58 patients with clinical diagnosis and treatment of severe crush injury.docVIP

 PAGE \* MERGEFORMAT 17 58 patients with clinical diagnosis and treatment of severe crush injury Of: Quji Fu Wen-Liang Ming-Hua Liu Xu Shiwei Zhang Xiaojun Ren Xiao Bao Pu Youmin to strong Yinchang Lin Li Xiaoping [Abstract] Objective To study the clinical diagnosis and treatment of severe crush injury characteristics, in order to provide a basis to improve the success rate of treatment. Methods in our department since October 2004 ~ August 2008 were treated 58 cases of severe crush injury, the clinical diagnostic and therapeutic features . Results showed 58 patients had local swelling, pain, 45 cases with shock, 30 patients had myoglobinuria, 15 patients had crush syndrome .28 underwent surgical decompression, 12 cases underwent amputation surgery, 6 routine continuous renal replacement therapy (CRRT). cured 55 patients (94.83%. Conclusion severe crush injury and trauma center emergency department is the more common form of injury, treatment will focus on: a comprehensive dynamic observation of the disease, the diagnosis as soon as possible, for effective treatment, including systemic and local treatment injured limb in order to maximize preservation of limb function, prevention of crush syndrome. [Keywords:] crush injury syndrome to reduce tension shock cut amputation surgery Severe crush injury is a more common form of injury, and the kinetic energy injuries, often associated with other multi-site injury, clinical diagnosis and treatment difficult [1], such as limbs or trunk muscles rich in large parts by weight for a long time compression, can cause necrosis of muscle tissue, can produce severe myoglobinuria, metabolic acidosis, hyperkalemia and azotemia to acute renal failure such as a clinical syndrome characterized, appears crush syndrome [ 2], seriously affecting the prognosis of patients. our department since October 2004 ~ August 2008 were treated 58 patients with severe crush injury, clinical diagnosis and treatment now reported as follow