et al.Crush syndrome andacute kidney injury in the Wenchuanearthquake[J].Trauma,2011,70(5):1213-1218.
[27]刘铁兵,姚文坡,汤黎明,等.方舱医院移动式及多功能模块连续性血液净化装置的研制[J].医疗卫生装备,2014,35(1):9-17.
[28]Giannoglou G D,Chatzizisis Y S,Misirli G.The syndrome of rhabdomyolysis:Pathophysiology and diagnosis[J].Eur J Intern Med,2007,18(2):90-100.
[29]韩国锋,顾勇,张金元,等.α促黑素细胞激素对横纹肌溶解所致急性肾衰竭大鼠肾的保护作用[J].中华肾脏病杂志,2007,23(9):579-582.
[30]Wang Y D,Zhang L,Cai GY,et al.Fasudil ameliorates rhabdomyolysis-induced acute kidney injury via inhibition of apoptosis[J].Ren Fail,2011,33(8):811-818.
[2]Sever M S,Vanholder R.Management of crush victims in mass disasters:highlights from recently published recommendations[J].Clin J Am Soc Nephrol,2013,8(2):328-335.
[3]季大玺,谢红浪.血液净化学[M].北京:北京科学技术出版社,2010:481-482.
[4]Bywaters E G L,Beall D.Crush injuries with impairment of renal function.1941[J].J Am Soc Nephrol,1998,9(2):322-332.
[5]Vanholder R,Borniche D,Claus S.When the earth trembles in the Americas:The experience of Haiti and Chile2010[J].Nephron Clin Pract,2011,117(3):184-197.
[6]王质刚.挤压综合征血液净化时机、模式、剂量的探讨[J].中国血液净化,2008,7(9):489-500.
[7]Aoki N,Demsar J,Zupan B,et al.Predictive model for estimating risk ofcrush syndrome:a data mining approach[J].J Trauma,2007,62(4):940-945.
[8]Oda J,Tanaka H,Yoshioka T,et al.Analysis of 372patients with crushsyndrome caused by the Hanshin-Awaji earthquake[J].J Trauma,1997,42(3):470-475.
[9]王振猛,张鹏,孙玉明,等.i-STAT便携式血液分析仪与倍肯野战快速检验背囊在野战应用中的比较[J].医疗卫生装备,2012,33(12):99-100.
[10]杜丹,胡进文,公衍文,等.野战快速检验系统在解放军赴巴基斯坦医疗救援中的应用[J].医疗卫生装备,2012,33(4):98-99.
[11]Sever M S,Vanholder R,Lameire N.Management of crush-related injuries after disasters[J].N Engl J Med,2006,354(10):1052-1063.
[12]Scharman E J,Troutman W G.Prevention of kidney injury following rhabdomyolysis:a systematic review[J].Ann Pharmacother,2013,47(1):90-105.
[13]Sever M S,Vanholder R.RDRTF of ISN Work Group on recommendations for the management of crush victims in mass disasters[J].Nephrol Dial Transplant,2012,27(Suppl 1):i1-i67.
[14]黄昭穗,杨娇,刘靓,等.便携式野战智能输液装置在“901演习”中的应用体会[J].医疗卫生装备,2012,33(6):88-89.
[15]张振英,刘秀华,郭晓笋,等.钙网蛋白参与缺血后处理减轻大鼠骨骼肌缺血/再灌注损伤[J].生理学报,2007,59(5):643-650.
[16]丁俊涛,张连阳.缺血后处理对后肢挤压伤兔全身炎症反应的抑制[J].创伤外科杂志,2010,12(1):64-67.
[17]Chen X,Zhong H,Fu P,et al.Infections in crush syndrome:a retrospectiveobservational study after the Wenchuan earthquake[J].Emerg Med J,2011,28(1):14-17.
[18]Dhawan V,Borschel G H,Brown D L.Acute exertional compartmentsyndrome of the forearm[J].J Trauma,2008,64(6):1635-1637.
[19]Nakayama T,Fujita M,Ishihara M,et al.Improved survival rate by temperature control at compression sites in rat model ofcrushsyndrome[J].J Surg Res,2014,188(1):250-259.
[20]贺永,杨伟莉,付德会,等.高压氧治疗震后埋压152小时1例的护理[J].中国误诊学杂志,2009,9(11):2718-2719.
[21]Bhutani S,Vishwanath G.Hyperbaric oxygen and wound healing[J].Indian J Plast Surg,2012,45(2):316-324.
[22]胡慧军,范丹峰,田丽丽,等.便携式加压舱在海军军事医学领域的应用进展[J].医疗卫生装备,2014,35(8):109-111.
[23]挤压综合征急性肾损伤诊治协助组.挤压综合征急性肾损伤诊治的专家共识[J].中华医学杂志,2013,93(17):1297-1300.
[24]Bonomini M,Stuard S,Dal Canton A.Dialysis practice and patient outcome in the aftermath of the earthquake at L’Aquila,Italy,April 2009[J].Nephrol Dial Transplant,2011,26(8):2595-2603.
[25]蒲蕾,吴姝妮,张萍,等.地震相关挤压综合征患者炎症状态分析及连续性血液净化对其影响[J].中国血液净化,2010,9(6):336-338.
[26]He Q,Wang F,Li G,et al.Crush syndrome andacute kidney injury in the Wenchuanearthquake[J].Trauma,2011,70(5):1213-1218.
[27]刘铁兵,姚文坡,汤黎明,等.方舱医院移动式及多功能模块连续性血液净化装置的研制[J].医疗卫生装备,2014,35(1):9-17.
[28]Giannoglou G D,Chatzizisis Y S,Misirli G.The syndrome of rhabdomyolysis:Pathophysiology and diagnosis[J].Eur J Intern Med,2007,18(2):90-100.
[29]韩国锋,顾勇,张金元,等.α促黑素细胞激素对横纹肌溶解所致急性肾衰竭大鼠肾的保护作用[J].中华肾脏病杂志,2007,23(9):579-582.
[30]Wang Y D,Zhang L,Cai GY,et al.Fasudil ameliorates rhabdomyolysis-induced acute kidney injury via inhibition of apoptosis[J].Ren Fail,2011,33(8):811-818.
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