[Muscle crush injury and crush syndrome]. / Raumenu sutraiskymas ir sutraiskymo sindromas.
Medicina (Kaunas)
; 46(6): 435-41, 2010.
Article
em Lt
| MEDLINE
| ID: mdl-20944453
ABSTRACT
Crush injury is defined as compression of extremities or other parts of the body that causes muscle breakdown (traumatic rhabdomyolysis). Systemic consequences of crush injuries are as follows rhabdomyolysis, electrolyte and acid-base abnormalities, hypovolemia, and acute renal failure. Crush injuries are important injuries in disaster situations earthquakes, hurricanes, mining and road traffic accidents, war, collapse of buildings, etc. In this review article, there are discussed about epidemiology of crush syndrome, risk factors, pathophysiology (mechanisms of muscle cell injury, release of substances from injured muscles, other consequences of reperfusion), clinical features, differential diagnosis, investigations, complications (acute renal failure, hypovolemic shock, hyperkalemia, infection, compartment syndrome), approach to treatment (adequate rehydration, a forced mannitol-alkaline diuresis, intravenous fluids, management of hyperkalemia, wound care, hyperbaric oxygen, etc.), prognosis, the mortality rate and prevention (timely support may reduce morbidity and mortality).
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Bases de dados:
MEDLINE
Assunto principal:
Síndrome de Esmagamento
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Lt
Revista:
Medicina (Kaunas)
Assunto da revista:
MEDICINA
Ano de publicação:
2010
Tipo de documento:
Article