挤压综合征现场诊断及处理原则概述  

Principles of onsite diagnosis and management of crush syndrome

作　　者：於四军[1] 路靖[1] 刘惠亮[1] 

机构地区：[1]武警总医院心内科,北京100039

出　　处：《中华灾害救援医学》2015年第9期526-529,共4页Chinese Journal of Disaster Medicine

基　　金：武警总医院院内Ⅰ类课题(2013003)

摘　　要：挤压综合征(crush syndrome,CS)在地震等自然灾害中发病率、病死率极高,仅次于灾害直接病死率。除局部挤压伤外,CS常合并低血容量休克、急性肾衰竭、高钾血症、酸中毒等一系列全身并发症。早期诊断和现场处理是提高生存率的关键。现场血滤理论上是治疗CS最有效的方法,然而受多种因素限制,往往难以实施。目前现场药物处理逐渐成为CS多项研究的热点。笔者就挤压综合征的定义、现场诊断及处理原则进行综述。Crush syndrome （CS） often occurred in natural disasters such as earthquakes, which have a high mortality rank only second to direct disaster mortality. In addition to local crush injury, CS is often associated with hypovolemic shock, acute renal failure, hyperkalemia, acidosis and a series of systemic complications. The key to improve survival rates are early diagnosis and onsite management. Onsite hemodialysis is the theoretically most effective method for CS patients. However, it is often difficult to implement due to various constraints. Currently, onsite drug treatment of CS is the focus of research. In this paper, authors reviewed the newest definition and principles of onsite diagnosis and management of CS.

关 键 词：挤压综合征 诊断 处理原则 

分 类 号：R642[医药卫生—外科学]