挤压综合征8例临床分析

目的：探讨本次汶川大地震中挤压综合征的诊断和治疗的有效方法。方法：对8例挤压综合征患者依据病史、症状、体征及实验室检查结果进行诊断,并主要针对急性肾衰和局部创伤给予综合治疗。结果：7例完全治愈,1例基本治愈,没有死亡病例,优良率100%。结论：以补液、利尿和全身营养支持为主的综合治疗配合血液透析可很好地控制病情发展,促进转归;一旦明确诊断,应尽早实施局部骨筋膜室切开减压或截肢术。

Clinical Analysis of 8 Cases of Crush Syndrome

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 nutrition-based 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.