挤压综合征的早期诊断与处理

Early diagnosis and treatment of crush syndrome

挤压综合征多由于频发的地震、泥石流、矿难、塌方、山体滑坡、车祸伤事件等导致，其临床表现主要为受伤部位肌肉肿胀，常合并远隔脏器功能损害，如肝、肾、心、肺、胃肠道等，甚至导致低血容量性休克、骨筋膜室综合征、横纹肌溶解综合征、创伤性多脏器功能衰竭等并发症。由于继发脏器功能损害的病理变化隐匿，进展迅猛，预后凶险，甚至可导致死亡。因此，对挤压综合征早期诊断，早期处理可显著改善预后，避免并发症，降低病死率和致残率。

Frequent earthquake, debris flow, mine disaster, landslides, explosions, car accident and other injuries often lead to the occurrence of crush syndrome. Its clinical manifestations include muscle injury in the injured area, usually combined with distant organ dysfunction, such as liver, kidney ,heart, lung, gastro- intestinal tract, and even lead to hypovolemic shock, compartment syndrome, rhabdomyolysis, traumatic multiple organ failure. Due to the hidden pathological changes of secondary organ dysfunction, rapid progress, more dangerous prognosis, it can even lead to death. Therefore, the early identification, diagnosis and treat- ment of crush syndrome can significantly improve the prognosis, avoid complications and reduce mortality and disability rate.