车祸地震-挤压综合症.doc

车祸地震-挤压综合症 The accident - earthquake crush syndrome.Txt43 sails, not hanging on the mast, is a useless piece of cloth; the mast, dont hang up the sails, is a normal column; ideals into action is not action, with no reality whatever fog; but not ideal, is not only taking the end of the road. 44 often unlatched the door of success, as long as you are brave to push, it will suddenly open. Crush syndrome Crush syndrome English Name: crush syndrome Definition: compartment syndrome deterioration caused by acute renal failure with hyperkalemia, hyperphosphatemia, myoglobinaemia and myoglobinuria as the main manifestation. Crush syndrome (crush syndrome) crush syndrome refers to rock earth pressure buried, especially muscle plump body was pressed for more than an hour (such as thigh) and cause the pathological changes of the body, a series of major clinical manifestations of urinary oliguria even without, the renal failure characteristics. Renal failure is a serious condition, such as the delay in treatment, and the consequences are serious. After injury, toxic and intermediate metabolites of blood and tissue proteins are broken down and absorbed into the blood resulting from traumatic acute tubular necrosis and acute renal failure caused by it. This is a common cause of late death in patients with extensive soft tissue contusion. I. etiology Crush syndrome occurs mainly in housing collapse, engineering collapse, traffic accidents and other accidental injuries. In the war, a severe earthquake and other serious disasters may occur in batches. In addition, the patient is seen in coma and surgery, and the limb is immobilized by a fixed position for a long time. Two 、 pathophysiology The muscle suffered smashed wounds, bleeding and swelling, muscle tissue necrosis, and release a large number of metabolites, myoglobin, potassium, creatine, creatinine, muscle ischemia and hypoxia, acidosis can promote the potassium ions from the inside to the outside cell escape, so that blood po