摘要
目的研究严重挤压伤的临床诊治特点，为提高救治成功率提供依据。方法回顾我科自2004年10月～2008年8月收治的严重挤压伤58例，分析其临床诊治特点。结果本组58例均表现有局部肿胀、疼痛；45例伴有休克，30例出现肌红蛋白尿，15例出现挤压综合征。28例行手术减压，12例行截肢手术，6例行持续性。肾脏替代治疗（CRRT）。治愈55例（94．83％）。结论严重挤压伤是急诊科及创伤中心较为常见的一种损伤，其诊治重点是：全面动态观察病情，尽快明确诊断，进行切实有效的治疗，包括全身及伤肢局部处理，以最大限度保全患肢功能，预防挤压伤综合征的发生。
Objective To study the clinical characteristics of diagnosis and treatment of severe crush injuries so as to improve the level of therapy. Methods The clinical data of 58 cases of severe crush injuries from Oct. 2004 to Aug. 2008 were retrospectively analyzed. Results All of the 58 cases had tumefaction and pain. Forty- five cases were accompanied with shock ,30 cases with myoglobinuria, 15 cases with crush syndrome. In the group, 28 cases were operated for fasciotomy, 12 cases with amputation, 6 cases with continous renal replacement therapy （ CRRT）. At the end,55 cases were cured （94.83% ）. Conclusion Severe crush injuries are common in emer gency department and trauma center. The main points for diagnosis and treatment are： dynamicly investigating the state of injuries, quickly diagnosing, performing effective therapies including systemic and local extremity treatment so as to save the fuction of injuried extremity and prevent crush syndrome.
出处
《创伤外科杂志》
2009年第2期140-143,共4页
Journal of Traumatic Surgery
