[The crush syndrome patients combined with kidney failure after Wenchuan earthquake].
OBJECTIVE
To retrospectively analysis the treatment characteristics of the systemic situation in patients with crush syndrome after Wenchuan earthquake happened in May 12th, 2008.


METHODS
Forty-nine patients with crush syndrome and subsequent acute renal failure (ARF) due to the earthquake were treated in West China Hospital. All of patients had been rescued from buildings that collapsed in Wenchuan earthquake. The major associated injuries were in the low extremities and upper extremities. 49 patients developed ARF with increased concentrations of serum creatinine (mean 64 022 U/L) had underwent haemodialysis. Hyperkalaemia was seen in 9 patients and four of them underwent haemodialysis. 49 patients were administered hemodialysis.


RESULTS
No patient died. All patients who suffered from the ARF were weaned from hemodialysis after admitted 7 to 35 days. Forty-five extremities underwent amputations and 52 extremities had fasciotomy.


CONCLUSIONS
Crush syndrome requires urgent recognition and prompt surgical treatment with simultaneous measures to control hyperkalemia and ARF. The authors believe that immediate intensive care therapy and multi-subjective coordination would have improved the survival rate.
Kang
Peng-de
PD
Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu 610041, China.
Pei
Fu-xing
FX
Tu
Chong-qi
CQ
Wang
Guang-lin
GL
Zhang
Hui
H
Song
Yue-ming
YM
Fu
Ping
P
Kang
Yan
Y
Kong
Qing-quan
QQ
Liu
Li-Min
LM
Yang
Tian-Fu
TF
Liu
Lei
L
Fang
Yue
Y
Luo
Chuan-Xing
CX
Liu
Yang
Y
Jin
Xiao-Dong
XD
Tao
Ye
Y
Xue
Xin-Sheng
XS
Huang
Fu-Guo
FG
D058186:Acute Kidney Injury / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000671:Amputation, Surgical; D002648:Child; D003444:Crush Syndrome / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D019299:Decompression, Surgical; D055866:Earthquakes; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017582:Renal Replacement Therapy; D012189:Retrospective Studies; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000150:complications