5_12汶川地震挤压伤患者高钾血症的救治及相关因素分析_马俊.pdfVIP

17 20 Vol1 17, No120 2 0 0 9 10 Orthopedic Journalof China Oct1 2009 # # Earthquake Injury 5# 12 马 俊, 康鹏德, 裴福兴, 宋跃明, 屠重棋, 杨天府, 易 敏, 黄富国* (, 610041) : [] 5# 12, [] 1, 66, 3: ( 1) , ; ( 2) , ; ( 3) , [] 66 49, 39, , 1 d , 3 d 2008 11 28, 66 1[] , , , , , , : ; ; ; ; ; : 683 : A : 1005- 8478 ( 2009) 20- 1544- 03 Treatment and risk factors of hyperpotassem ia in patientswith crush injury in 5. 12W enchuan earthquake disaster MMA Jun, KAN G Peng-de, PEI F u-x ing, et al. D epartmen t of Orthopaedi s, West China H osp ital of Si huan Un iversity, Chengdu 610041, Ch ina Abstract: [Objective]To retrospectively analyze the treatmentofhyperpotassemia in patientswith crush injury inW enchuan earthquake disaster. [Method] Sixty-six patients with crush injury in 5. 12W enchuan earthquake disaster were divided into 3 groups: crush injury, no crush syndrome; crush syndrome, without hyperpotassem ia; and w ith hyperpotassem ia. A ll patients were treatedw ith fluid replacement, diuresis, alkalizing urine, keeping the balance ofwater and electrolyte, with hematodialysis, ant-i in- fiammatory therapy and nutritional support of total body. The clinical datawere collected and analyzed. [ esult] Forty-nine pa- tients developed into crush syndrome, 39 patients had hyperpotassem ia, no patient died after treatment. W ith the involved lmi bs and squeeze tmi e increased, the risk of hyperpotassem ia increased significantly. [Conclusion]Crush syndrome and hyperpotasse- m ia could be discovered and treated quickly by calculating involved lmi bs and squeeze tmi e in disaster. F luid r