Crush injury and crush syndrome incidence and treatment.docVIP

 PAGE \* MERGEFORMAT 18 Crush injury and crush syndrome incidence and treatment [Abstract] crush syndrome is a serious complication after crush injury, mainly due to the rich parts of the muscle ischemic damage by extrusion and after extrusion and restore blood supply to lift, a large number of harmful factors into the blood, appears to mainly of acute renal failure syndrome, a higher mortality rate, treatment difficult. extruding crush syndrome injuries early diagnosis and treatment advocates, treatment measures include first aid, anti-shock, prevent infection and protect kidney function, to maintain the water electrolyte balance, artificial renal replacement, and nutritional support measures in several areas. [Keywords:] crush injury; crush syndrome; renal failure Abstract: Crush syndrome develops due to muscle crush injury often found in patients extricated from prolonged compression after disasters.It leads to rhabdomyolysis, kidney failure and hypovolemic shock.It is a challenge for surgeons because it is regularly associated with potentially fatal complications.Treating the acute kidney injury caused by crush syndrome in survivals of the earthquake has been a big challenge to the nephrologists.The comprehensive treatment includes field first aid, compensation of fluid and countershock, infection prevention, nephroprotection, maintenance of water electrolyte balance, hemodialysis (HD) , fasciotomy and systematic alimentotherapy. Keywords:: crush injury; crush syndrome; renal failure 1 crush syndrome related concepts Was first reported in 1881, rhabdomyolysis (rhabdomyolysis, RM), crush syndrome (crush syndrome, CS) can be traced back the history of the earthquake in Messina in 1909 and the First World War, Bywater and other first carried out during World War II systematic summary, the building was injured after air strikes were found to appear injured limb swelling, circulation, soy sauce and color of urine and acute renal failure (acute