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【medical-news】地震造成的372例挤压综合征患者分
Analysis of 372 patients with Crush syndrome caused by the Hanshin-Awaji earthquake.Oda J, Tanaka H, Yoshioka T, Iwai A, Yamamura H, Ishikawa K, Matsuoka T, Kuwagata Y, Hiraide A, Shimazu T, Sugimoto H.
Department of Traumatology and Emergency Medicine, Osaka University Medical School, Japan.
OBJECTIVE: To clarify clinical features and determine the severity of injuries in patients with crush syndrome in Hanshin-Awaji earthquake. METHODS: We retrospectively reviewed medical records of 6,107 patients hospitalized in 95 hospitals, and identified 372 patients with crush syndrome. RESULTS: The major sites of crush injury were in the lower extremities (74%), followed by the upper extremities (10%), and the trunk (9%). Pelvic fractures, limb fractures, and abdominal injuries were the most frequently associated injury. Patients with trunk compression and/or with abdominal injury had a higher mortality rate. A total of 50 patients (13.4%) died. The causes of death within 5 days after the earthquake were hypovolemia and hyperkalemia. Peak serum creatine kinase concentration increased with the number of crushed extremities. Mortality and the risk of acute renal failure were higher in patients with creatine kinase concentration more than 75,000 micro/L. CONCLUSIONS: Peak serum concentration of creatine kinase as well as the number of injured extremities serve to estimate the severity of crush syndrome.
PMID: 9095115 [PubMed - indexed for MEDLINE]
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http://www.namipan.com/d/33333.pdf/7411634972f1b8955a54a5ab7cb82913a0a7821bc6db0300 Analysis of 372 patients with Crush syndrome caused by the Hanshin-Awaji
earthquake
对阪神-淡路地震造成的372例挤压综合征患者的分析
OBJECTIVE: To clarify clinical features and determine the severity of injuries in patients with crush syndrome in Hanshin-Awaji earthquake.目的:阐明阪神-淡路地震中挤压综合征患者的临床特征和损伤严重度. METHODS: We retrospectively reviewed medical records of 6,107 patients hospitalized in 95 hospitals, and identified 372 patients with crush syndrome.方法:我们回顾性调查了95家医院的6107例患者的医疗记录,鉴定了372例挤压综合征患者. RESULTS: The major sites of crush injury were in the lower extremities (74%), followed by the upper extremities (10%), and the trunk (9%). Pelvic fractures, limb fractures, and abdominal injuries were the most frequently associated injury. Patients with trunk compression and/or with abdominal injury had a higher mortality rate. A total of 50 patients (13.4%) died. The causes of death within 5 days after the earthquake were hypovolemia and hyperkalemia. Peak serum creatine kinase concentration increased with the number of crushed extremities. Mortality and the risk of acute renal failure were higher in patients with creatine kinase concentration more than 75,000 micro/L.结果:主要的挤压损伤部位是下肢(74%),接着是上肢(10%),和躯干(9%).骨盆骨折,肢体骨折和腹部损伤最多的并发伤.躯干压缩和/或伴随腹部损伤的患者死亡率较高.总计50例患者死亡(13.4%)地震后5天内死亡原因主要是血容量不足和高钾血症.高峰血清肌酸激酶浓度伴随伤肢数目的增加而增加.肌酸激酶浓度超过75000micro/L的患者死亡率和急性肾衰竭的危险较高 CONCLUSIONS: Peak serum concentration of creatine kinase as well as the number of injured extremities serve to estimate the severity of crush syndrome.结论:高峰血清肌酸激酶浓度和伤肢数目一样都有助于评估挤压综合征的严重度.
编译:
对阪神-淡路地震造成的372例挤压综合征患者的分析
目的:阐明阪神-淡路地震中挤压综合征患者的临床特征和损伤严重度.方法:我们回顾性调查了95家医院的6107例患者的医疗记录,鉴定了372例挤压综合征患者.结果:主要的挤压损伤部位是下肢(74%),接着是上肢(10%),和躯干(9%).骨盆骨折,肢体骨折和腹部损伤最多的并发伤.躯干压缩和/或伴随腹部损伤的患者死亡率较高.总计50例患者死亡(13.4%)地震后5天内死亡原因主要是血容量不足和高钾血症.高峰血清肌酸激酶浓度伴随伤肢数目的增加而增加.肌酸激酶浓度超过75000micro/L的患者死亡率和急性肾衰竭的危险较高 .结论:高峰血清肌酸激酶浓度和伤肢数目一样都有助于评估挤压综合征的严重度.
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作者:admin@医学,生命科学 2010-09-22 02:34
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