挤压综合征8例临床分析

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英文篇名：Clinical Analysis of 8 Cases of Crush Syndrome 中文刊名：华西医学 英文刊名：West China Medical Journal 作者：肖巍 ; 王清朴 ; 班开洪 英文作者：XIAO Wei ; WANG Qing-pu ; BAN Kai-hong.the Department of Surgery ; Science City Hospital ; Mianyang Sichuan 621900 ; China 中文关键词：挤压综合征 ; 骨筋膜室切开减压 ; 截肢术 英文关键词：crush syndrome ; compartment cut ; amputation 出版日期：2009-10-25 机构：四川省科学城医院; 年：2009 期：10 出版单位：华西医学

摘要

目的:探讨本次汶川大地震中挤压综合征的诊断和治疗的有效方法。方法:对8例挤压综合征患者依据病史、症状、体征及实验室检查结果进行诊断,并主要针对急性肾衰和局部创伤给予综合治疗。结果:7例完全治愈,1例基本治愈,没有死亡病例,优良率100%。结论:以补液、利尿和全身营养支持为主的综合治疗配合血液透析可很好地控制病情发展,促进转归;一旦明确诊断,应尽早实施局部骨筋膜室切开减压或截肢术。
Objective:To study the treatment of crush syndrome after the Wenchuan earthquake.Methods:The crush syndrome was diagnosed in 8 cases based on the medical history,symptoms,physical examinations and laboratory findings.The amputation was performed on 2 patients.Partial bone compartment open decompression was done on 4 patients.And hemodialysis were used in two of them.Meanwhile the acute renal dysfunction and the local injuries were treated correspondingly.Results:Seven cases were completely recovered,1 case was recovered partly.Conclusion:Fluid,diuretic and general nutrition-based treatment with hemodialysis if necessary can control disease progression and promote the patients recovery.Once crush syndrome was diagnosed,partial bone compartment open decompression or amputation should be implemented as soon as possible.

引文

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