| 地震伤致严重挤压综合征的救治体会 |
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Received:July 31, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 苏佳灿 |
SU Jia-can |
第二军医大学附属长海医院骨科，上海 200433 |
Department of Orthopaedics,Changhai Hospital,the Second Military Medical University,Shanghai 200433,China |
sujiacan@yahoo.com.cn |
| 付青格 |
FU Qing-ge |
第二军医大学附属长海医院骨科，上海 200433 |
Department of Orthopaedics,Changhai Hospital,the Second Military Medical University,Shanghai 200433,China |
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| 李卓东 |
LI Zhuo-dong |
第二军医大学附属长海医院骨科，上海 200433 |
Department of Orthopaedics,Changhai Hospital,the Second Military Medical University,Shanghai 200433,China |
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| 禹宝庆 |
YU Bao-qing |
第二军医大学附属长海医院骨科，上海 200433 |
Department of Orthopaedics,Changhai Hospital,the Second Military Medical University,Shanghai 200433,China |
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| 张春才 |
ZHANG Chun-cai |
第二军医大学附属长海医院骨科，上海 200433 |
Department of Orthopaedics,Changhai Hospital,the Second Military Medical University,Shanghai 200433,China |
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| 曹烈虎 |
CAO Lie-hu |
第二军医大学附属长海医院骨科，上海 200433 |
Department of Orthopaedics,Changhai Hospital,the Second Military Medical University,Shanghai 200433,China |
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| 刘欣伟 |
LIU Xin-wei |
第二军医大学附属长海医院骨科，上海 200433 |
Department of Orthopaedics,Changhai Hospital,the Second Military Medical University,Shanghai 200433,China |
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| 朱科明 |
ZHU Ke-ming |
第二军医大学附属长海医院ICU，上海 200433 |
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| 郭志勇 |
GUO Zhi-yong |
第二军医大学附属长海医院肾内科，上海 200433 |
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| 贲道峰 |
BEN Dao-feng |
第二军医大学附属长海医院烧伤科，上海 200433 |
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| 期刊信息：《中国骨伤》2008年21卷，第10期，第748-750页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目:国家”十一五“支撑计划(编号：2006BAI16B02) |
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目的：探讨地震伤挤压综合征的诊断及治疗，为地震伤挤压综合征的救治提供参考。
方法：对地震伤致严重挤压综合征35例治疗进行总结回顾，观察全身营养支持、积极局部创面处理辅助血液透析，对挤压综合征患者恢复的作用。
结果：经过正确的早期处理，逐步清除局部坏死组织，恢复患者心、肾功能，为后续修复创面打下良好基础。
结论：尽早解除压迫，正确处理伤肢，及时对坏死组织清除，减少毒素吸收，辅助人工血液透析治疗，有利于提高挤压综合征患者救治成功率。 |
| [关键词]:地震伤 挤压综合征 血液透析 治疗 |
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| Treatment of severe crush syndrome caused by earthquake:a report of 35 cases |
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Abstract:
Objective: To discuss the diagnosis and treatment of the crush syndrome in the earthquake.
Methods: Thirty-five patients with crush syndrome caused by earthquake were involved the retrospective study. The role of nutritional support, active wound treatment and hemodialysis on the patients' recovery was observed.
Results: The function of the heart and kidneys were gradually improved by the planned removal of the necrotic tissue,which laid a foundation for the further repair of the wound.
Conclusion: The removal of necrotic tissue,which can decrease the toxic absorption,will improve the success rate for treatment of the crush syndrome patients when being assisted with the hemodialysis. |
| KEYWORDS:Earthquake injury Crush syndrome Hemodialysis Treatment |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 苏佳灿,付青格,李卓东,禹宝庆,张春才,曹烈虎,刘欣伟,朱科明,郭志勇,贲道峰.地震伤致严重挤压综合征的救治体会[J].中国骨伤,2008,21(10):748~750 |
| 英文格式: | SU Jia-can,FU Qing-ge,LI Zhuo-dong,YU Bao-qing,ZHANG Chun-cai,CAO Lie-hu,LIU Xin-wei,ZHU Ke-ming,GUO Zhi-yong,BEN Dao-feng.Treatment of severe crush syndrome caused by earthquake:a report of 35 cases[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(10):748~750 |
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