论文部分内容阅读
目的:探讨地震伤后挤压综合征有效的诊断和治疗方法。方法:对154例地震伤后挤压综合征患者依据病史、症状、体征及实验室检查结果进行诊断,并主要针对急性肾损伤和局部创伤给予综合治疗。结果:154例中,128例基本治愈,26例行血液透析患者肾功能明显改善,无一例发生持续性肾功能损害和死亡。结论:采用以补液、利尿、血液透析、局部切开减压和全身营养支持为主的综合方法治疗挤压综合征并急性肾功能损伤患者可很好地控制病情发展,促进转归。
Objective: To study the effective diagnosis and treatment of crush syndrome after earthquake injury. Methods: 154 patients with crush syndrome after earthquake were diagnosed on the basis of their medical history, symptoms, signs and laboratory tests. The treatment was mainly aimed at acute renal injury and local trauma. Results: Of the 154 cases, 128 cases were basically cured, and 26 cases of hemodialysis patients with renal function improved significantly, no case of persistent renal damage and death. Conclusion: The comprehensive method of rehydration, diuretic, hemodialysis, local decompression and general nutritional support for the treatment of crush syndrome and acute renal injury patients can well control the progression of the disease and promote the outcome.