地震灾害中挤压综合征患者的早期治疗与疗效分析
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摘要
目的:探讨在地震灾害中挤压综合征患者的早期治疗方案及治疗效果。方法:对"5.12"四川大地震中收治我院32名挤压综合征患者的早期治疗方案及短期疗效进行分析。结果:1例患者死亡,22例患者患肢行筋膜室切开减压术后感觉运动功能不同程度恢复,保肢成功;5例患者行伤肢截肢手术;24例患者实验室检验指标恢复正常,7例患者实验室检验指标不同程度恢复。2例患者切口感染,经治疗后感染控制。结论:地震灾害中挤压综合征患者的早期治疗对预后有至关重要的影响,早期行筋膜室切开减压及血液透析治疗能够有效降低死亡率,改善预后。
Objective:To discuss the early treatment and effect to the patients with crush syndrome in the earthquake disaster.Methods:Analysis of the early diagnosis,treatment and Short-term effect of 32 the patients with crush syndrome in big earthquake of Sichuan on"5.12".Results:One case died,in 22 cases the reaction and movement function of the body were restored in varying degree after emergency fasciotomy,5 cases had amputation of limbs,the laboratory dat of 24 cases restored to normal,7 cases was restored in varying degree,and 2 cases had wound infection.Conclusion:Early treatment was most important to the prognosis of the patients with crush syndrome in the earthquake disaster.Earlier period fasciotomy and hemodialysis could reduce the mortality rate effectively,and improved the prognosis.
Objective:To discuss the early treatment and effect to the patients with crush syndrome in the earthquake disaster.Methods:Analysis of the early diagnosis,treatment and Short-term effect of 32 the patients with crush syndrome in big earthquake of Sichuan on"5.12".Results:One case died,in 22 cases the reaction and movement function of the body were restored in varying degree after emergency fasciotomy,5 cases had amputation of limbs,the laboratory dat of 24 cases restored to normal,7 cases was restored in varying degree,and 2 cases had wound infection.Conclusion:Early treatment was most important to the prognosis of the patients with crush syndrome in the earthquake disaster.Earlier period fasciotomy and hemodialysis could reduce the mortality rate effectively,and improved the prognosis.
引文
[1]金惠铭.病理生理学[M].北京:人民卫生出版社,2001:248-250.
[2]Vanholder R;van der Tol A;De Smet M;Earthquakes and crush syndrome casualties:lessons learned from the Kashmir disaster[J].Kidney Int,2007,71(1):17-23.
[3]Oda,Y,M.Shindoh,et al.Crush syn-drome sustained in the 1995 Kobe,Japan,earthquake:treatment and outcome[J].Ann Emerg Med,1997,30(4):507-12.
[4]董月桂.血液透析滤过治疗挤压综合征的疗效分析[J].医学临床研究,2008,(3):374.
[5]方国恩,赵为国.挤压综合征和肾功能不全[J].中国实用外科杂志,2002,(2):211.
[6]钟鸿斌,黄硕,陈建.联合血液净化治疗横纹肌溶解综合征并急性肾功能衰竭43例临床分析[J].中国药物与临床,2006,6(10):784-786.
[2]Vanholder R;van der Tol A;De Smet M;Earthquakes and crush syndrome casualties:lessons learned from the Kashmir disaster[J].Kidney Int,2007,71(1):17-23.
[3]Oda,Y,M.Shindoh,et al.Crush syn-drome sustained in the 1995 Kobe,Japan,earthquake:treatment and outcome[J].Ann Emerg Med,1997,30(4):507-12.
[4]董月桂.血液透析滤过治疗挤压综合征的疗效分析[J].医学临床研究,2008,(3):374.
[5]方国恩,赵为国.挤压综合征和肾功能不全[J].中国实用外科杂志,2002,(2):211.
[6]钟鸿斌,黄硕,陈建.联合血液净化治疗横纹肌溶解综合征并急性肾功能衰竭43例临床分析[J].中国药物与临床,2006,6(10):784-786.
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