大量快速补液治疗地震肢体挤压伤

英文篇名：Rapid fluid resuscitation in large amount in limb crush injury: experience from medical rescue in Wenchuan earthquake-stricken area
中文刊名：中国急救复苏与灾害医学杂志
英文刊名：China Journal of Emergency Resuscitation and Disaster Medicine
作者：唐佩福 ; 陈华 ; 姚一民 ; 贾金鹏 ; 于学军 ; 刘厚羽 ; 江朝光
英文作者：TANG Pei-fu ; CHEN Hua ; YAO Yi-min ; et al. Department of Orthopedics ; General Hospital of the Chinese People’s Liberation Army ; Beijing 100853 ; China
中文关键词：地震 ; 肢体挤压伤 ; 快速补液
英文关键词：Earthquake ; Limb crush injury ; Rapid fluid resuscitation
出版日期：2008-07-20
机构：中国人民解放军总医院骨科,中国人民解放军总医院骨科,解放军成都军区452医院骨科,中国人民解放军总医院骨科,解放军成都军区452医院骨科,解放军成都军区452医院骨科,中国人民解放军总医院骨科,
年：2008
期：07
出版单位：中国急救复苏与灾害医学杂志

摘要

目的探讨地震伤救治过程中,大量、快速静脉补液对预防肢体挤压综合征发生的重要性。方法分析"5.12"汶川大地震骨科住院患者136例,其中11例为建筑物垮塌所致肢体严重挤压伤,接受快速、大量静脉输注生理盐水等液体,通过严格观察尿量、中心静脉压等方法,调控补液速度。同时观察血清肌酸激酶和尿量等指标,评估输液的速度及其预防肾功能衰竭的有效性。结果11例患者入院24h液体入量可以达到12000ml。没有死亡和肾功能衰竭病例发生。结论尽早、快速、大量静脉补液可以预防挤压综合征患者发生肾功能衰竭。
objective To investigate the effect of rapid fluid resuscitation in large amount on prevention of acute renal failure after limb compression injury. Methods Eleven patients with limb compression injury dug out of the earthquake ruins underwent rapid fluid resuscitation in large amounts. The urine volume, central venous pressure, and serum creatine kinase were observed during the treatment. Results The fluid intake within the first 24 hours after admission reached 12 000 ml in these patients. No death and renal failure occurred. Conclusion Prompt fluid resuscitation in adequate amounts prevents the occurence of crush syndrome and renal failure after limb compression injury.

引文

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