挤压综合征解析.ppt

Overview 概念 认知过程 病理 临床表现 诊断 治疗 预后 什么是挤压综合征？ 什么是挤压综合征？ 认知历程 1、毒芹（铁杉） 导致肌细胞坏死，横纹肌溶解 2、 In 1812 Larrey(Napoleon′s army surgeon) 发现在一氧化碳中毒患者存在四肢坏疽的现象。 3、In 1910 Myer-Betz Syndrome, German physician. 三联征:肌肉疼痛，无力，黑尿 。 4、In 1941 Battle of Britain “Crush syndrome” first recorded by Dr Bywaters in bombing of London during WWII. “ 5 people who were crushed presented in shock with swollen extremities and dark urine. All later died from renal failure.” 流行病学 创伤因素 建筑物坍塌： 多见于：地震 塌方 爆炸