title: [The crush syndrome patients combined with kidney failure after Wenchuan earthquake].
abstract: 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.
authors.affiliation: Department of Orthopaedics, West China Hospital of Sichuan University, Chengdu 610041, China.
authors.forename: Peng-de
authors.initials: PD
authors.lastname: Kang
authors.forename: Fu-xing
authors.initials: FX
authors.lastname: Pei
authors.forename: Chong-qi
authors.initials: CQ
authors.lastname: Tu
authors.forename: Guang-lin
authors.initials: GL
authors.lastname: Wang
authors.forename: Hui
authors.initials: H
authors.lastname: Zhang
authors.forename: Yue-ming
authors.initials: YM
authors.lastname: Song
authors.forename: Ping
authors.initials: P
authors.lastname: Fu
authors.forename: Yan
authors.initials: Y
authors.lastname: Kang
authors.forename: Qing-quan
authors.initials: QQ
authors.lastname: Kong
authors.forename: Li-Min
authors.initials: LM
authors.lastname: Liu
authors.forename: Tian-Fu
authors.initials: TF
authors.lastname: Yang
authors.forename: Lei
authors.initials: L
authors.lastname: Liu
authors.forename: Yue
authors.initials: Y
authors.lastname: Fang
authors.forename: Chuan-Xing
authors.initials: CX
authors.lastname: Luo
authors.forename: Yang
authors.initials: Y
authors.lastname: Liu
authors.forename: Xiao-Dong
authors.initials: XD
authors.lastname: Jin
authors.forename: Ye
authors.initials: Y
authors.lastname: Tao
authors.forename: Xin-Sheng
authors.initials: XS
authors.lastname: Xue
authors.forename: Fu-Guo
authors.initials: FG
authors.lastname: Huang
mesh_terms: 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