汶川地震挤压综合征伤员的早期液体治疗分析

Analysis of initial fluid therapy of patients with crush syndrome in Wenchuan earthquake

目的总结汶川地震挤压综合征伤员早期液体复苏的经验。方法分析地震发生后4日内我院直接收治的18例挤压综合征伤员的早期液体治疗情况。结果早期的液体输入量仅26～737 ml/h[(273±149)ml/h],8例未利尿,8例未静脉滴注5%碳酸氢钠以碱化尿液。结论医务人员需要提高对挤压综合征的病理生理和早期液体复苏的重要性的认识,需要掌握正确的挤压综合征的早期液体治疗方案。

Objective To summarize the clinic experience of initial fluid therapy for patients with crush syndrome in Wen- chuan earthquake. Methods Patients with crush syndrome who were admitted to our hospital within 4 days after Wenchuan earthquake were enrolled. Their fluid therapies during the first 4 days after admission were analyzed. Results The initial infusion rate was only 273 ± 149（26-737）ml/hr. Diuretics were not administered in 8/18 cases, and sodium bicarbonate were not given intravenously in 8/18 cases. Conclusion The medical staff should understand the importance of pathophysiology and early fluid resuscitation of crush syn-drome. The doctors should master the regime for the syndrome.