Eknoyan G
Department of Medicine, Baylor College of Medicine, Houston, Texas.
Ren Fail. 1992;14(3):241-4. doi: 10.3109/08860229209106624.
A destructive earthquake devastated northwestern Armenia on December 7, 1988. The size of the affected area (radius of 50 miles), the time of the day when it occurred (11:41 a.m.), deficiencies in the design and construction of buildings, and inadequate initial rescue and relief capabilities resulted in one of the most lethal and traumatic natural disasters of the century. A large but unknown number (estimated at 225 to 385) of the extricated victims who had sustained crush injury developed myoglobinuric acute renal failure requiring dialytic support. The limited number (8-10 dialysis machines) of antiquated dialysis facilities available locally were overwhelmed. International dialysis relief efforts resulted in meeting the immediate acute needs and provided the motivation and elements of the more efficient system for the future delivery of maintenance dialysis.
1988年12月7日，一场毁灭性的地震袭击了亚美尼亚西北部。受灾区域面积大（半径达50英里）、地震发生时间为上午11点41分、建筑物设计和建造存在缺陷以及初期救援和救济能力不足，导致这场灾难成为本世纪最致命、最具创伤性的自然灾害之一。大量（数量不详，估计为225至385人）被救出的挤压伤受害者出现了肌红蛋白尿性急性肾衰竭，需要透析支持。当地可用的陈旧透析设施数量有限（8 - 10台透析机），不堪重负。国际透析救援行动满足了紧急急性需求，并为未来维持性透析的更高效系统提供了动力和要素。
