挤压综合征救治原则的争议探讨
摘要
挤压伤/挤压综合征是突发性自然或人为灾害中(地震、车祸、矿难或战争)最常见的损伤,可继发严重的全身反应,致死致残率极高,救治困难。本文总结近年来国内外地震造成的挤压伤/挤压综合征的发病率、机制、治疗措施及存在问题,以期改进治疗方法与措施,提高生存率及保肢率。
引文
1 Bywaters EG,Beall D.Crush Injuries with Impairment of RenalFunction[J].Br Med J,1941,1(4185):427-432.
2 Better OS,Rubinstein I.Management of shock and acute renal failurein casualties suffering from the crush syndrome[J].Ren Fail,1997,19(5):647-653.
3 Pepe PE,Mosesso VN Jr,Falk JL.Prehospital fluid resuscitation ofthe patient with major trauma[J].Prehosp Emerg Care,2002,6(1):81-91.
4 Nadjafi I,Atef MR,Broumand B,et al.Suggested guidelines fortreatment of acute renal failure in earthquake victims[J].Ren Fail,1997,19(5):655-664.
5 Gonzalez D.Crush syndrome[J].Crit Care Med,2005,33(1 Suppl):S34-S41.
6 Better OS.Rescue and salvage of casualties suffering from the crushsyndrome after mass disasters[J].Mil Med,1999,164(5):366-369.
7 Zhao ZQ,Corvera JS,Halkos ME,et al.Inhibition of myocardialinjury by ischemic postconditioning during reperfusion:comparisonwith ischemic preconditioning[J].Am J Physiol Heart CircPhysiol,2003,285(2):H579-H588.
8高鹏,熊利泽,聂煌,等.缺血后处理对兔脊髓缺血-再灌注损伤的保护作用[J].临床麻醉学杂志,2006,22(4):285-287.
9 Zhao H,Sapolsky RM,Steinberg GK.Interrupting reperfusion as astroke therapy:ischemic postconditioning reduces infarct size afterfocal ischemia in rat[sJ].J Cereb Blood Flow Metab,2006,26(9):1114-1121.
10袁贵秀,常业恬,李李,等.缺血后处理对兔肝脏热缺血再灌注损伤的保护[J].中国现代手术杂志,2007,11(2):98-100.
11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.
12 Duman H,Kulahci Y,Sengezer M.Fasciotomy in crush injuryresulting from prolonged pressure in an earthquake in Turkey[J].Emerg Med J,2003,20(3):251-252.
13 Demirkiran O,Dikmen Y,Utku T,et al.Crush syndrome patients afterthe Marmara earthquake[J].Emerg Med J,2003,20(3):247-250.
14 Huang KC,Lee TS,Lin YM,et al.Clinical features and outcomeof crush syndrome caused by the Chi-Chi earthquake[J].J FormosMed Assoc,2002,101(4):249-256.
15 Sever MS,Erek E,Vanholder R,et al.Clinical findings in therenal victims of a catastrophic disaster:the Marmara earthquake[J].Nephrol Dial Transplant,2002,17(11):1942-1949.
16 Larsen MH,Nielsen HT,Wester JU.Compartment syndrome of thelower part of the leg,exceptional trauma mechanism[J].UgeskrLaeger,2003,165(27):2751-2752.
17 Dhawan V,Borschel GH,Brown DL.Acute exertional compartmentsyndrome of the forearm[J].J Trauma,2008,64(6):1635-1637.
18 Whitesides TE,Haney TC,Morimoto K,et al.Tissue pressuremeasurements as a determinant for the need of fasciotomy[J].ClinOrthop Relat Res,1975(113):43-51.
19 McQueen MM,Court-Brown CM.Compartment monitoring in tibialfractures.The pressure threshold for decompression[J].J BoneJoint Surg Br,1996,78(1):99-104.
20 Mubarak SJ,Owen CA,Hargens AR,et al.Acute compartmentsyndromes:diagnosis and treatment with the aid of the wick catheter[J].J Bone Joint Surg Am,1978,60(8):1091-1095.
21 McQueen MM,Christie J,Court-Brown CM.Compartmentpressures after intramedullary nailing of the tibia[J].J Bone JointSurg Br,1990,72(3):395-397.
22 Uliasz A,Ishida JT,Fleming JK,et al.Comparing the methods ofmeasuring compartment pressures in acute compartment syndrome[J].Am J Emerg Med,2003,21(2):143-145.
23 Iskit SH,Alpay H,Tutepe H,et al.Analysis of 33 pediatrictrauma victims in the 1999 Marmara,Turkey earthquake[J].JPediatr Surg,2001,36(2):368-372.
24 Uzun N,Savrun FK,Kiziltan ME.Electrophysiologic evaluation ofperipheral nerve injuries in children following the Marmara earthquake[J].J Child Neurol,2005,20(3):207-212.
