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【medical-news】马尔马拉地震后的挤压综合征患者
doi: 10.1136/emj.20.3.247. PMCID: PMC1726105
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Crush syndrome patients after the Marmara earthquake
O Demirkiran, Y Dikmen, T Utku, and S Urkmez
Istanbul University, Cerrahpasa Medical School, Department of Anaesthesiology, Sadi Sun ICU, Istanbul, Turkey. Email: odemirkiran@superonline.com
AbstractBackground: To assess the treatment and outcome of patients with crush injury sustained in the Marmara earthquake.
Methods: Seven hundred eighty three patients were transferred to a university hospital and 25 of them were admitted to the intensive care unit. The medical records of 18 crush injury patients were retrospectively reviewed.
Results: The major associated injuries were in the lower extremities, upper extremities, and chest. Seven patients underwent fasciotomy and six patients had amputations. Twelve patients required mechanical ventilation. Adult respiratory distress syndrome developed in four patients. Oliguria occurred in eight patients. Hyperkalaemia was seen in six patients and four of them underwent emergency haemodialysis. One patient died because of hyperkalaemia on arrival to the intensive care unit. Renal failure was treated with haemodialysis or haemoperfusion in 13 patients. Five patients died because of multiple organ failure and two patients because of sepsis.
Conclusion: Crush syndrome is a life treatening event. The authors believe that early transportation and immediate intensive care therapy would have improved the survival rate.
全文
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1726105 Emerg Med J. 2003 May; 20(3): 247–250.
doi: 10.1136/emj.20.3.247. PMCID: PMC1726105
Crush syndrome patients after the Marmara earthquake
马尔马拉地震后的挤压综合征患者
O Demirkiran, Y Dikmen, T Utku, and S Urkmez
Istanbul University, Cerrahpasa Medical School, Department of Anaesthesiology, Sadi Sun ICU, Istanbul, Turkey. Email: odemirkiran@superonline.com
AbstractBackground: To assess the treatment and outcome of patients with crush injury sustained in the Marmara earthquake.
摘要背景:评估马尔马拉地震中持续挤压综合征患者的治疗和后果
Methods: Seven hundred eighty three patients were transferred to a university hospital and 25 of them were admitted to the intensive care unit. The medical records of 18 crush injury patients were retrospectively reviewed.
方法:783例患者被转到大学医院,并且其中25例被转入ICU.对18例挤压伤患者的医疗记录做了回顾性调查.
Results: The major associated injuries were in the lower extremities, upper extremities, and chest. Seven patients underwent fasciotomy and six patients had amputations. Twelve patients required mechanical ventilation. Adult respiratory distress syndrome developed in four patients. Oliguria occurred in eight patients. Hyperkalaemia was seen in six patients and four of them underwent emergency haemodialysis. One patient died because of hyperkalaemia on arrival to the intensive care unit. Renal failure was treated with haemodialysis orhaemoperfusion
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作者:admin@医学,生命科学 2010-11-13 05:11
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