Mardones Alvaro, Arellano Pablo, Rojas Carlos, Gutierrez Rodrigo, Oliver Nicolas, Borgna Vincenzo
1Santiago Fire Department,Urban Search & Rescue Task Force,Santiago,Chile.
4Colina Fire Department,Medical Department,Santiago,Chile.
Prehosp Disaster Med. 2016 Jun;31(3):340-2. doi: 10.1017/S1049023X16000327. Epub 2016 Mar 28.
Introduction Crush syndrome, of which little is known, occurs as a result of compression injury to the muscles. This syndrome is characterized by systemic manifestations such as acute kidney injury (AKI), hypovolemic shock, and hydroelectrolytic variations. This pathology presents high morbidity and mortality if not managed aggressively by prehospital care. Clinical Case A 40-year-old worker was rescued after being buried underground in a ditch for 19 hours. The patient was administered early resuscitation with isotonic solutions and monitored during the entire rescue operation. Despite having increased plasma levels of total creatine kinase (CK), the patient did not develop AKI or hydroelectrolytic variations.
Aggressive early management with isotonic solutions before hospital arrival is an effective option for nephron-protection and prevention of crush syndrome. Mardones A , Arellano P , Rojas C , Gutierrez R , Oliver N , Borgna V . Prevention of crush syndrome through aggressive early resuscitation: clinical case in a buried worker. Prehosp Disaster Med. 2016;31(3):340-342.
引言 挤压综合征鲜为人知，是肌肉遭受挤压伤的结果。该综合征的特征为全身表现，如急性肾损伤（AKI）、低血容量性休克和水电解质紊乱。若院前急救不积极处理，这种病症的发病率和死亡率都很高。临床病例 一名40岁工人在沟渠中被埋19小时后获救。患者早期接受了等渗溶液复苏，并在整个救援过程中接受监测。尽管患者血浆总肌酸激酶（CK）水平升高，但未发生急性肾损伤或水电解质紊乱。
在入院前用等渗溶液进行积极的早期处理是保护肾单位和预防挤压综合征的有效选择。马尔多内斯A、阿雷利亚诺P、罗哈斯C、古铁雷斯R、奥利弗N、博尔尼亚V。通过积极早期复苏预防挤压综合征：一名被埋工人的临床病例。《院前灾难医学》。2016年；31(3):340 - 342。
