目的 探讨地震伤后挤压综合征急性肾衰竭治疗。 方法 回顾性分析5.12地震伤后23例挤压综合征急性肾衰竭患者的临床资料。 结果 23例患者中，1例因并发急性肺水肿死亡，17例高钾血症纠正，3例进入多尿期，肾功能改善；其余19例病情得以控制，22例存活者病情稳定后转移至外地医院。 结论 血液透析及全身营养支持等综合治疗，可有效改善挤压综合征急性肾衰竭患者的病情，安全渡过少尿期。

【Abstract】 Objective To explore the treatment of crush syndrome complicating acute renal failure after earthquake injury. Methods A retrospective analysis was made on 23 clinical cases of crush syndrome complicating acute renal failure after 5.12 earthquake injury. Results Of 23 cases，1 died of acute pneumochysis; 17 hyperkalemia were rectified; 3 evolved diuresis stage following improved renal function; and clinical symptoms were improved in the other 19. 22 cases were conveied to many hospitals in other provinces after 7～10 days in our hospital. Conclusion It was effective that combined therapy (conventional hemodialysis, continuous renal replacement therapy and others）to treat crush syndrome complicating acute renal failure , and to assist patients overshoot oliguria stage.