Kazancioğlu R, Korular D, Sever M S, Türkmen A, Aysuna N, Kayacan S M, Tahin S, Yildiz A, Bozfakioğlu S, Ark E
Department of Internal Medicine, Istanbul School of Medicine, Turkey.
Int J Artif Organs. 2001 Jan;24(1):17-21.
In this study, we evaluated the clinical and laboratory data of the patients presenting after the Marmara earthquake. Crush syndrome was diagnosed in 60 patients (30 M, 30 F, mean age: 31.3+/-13.8 years). They were buried under the rubble for a mean period of 12.3+/-15.1 hours. On admission, 27 patients were oligoanuric and the mean serum creatinine, creatinine phosphokinase and potassium levels were 4.4+/-3.2 mg/dl, 18453.1+/-24527.2 IU/L, and 4.9+/-1.7 mEq/L, respectively. The most frequent site of trauma was the lower extremity. Dialysis treatment was initiated in 40 patients (19 M, 21 F; mean age: 32.7+/-13.0 years). Mean number of hemodialysis sessions/patient was 8.9+/-6.8. Nine (23%) patients among the dialyzed and 4 (20%) among the non-dialyzed died leading to an overall mortality of 21.6%. This low mortality rate suggests that the death rate from acute renal failure due to crush syndrome could be decreased by extensive follow-up.
在本研究中，我们评估了马尔马拉地震后就诊患者的临床和实验室数据。60例患者（30例男性，30例女性，平均年龄：31.3±13.8岁）被诊断为挤压综合征。他们被埋在废墟下的平均时间为12.3±15.1小时。入院时，27例患者少尿，血清肌酐、肌酸磷酸激酶和钾水平的平均值分别为4.4±3.2mg/dl、18453.1±24527.2IU/L和4.9±1.7mEq/L。最常见的创伤部位是下肢。40例患者（19例男性，21例女性；平均年龄：32.7±13.0岁）开始接受透析治疗。每位患者血液透析的平均次数为8.9±6.8次。透析患者中有9例（23%）死亡，未透析患者中有4例（20%）死亡，总死亡率为21.6%。这种低死亡率表明，通过广泛的随访可以降低挤压综合征所致急性肾衰竭的死亡率。
