Goriachev A N, Tursheva I G
Vestn Khir Im I I Grek. 1976 Dec;117(12):93-7.
The clinic of such injuries is characterized by marked local manifestations (solid progressive edema of the injured limb leading frequently to decompensated ischemia) and a high incidence of acute renal insufficiency. Hemostatic disorders are manifested in hyperkalemia, hyponatremia, hypocalcemia, cell-extracell transfer of electrolytes, metabolic disorders in the myocardium, as evidenced by EEG findings. It is the authors' opinion that therapeutic measures should be aimed at liquidation of the progressive edema (hypothermia, fasciotomy), prevention of acute renal insufficiency and correction of metabolic disorders.
此类损伤的临床特征为明显的局部表现(受伤肢体出现进行性实性水肿,常导致失代偿性缺血)以及急性肾功能不全的高发病率。止血障碍表现为高钾血症、低钠血症、低钙血症、电解质的细胞内外转移、心肌代谢紊乱,脑电图结果可证实这一点。作者认为,治疗措施应旨在消除进行性水肿(低温疗法、筋膜切开术)、预防急性肾功能不全以及纠正代谢紊乱。