How to treat crush syndrome?

summary

Crush syndrome refers to a series of pathophysiological changes in the body after long-term compression by heavy objects (such as stones, earthwork, etc.) in the limbs or trunk and other muscle rich parts of the human body. The main clinical manifestations are acute renal failure characterized by limb swelling, myoglobinuria and hyperkalemia. If not treated in time, the consequences are often more serious, and even lead to death. Now let's get to know.

How to treat crush syndrome?

First, all the wounded under pressure should drink alkaline beverage (every 8g sodium bicarbonate is dissolved in 1000-2000ml water, plus appropriate amount of sugar and salt). It can not only diuretic, but also alkalize urine, so as to avoid myoglobin deposition in renal tubules. If you can't eat, you can use 5% sodium bicarbonate 150ml intravenous drip.

Second, the tissue pressure in the fascial septal area was decreased by early incision to prevent or reduce the occurrence of crush syndrome. Even if the muscle is necrotic, it can prevent harmful substances from invading into the blood stream and reduce the toxic symptoms of the body by reducing tension and drainage. At the same time, the inactivated tissue was removed to reduce the chance of infection. The indications of early incision and tension reduction were as follows: (1) obvious history of crush injury. ② More than one compartment was involved, local tension was high, swelling was obvious, blisters and corresponding dyskinesia were found. ③ Urine myoglobin test was positive (including occult blood test in the absence of hematuria).

Third: for patients with crush syndrome, once there is evidence of renal failure, dialysis therapy should be carried out as soon as possible. This therapy can significantly reduce the death caused by hyperkalemia of acute renal failure, which is a very important treatment method. Conditional hospital can make blood dialysis (namely artificial kidney). Peritoneal dialysis is easy to operate and has good effect on most patients.

matters needing attention

The diet should be light and reasonable, with balanced nutrition. Eat more fruits and vegetables, and eat some beans properly. Soybean protein is the only complete protein from plants, which is rich in protein, twice as much as meat, four times as much as eggs, and twelve times as much as milk. It also contains calcium, folic acid, cellulose, vitamins and plant nutrients. Avoid spicy food. No drinking, no smoking and passive smoking.