地震伤挤压综合征急性肾衰竭治疗探讨

›› 2008, Vol. 7 ›› Issue (9): 510-511.

地震伤挤压综合征急性肾衰竭治疗探讨

张林甘晓辉杜蓉李红

四川省绵阳市中心医院肾病科

收稿日期:2008-07-22 修回日期:1900-01-01 出版日期:2008-09-12 发布日期:2008-09-12

Therapy of crush syndrome complicating acute renal failure after earthquake injury

ZHANG Lin, GAN Xiao-Hui , DU Rong, LI Hong.

The Central Hospital of Mianyang , MianYang 621000, China

Received:2008-07-22 Revised:1900-01-01 Online:2008-09-12 Published:2008-09-12

摘要/Abstract

摘要：

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。

关键词: 地震伤, 挤压综合征, 急性肾衰竭, 间断血液透析, 连续性肾脏替代治疗

Abstract:

【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.

Key words: Crush Syndrome, Acute Renal Failure, Intermittent hemodialysis, Continuous renal replacement therapy

中图分类号:

R459.5

张林甘晓辉杜蓉李红. 地震伤挤压综合征急性肾衰竭治疗探讨[J]. , 2008, 7(9): 510-511.

ZHANG Lin; GAN Xiao-Hui;DU Rong; LI Hong. . Therapy of crush syndrome complicating acute renal failure after earthquake injury[J]. , 2008, 7(9): 510-511.