地震后挤压综合征致急性肾损伤的发病机制及治疗
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摘要
<正>地震后导致大量挤压综合征伤者,由此所引起的急性肾损伤(AKI)是仅次于建筑物坍塌外伤的第二大死亡原因,使被解救出来的伤者面临新的死亡危险。横纹肌溶解是导致急性肾损伤的重要原因之一,但更是低血容量、感染、肾毒性等综合因素作用的结果。肾脏替代治疗技术的发展挽救了大批的伤
引文
[1]Vanholder R,Sever MS,Erek E,et al.Acute renal faiurerelated to the crush syndrome:towards an era of seismo-nephrology?[J].nephrol Dial Transplant,2000,15(10):1517-1721.
[2]陈香美.充分认识地震相关挤压综合征导致的急性肾损伤[J].中华肾脏病杂志,2008,24(8):527-528.
[3]Sheng ZY.Medical support in the Tangshan earthquake:Areview of the management of mass casualties and certainmajor injuries[J].J Trauma,1987,27(10):1130-1135.
[4]王莉,何强.血液透析在救治挤压综合征导致急性肾损伤中的作用[J].中华肾脏病杂志,2008,24(8):533.
[5]急性肾损伤专家共识小组.急性肾损伤诊断与分类专家共识[J].中华肾脏病杂志,2006,22(11):661-662.
[6]L幃pez JR,Rojas B,Gonzalez MA,et al.Myoplasmic Ca2+concentration during exertional rhadomyolysis[J].Lan-cet,1995,345(8947):424-425.
[7]孙雪峰.挤压综合征不同时期的体液管理[J].中华肾脏病杂志,2008,24(8):535.
[8]Gunal AI,Celiker H,Dogukan A,et al.Early and vigor-ous fluid resuscitation prevents acute renal failure in thecrush victims of catastrophic earthquakes[J].J Am SocNephrol,2004,15(7):1862-1867.
[9]刘芳,付平,陶冶,等.地震灾害后挤压综合征及急性肾功能衰竭救治—汶川地震特稿[J].中国实用内科杂志,2007,28(7):588-599.
[10]Better OS,Stein JH.Early management of shock andprophylaxis of acute renal failure in traumatic rhabdomyol-ysis[J].N Engl J Med 1990,322(12):825-829.
[11]Ron D,Taitelman U,Michaelson M,et al.Prevention ofacute renal failure in traumatic rhabdomyolysis[J].ArchIntern Med,1984,144(2):277-280.
[12]张林,甘晓辉,杜蓉,等.地震伤挤压综合征急性肾衰竭治疗探讨[J].中国血液净化,2008,7(9):510-511.
[13]Honor啨PM,Joannes-Boyau O,Gressens B.CRRT tech-nology and logistics:is there a role for a medical emer-gency team in CRRT?[J].Contributions to nephrology,2007,156:354-364.
[14]付平,秦伟,黄颂敏.挤压综合征导致急性肾损伤选择连续性肾脏替代治疗的时机与处方设置[J].中华肾脏病杂志,2008,24(8):534.
[15]郭东阳.挤压综合征导致急性肾损伤的营养治疗[J].中华肾脏病杂志,2008,24(8):536.
[16]陈灏珠.实用内科学[M].第12版.北京:人民卫生出版社,2005:2073-2074.
[2]陈香美.充分认识地震相关挤压综合征导致的急性肾损伤[J].中华肾脏病杂志,2008,24(8):527-528.
[3]Sheng ZY.Medical support in the Tangshan earthquake:Areview of the management of mass casualties and certainmajor injuries[J].J Trauma,1987,27(10):1130-1135.
[4]王莉,何强.血液透析在救治挤压综合征导致急性肾损伤中的作用[J].中华肾脏病杂志,2008,24(8):533.
[5]急性肾损伤专家共识小组.急性肾损伤诊断与分类专家共识[J].中华肾脏病杂志,2006,22(11):661-662.
[6]L幃pez JR,Rojas B,Gonzalez MA,et al.Myoplasmic Ca2+concentration during exertional rhadomyolysis[J].Lan-cet,1995,345(8947):424-425.
[7]孙雪峰.挤压综合征不同时期的体液管理[J].中华肾脏病杂志,2008,24(8):535.
[8]Gunal AI,Celiker H,Dogukan A,et al.Early and vigor-ous fluid resuscitation prevents acute renal failure in thecrush victims of catastrophic earthquakes[J].J Am SocNephrol,2004,15(7):1862-1867.
[9]刘芳,付平,陶冶,等.地震灾害后挤压综合征及急性肾功能衰竭救治—汶川地震特稿[J].中国实用内科杂志,2007,28(7):588-599.
[10]Better OS,Stein JH.Early management of shock andprophylaxis of acute renal failure in traumatic rhabdomyol-ysis[J].N Engl J Med 1990,322(12):825-829.
[11]Ron D,Taitelman U,Michaelson M,et al.Prevention ofacute renal failure in traumatic rhabdomyolysis[J].ArchIntern Med,1984,144(2):277-280.
[12]张林,甘晓辉,杜蓉,等.地震伤挤压综合征急性肾衰竭治疗探讨[J].中国血液净化,2008,7(9):510-511.
[13]Honor啨PM,Joannes-Boyau O,Gressens B.CRRT tech-nology and logistics:is there a role for a medical emer-gency team in CRRT?[J].Contributions to nephrology,2007,156:354-364.
[14]付平,秦伟,黄颂敏.挤压综合征导致急性肾损伤选择连续性肾脏替代治疗的时机与处方设置[J].中华肾脏病杂志,2008,24(8):534.
[15]郭东阳.挤压综合征导致急性肾损伤的营养治疗[J].中华肾脏病杂志,2008,24(8):536.
[16]陈灏珠.实用内科学[M].第12版.北京:人民卫生出版社,2005:2073-2074.
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