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地震灾害中挤压综合征患者的早期治疗与疗效分析

Early Treatment to Crush Syndrome in the Earthquake Disaster and Effect

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【作者】 康斌唐诗添杨衡王军王伯通

【Author】 KANG Bin,TANG Shi-tian,YANG Heng,et al.(Department of Orthopaedics,Central Hospital of Mianyang,Mianyang Sichuan 621000,China)

【机构】 四川省绵阳市中心医院骨科

【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。

【Abstract】 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.

【关键词】 挤压综合征筋膜室切开减压血液透析
【Key words】 crush syndromefasciotomyhemodialysis
  • 【文献出处】 华西医学 ,West China Medical Journal , 编辑部邮箱 ,2008年05期
  • 【分类号】R641
  • 【下载频次】69
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