1.Isolated non-compaction of ventricular myocardium in a victim of the Wenchuan earthquake with crush syndrome and acute renal failure.
Fang LIU ; Fa-bao GAO ; Ping FU ; Hong-yu QIU ; Hong-de HU ; Hong TANG ; Ling ZHANG ; Bin SONG ; Wan-xin TANG ; Ye TAO ; Song-min HUANG
Chinese Medical Journal 2009;122(18):2196-2198
2.The changes of electrocardiogram and serum cardiac troponin I at the early stage of crush injury in rats.
Yu-chuan CHEN ; Shui-ping LIU ; Wei GUO
Journal of Forensic Medicine 2002;18(2):76-77
OBJECTIVE:
To observe the changes of electrocardiogram and serum cardiac troponin I at the early stage of severe crush injury in rats.
METHODS:
Crush injury was produced in Sprague-Dawley rats. The changes of electrocardiogram were recorded with the standard II, the serum levels of cardiac troponin I were studied by automated chemiluminescence assay.
RESULTS:
The ST segment elevated considerably after crush injury and lasted 24 h, the levels of serum cTnI were much higher than those of the control groupes after 6 h of injury.
CONCLUSION
Cardiomyocyte injury was induced in the early phase of crush injury.
Animals
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Crush Syndrome/physiopathology*
;
Electrocardiography
;
Extremities/injuries*
;
Female
;
Heart Injuries/physiopathology*
;
Male
;
Rats
;
Rats, Sprague-Dawley
;
Troponin I/blood*
3.Treatment for crush syndrome of extremities with antioxidants.
China Journal of Orthopaedics and Traumatology 2008;21(2):109-110
OBJECTIVETo study the clinical therapeutic effect of antioxidants assistant treatment of extremities crush syndrome (CS)in order to find new therapy.
METHODSTwenty-one male patients (aged from 24 to 48 years, mean 36 years) were treated with the next antioxidants in early stage: (1) 20% Mannitol 250 ml intravenous drip in 30 minutes (one time per 6 to 8 h). (2) Sodium aescinate 20 mg, Salvia Miltiorrhiza 20 ml were dissolved respectively in isotonic saline or 5% glucose 200 ml and dripped by intravenous drip (50 to 60 drips per minute). The drugs were used for 5 to 7 days (one time per day). Basifying urine, keeping the nagative liquid banlance and electrolyte banlance, preventing infection and hold out treatment were done. When the pressure of muscular osteofascial compartment was more than 30 mmHg, deep fasia was cut to decompress timely and the above-mentioned drugs were continuously applied for patients.
RESULTSMyoglobin urine of 21 cases died out after 2 to 3 days, of them, 13 cases were performed to decompress. After open decompression, 2 cases suffered from amputation because of long time of ischemia, 2 cases took place slight dysfunction of lower limbs, one hand had ischemia muscular contracture in 1 case and one foot down-vertical in 1 case. After followed-up of 8 months to 1 year, according to the function standard, the result were excellent in 8 cases, good in 7 cases, fair in 2 cases, poor in 4 cases. The excellent and good rate was about 71.4% (15/21).
CONCLUSIONAfter extremities crushed for long time, application of antioxidents as early as possible can decrease significantly the incidence and invalidity rate of CS.
Adult ; Antioxidants ; administration & dosage ; therapeutic use ; Crush Syndrome ; complications ; drug therapy ; physiopathology ; urine ; Extremities ; injuries ; Humans ; Male ; Middle Aged ; Myoglobinuria ; complications ; urine ; Young Adult
4.Treatment of severe crush syndrome caused by earthquake: a report of 35 cases.
Jia-can SU ; Qing-ge FU ; Zhuo-dong LI ; Bao-qing YU ; Chun-cai ZHANG ; Lie-hu CAO ; Xin-wei LIU ; Ke-ming ZHU ; Zhi-yong GUO ; Dao-feng BEN
China Journal of Orthopaedics and Traumatology 2008;21(10):748-750
OBJECTIVETo discuss the diagnosis and treatment of the crush syndrome in the earthquake.
METHODSThirty-five patients with crush syndrome caused by earthquake were involved the retrospective study. The role of nutritional support, active wound treatment and hemodialysis on the patients' recovery was observed.
RESULTSThe function of the heart and kidneys were gradually improved by the planned removal of the necrotic tissue, which laid a foundation for the further repair of the wound.
CONCLUSIONThe removal of necrotic tissue, which can decrease the toxic absorption, will improve the success rate for treatment of the crush syndrome patients when being assisted with the hemodialysis.
Adolescent ; Adult ; Aged ; China ; Crush Syndrome ; complications ; physiopathology ; surgery ; therapy ; Disasters ; statistics & numerical data ; Earthquakes ; statistics & numerical data ; Female ; Humans ; Male ; Middle Aged ; Renal Dialysis ; Retrospective Studies