Analysis of the effect of renal replacement therapy on the wound of crush syndrome:experiences during Wenchuan earthquake
- VernacularTitle:肾脏替代治疗对挤压综合征伤口的影响分析:汶川地震经验总结
- Author:
Qingquan KONG
;
Chongqi TU
;
Fuxing PEI
- Publication Type:Journal Article
- Keywords:
earthquake;
crush syndrome;
acute renal failure;
renal replacement therapy;
wound infection
- From:
Orthopedic Journal of China
2006;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To analyze the effect of renal replacement therapy on the wound of crush syndrome patients,and to provide better clinic evidence for scheduling the therapy strategy of crush syndrome.[Method]The clinic data of patients suffering from crush syndrome during Wenchuan earthquake were collected and classified into Group A treated by renal replacement therapy and Group B theraped by other treatments except renal replacement therapy.Wound infection rate,wound active artery bleeding occurrence,and the volume of oozes in fasciotomy wound between these two groups were compared.[Result]There was statistically significant difference in the rate of wound infection between Group A and Group B(P=0.006).The most common pathogens were acinetobacter spp,pseudomonas aeruginosa,and enterobacter spp in Group A,and these pathogens were all multi drug-resistant.There was statistically significant difference in the volume of oozes in incisive wound between these two groups(P=0.000).[Conclusion]Renal replacement therapy would increase the volume of oozes,raise the rate of wound infection,and be susceptiblely infected by multi drug-resistant pathogen.
