Zakharova G N, Fursaev V A, Polozov A B
Vestn Khir Im I I Grek. 1978 Feb;120(2):109-14.
The analysis of case records of 24 injuried with crush syndrome is presented. The conclusion is drawn that it is necessary to start the treatment of such cases immediately after the removal of the traumatizing factor. These cases should be concentrated in medical institutions experienced in the use of program hemodialysis. The authors are convinced that hemodialysis should be applied when the organic nature of renal failure is revealed at the stage of oligoanuria. It has been shown that the fasciotomy incisions do not decrease the pronunciation of uremic intoxication, but they become the inlets for purulent infection in the injured extremity.
本文对24例挤压综合征伤者的病历进行了分析。得出的结论是,在去除致伤因素后,应立即开始对此类病例的治疗。这些病例应集中在有使用程序血液透析经验的医疗机构。作者坚信,当在少尿期发现肾衰竭的器质性本质时,应进行血液透析。结果表明,筋膜切开术切口并不能减轻尿毒症中毒的程度,反而会成为受伤肢体脓性感染的入口。