地震伤致急性肾功能衰竭的救治
摘要
在汶川大地震中,众多人群被困陷于倒塌的建筑物之下,很多伤员因受长期严重挤压后发生组织炎症、坏死,肌红蛋白和大量分解产生的毒素进入血液循环,堵塞肾小管,加之伤员脱水、失血导致血容量下降,最终引起急性肾功能衰竭(ARF)。地震伤导致的ARF有其独特的伤情特点,除现场救治外,后续治疗与一般的ARF有所不同,本文就地震伤致ARF的伤情特点、现场及后续治疗方法进行阐述,供大家参考。
引文
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[3]Yurugen B,Emir G,Ersoy A,et al.Treatment of patients withacute renal failure during Marmara earthquake[J].Eetna Erca J,2001,27:174-177.
[4]Nadjafi L,Atef MR,Broumand B,et al.Suggested guidelinesfor treatment of acute renal failure in earthquake victims[J].RenFail,1997,19:655-664.
[5]Atef MR,Nadjatfi I,Boroumand B,et al.Acute renal failure inearthquake victims in Iran:epidemiology and management[J].QJ Med,1994,87:35-40.
[6]Richards NT,Tattersall J,McCann M,et al.Dialysis for acuterenal failure due to crush injuries after the American earthquake[J].BMJ,1989,298:443-445.
[2]Erek E,Sever MS,Serdengecti K,et al.An overview of mor-bidity and mortality in patients with acute renal failure due tocrush syndrome:the Marmara earthquake experience[J].Neph-rol Dial Transplant,2002,17:33-40.
[3]Yurugen B,Emir G,Ersoy A,et al.Treatment of patients withacute renal failure during Marmara earthquake[J].Eetna Erca J,2001,27:174-177.
[4]Nadjafi L,Atef MR,Broumand B,et al.Suggested guidelinesfor treatment of acute renal failure in earthquake victims[J].RenFail,1997,19:655-664.
[5]Atef MR,Nadjatfi I,Boroumand B,et al.Acute renal failure inearthquake victims in Iran:epidemiology and management[J].QJ Med,1994,87:35-40.
[6]Richards NT,Tattersall J,McCann M,et al.Dialysis for acuterenal failure due to crush injuries after the American earthquake[J].BMJ,1989,298:443-445.
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