地震伤挤压综合征急性肾衰竭治疗探讨

Therapy of crush syndrome complicating acute renal failure after earthquake injury

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。

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.