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地震伤后挤压综合征的救治进展 被引量:2

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摘要 挤压综合征(crush syndrome),又称创伤性横纹肌溶解征(Traumatic rhabdomyolysis),是由于创伤对肌肉丰富部位的挤压,引起的以骨骼肌的急性破坏和溶解为特点,以电解质紊乱、低血容量、高钾血症、代谢性酸中毒、凝血障碍以及急性肾功能衰竭(acute renal failure,ARF)为表现的一组临床症候群。并发ARF和多器官功能衰竭(multiple organsy stem failure,MOSF)是病死率增高主要原因。二次世界大战时,挤压综合征的病死率几乎达100%,1976年唐山大地震时,其病死率也在20%-40%。本次汶川大地震,由于伤亡面巨大,救援困难,造成了大量挤压伤。现就挤压综合征的救治进展概述如下。
作者 王昱 许峰
出处 《中华儿科杂志》 CAS CSCD 北大核心 2009年第5期352-354,共3页 Chinese Journal of Pediatrics
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