25 Dnmez O,Meral A,Yavuz M,et al.Crush syndrome of childrenin the Marmara Earthquake,Turkey[J].Pediatr Int,2001,43(6):678-682.
2 Better OS,Rubinstein I.Management of shock and acute renal failurein casualties suffering from the crush syndrome[J].Ren Fail,1997,19(5):647-653.
3 Pepe PE,Mosesso VN Jr,Falk JL.Prehospital fluid resuscitation ofthe patient with major trauma[J].Prehosp Emerg Care,2002,6(1):81-91.
4 Nadjafi I,Atef MR,Broumand B,et al.Suggested guidelines fortreatment of acute renal failure in earthquake victims[J].Ren Fail,1997,19(5):655-664.
5 Gonzalez D.Crush syndrome[J].Crit Care Med,2005,33(1 Suppl):S34-S41.
6 Better OS.Rescue and salvage of casualties suffering from the crushsyndrome after mass disasters[J].Mil Med,1999,164(5):366-369.
7 Zhao ZQ,Corvera JS,Halkos ME,et al.Inhibition of myocardialinjury by ischemic postconditioning during reperfusion:comparisonwith ischemic preconditioning[J].Am J Physiol Heart CircPhysiol,2003,285(2):H579-H588.
8高鹏,熊利泽,聂煌,等.缺血后处理对兔脊髓缺血-再灌注损伤的保护作用[J].临床麻醉学杂志,2006,22(4):285-287.
9 Zhao H,Sapolsky RM,Steinberg GK.Interrupting reperfusion as astroke therapy:ischemic postconditioning reduces infarct size afterfocal ischemia in rat[sJ].J Cereb Blood Flow Metab,2006,26(9):1114-1121.
10袁贵秀,常业恬,李李,等.缺血后处理对兔肝脏热缺血再灌注损伤的保护[J].中国现代手术杂志,2007,11(2):98-100.
11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.
12 Duman H,Kulahci Y,Sengezer M.Fasciotomy in crush injuryresulting from prolonged pressure in an earthquake in Turkey[J].Emerg Med J,2003,20(3):251-252.
13 Demirkiran O,Dikmen Y,Utku T,et al.Crush syndrome patients afterthe Marmara earthquake[J].Emerg Med J,2003,20(3):247-250.
14 Huang KC,Lee TS,Lin YM,et al.Clinical features and outcomeof crush syndrome caused by the Chi-Chi earthquake[J].J FormosMed Assoc,2002,101(4):249-256.
15 Sever MS,Erek E,Vanholder R,et al.Clinical findings in therenal victims of a catastrophic disaster:the Marmara earthquake[J].Nephrol Dial Transplant,2002,17(11):1942-1949.
16 Larsen MH,Nielsen HT,Wester JU.Compartment syndrome of thelower part of the leg,exceptional trauma mechanism[J].UgeskrLaeger,2003,165(27):2751-2752.
17 Dhawan V,Borschel GH,Brown DL.Acute exertional compartmentsyndrome of the forearm[J].J Trauma,2008,64(6):1635-1637.
18 Whitesides TE,Haney TC,Morimoto K,et al.Tissue pressuremeasurements as a determinant for the need of fasciotomy[J].ClinOrthop Relat Res,1975(113):43-51.
19 McQueen MM,Court-Brown CM.Compartment monitoring in tibialfractures.The pressure threshold for decompression[J].J BoneJoint Surg Br,1996,78(1):99-104.
20 Mubarak SJ,Owen CA,Hargens AR,et al.Acute compartmentsyndromes:diagnosis and treatment with the aid of the wick catheter[J].J Bone Joint Surg Am,1978,60(8):1091-1095.
21 McQueen MM,Christie J,Court-Brown CM.Compartmentpressures after intramedullary nailing of the tibia[J].J Bone JointSurg Br,1990,72(3):395-397.
22 Uliasz A,Ishida JT,Fleming JK,et al.Comparing the methods ofmeasuring compartment pressures in acute compartment syndrome[J].Am J Emerg Med,2003,21(2):143-145.
23 Iskit SH,Alpay H,Tutepe H,et al.Analysis of 33 pediatrictrauma victims in the 1999 Marmara,Turkey earthquake[J].JPediatr Surg,2001,36(2):368-372.
24 Uzun N,Savrun FK,Kiziltan ME.Electrophysiologic evaluation ofperipheral nerve injuries in children following the Marmara earthquake[J].J Child Neurol,2005,20(3):207-212.
25 Dnmez O,Meral A,Yavuz M,et al.Crush syndrome of childrenin the Marmara Earthquake,Turkey[J].Pediatr Int,2001,43(6):678-682.
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