摘要:目的: 探討本次汶川大地震中擠壓綜合征的診斷和治療的有效方法。 方法 :對8例擠壓綜合征患者依據(jù)病史、癥狀、體征及實(shí)驗(yàn)室檢查結(jié)果進(jìn)行診斷,并主要針對急性腎衰和局部創(chuàng)傷給予綜合治療。 結(jié)果 :7例完全治愈,1例基本治愈,沒有死亡病例,優(yōu)良率100%。 結(jié)論 :以補(bǔ)液、利尿和全身營養(yǎng)支持為主的綜合治療配合血液透析可很好地控制病情發(fā)展,促進(jìn)轉(zhuǎn)歸;一旦明確診斷,應(yīng)盡早實(shí)施局部骨筋膜室切開減壓或截肢術(shù)。
Abstract: 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 nutritionbased 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.
引用本文： 肖巍,王清樸,班開洪. 擠壓綜合征8例臨床分析. 華西醫(yī)學(xué), 2009, 24(10): 2612-. doi: 復(fù)制