地震灾害中挤压综合征伤员的早期处理与疗效分析

Effects of early treatment of crush syndrome in earthquake catastrophe

目的探讨在地震灾害中挤压综合征伤员的早期处理方案及治疗效果。方法对“5．12”四川大地震中收治的32例挤压综合征伤员的早期治疗方案及短期疗效进行分析。结果1例伤员死亡，22例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例伤员行伤肢截肢手术；24例伤员实验室检验指标恢复正常，7例伤员实验室检验指标不同程度恢复。2例伤员切口感染，经治疗后感染控制。结论地震灾害中挤压综合征伤员的早期处理对预后有重要影响及早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。

Objective To discuss the effects of early treatment of the patients with crush syndrome in the earthquake catastrophe. Methods The early treatment protocol for the 32 patients with crush syndrome who had survived the ＂5. 12＂ earthquake in Sichuan, China was analyzed on the basis of short-term observations. Results One case died. Sensation and motion functions were restored in various degrees in 22 cases after emergency fasciotomy so that their injured limbs were saved. The injured limbs, however, were amputated in 5 cases. Twenty-four cases restored their normal laboratory test indexes, and 7 cases improved theirs in various degrees. Wound infection occurred in 2 cases but responded to management. Conclusion Early treatment is crucial for a fine prognosis of the patients with crush syndrome after an earthquake catastrophe. Early fasciotomy and hemodialysis can effectively reduce the mortality and improve prognosis.