中华临床医师杂志(电子版)
中華臨床醫師雜誌(電子版)
중화림상의사잡지(전자판)
CHINESE JOURNAL OF CLINICIANS(ELECTRONIC VERSION)
2015年
15期
2901-2906
,共6页
挤压综合征%治疗学%进展
擠壓綜閤徵%治療學%進展
제압종합정%치료학%진전
Crush syndrome%Therapeutics%Progress
挤压综合征(CS)广泛存在于自然灾害、工业事故以及恐怖袭击中。由于其病程进展迅速以及病例不多对其认识不足,许多患者失去了治疗机会,病死率极高。这些患者通常可见低血容量休克、急性肾衰竭、高钾血症、酸中毒等。根据INSARAG指南,CS患者的处理主要包括早期大量、恰当的补液,药物治疗以及必要时的连续肾脏替代疗法等,然而预后不甚理想。近年来随着对CS的研究的不断深入,一些新的治疗手段不断涌现。
擠壓綜閤徵(CS)廣汎存在于自然災害、工業事故以及恐怖襲擊中。由于其病程進展迅速以及病例不多對其認識不足,許多患者失去瞭治療機會,病死率極高。這些患者通常可見低血容量休剋、急性腎衰竭、高鉀血癥、痠中毒等。根據INSARAG指南,CS患者的處理主要包括早期大量、恰噹的補液,藥物治療以及必要時的連續腎髒替代療法等,然而預後不甚理想。近年來隨著對CS的研究的不斷深入,一些新的治療手段不斷湧現。
제압종합정(CS)엄범존재우자연재해、공업사고이급공포습격중。유우기병정진전신속이급병례불다대기인식불족,허다환자실거료치료궤회,병사솔겁고。저사환자통상가견저혈용량휴극、급성신쇠갈、고갑혈증、산중독등。근거INSARAG지남,CS환자적처리주요포괄조기대량、흡당적보액,약물치료이급필요시적련속신장체대요법등,연이예후불심이상。근년래수착대CS적연구적불단심입,일사신적치료수단불단용현。
Crush syndrome (CS) from debris is widely seen in natural disasters and events such as industrial accidents and terrorist attacks. Many CS patients, who are commonly characterized by hypovolemia shock, acute rental failure, hyperkalemia, acidemia ect. have lost access to treatment because of its rapid progress and our limited knowledge to the disease, which results in high mortality. Traditional management according to the INSARAG Medical Working Group are mainly aggressive fluid resuscitation, proper fluid administration, some medications and continuous renal replacement therapy if necessary, however, the prognosis remains poor. In recent years, with the increasing research of CS, more and more treatments sping up.