摘要
目的总结挤压综合征的临床诊治经验,为提高救治成功率提供依据。方法对21例挤压综合征患者的临床诊治资料进行回顾分析。结果本组21例均出现少尿并伴有肌红蛋白尿;均有血清BUN和Cr升高;20例血钾升高;13例有代谢性酸中毒症状,17例合并骨筋膜室综合征。经血液透析15例完全治愈,各项化验指标均恢复正常,患肢感觉运动功能恢复。结论重视早期补液;注意液体的类型、量和补碱利尿时机;对合并急性肾衰竭的患者,紧急行连续性血液净化治疗,对患者康复有重要意义。
Objective To summarize clinical experience in the diagnosis and treatment of crush syndrome in order to improve the successful rate of medical care.Methods Twenty-one patients with crush syndrome were retrospectively analyzed.Their clinical data of diagnosis and treatment were reviewed.Results Oliguria accompanied by myoglobinuria,as well as increases in blood urea nitrogen and creatinine,occurred in all the 21 patients.Of the 21 patients,20 suffered from hyperpotassaemia,13 from metabolic acidosis,and 17 from syndrome.As a result,15 patients were cured by hemodialysis,with all the laboratory parameters returning to normal baseline and all the involved extremities restoring sensory and motorial function.Conclusion To infuse the fluid of suit-able type and volume early and stress the chance of administering alkali and dieresis,plays an important role in the treatment of crush syndrome.Those complicated with acute renal failure need continuous blood purification in extraordinary emergencies.
出处
《临床军医杂志》
CAS
2010年第4期512-514,共3页
Clinical Journal of Medical Officers
