The crush syndrome patients combined with kidney failure after Wenchuan earthquake / 中华外科杂志
Chinese Journal of Surgery
; (12): 1862-1864, 2008.
Article
in Zh
| WPRIM
| ID: wpr-275933
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To retrospectively analysis the treatment characteristics of the systemic situation in patients with crush syndrome after Wenchuan earthquake happened in May 12th, 2008.</p><p><b>METHODS</b>Forty-nine patients with crush syndrome and subsequent acute renal failure (ARF) due to the earthquake were treated in West China Hospital. All of patients had been rescued from buildings that collapsed in Wenchuan earthquake. The major associated injuries were in the low extremities and upper extremities. 49 patients developed ARF with increased concentrations of serum creatinine (mean 64 022 U/L) had underwent haemodialysis. Hyperkalaemia was seen in 9 patients and four of them underwent haemodialysis. 49 patients were administered hemodialysis.</p><p><b>RESULTS</b>No patient died. All patients who suffered from the ARF were weaned from hemodialysis after admitted 7 to 35 days. Forty-five extremities underwent amputations and 52 extremities had fasciotomy.</p><p><b>CONCLUSIONS</b>Crush syndrome requires urgent recognition and prompt surgical treatment with simultaneous measures to control hyperkalemia and ARF. The authors believe that immediate intensive care therapy and multi-subjective coordination would have improved the survival rate.</p>
Full text:
1
Database:
WPRIM
Main subject:
General Surgery
/
Therapeutics
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Wounds and Injuries
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Retrospective Studies
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Treatment Outcome
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Renal Replacement Therapy
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Decompression, Surgical
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Crush Syndrome
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Earthquakes
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Acute Kidney Injury
Type of study:
Observational_studies
Limits:
Adolescent
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Adult
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Aged
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Child
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Female
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Humans
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Male
Language:
Zh
Journal:
Chinese Journal of Surgery
Year:
2008
Document type:
Article