背景技术当压力从肢体释放时,挤压损伤可导致挤压综合征(CS)。导致缺血再灌注损伤和横纹肌溶解。这项回顾性研究旨在评估人口统计学,临床发现,管理,2023年2月6日至16日,在Türkiye-叙利亚地震之后,377例被诊断为挤压综合征的急诊患者的结果。材料与方法这项观察性研究回顾性分析了2023年2月6日至16日急诊服务的CS患者。我们收集了人口统计数据,生命体征,碎片下的时间,血液参数,血液透析需要,结果,住院时间,7天死亡率,诊断,和治疗。结果在研究期间,1682名地震受害者被接纳,377例诊断为CS纳入研究。平均年龄为33.51±0.89岁,男性占51.7%。碎片下的平均时间为24.92±1.62h,平均住院时间为34.39±1.20天。91例患者需要血液透析(24.1%),20例(5.3%)死亡。23.1%(n=87)的患者发生AKI,30.5%(n=115)在碎片下超过24小时。死亡率,住院,需要血液透析的患者的AKI发生率较高(分别为P<0.001,P=0.003和P<0.001)。结论该研究强调了AKI的高发病率,血液透析需求增加,与地震相关的挤压综合征病例的死亡率更高。更长时间的碎片截留(超过24小时)是常见的。早期和积极的液体复苏,从现场开始,继续到医院护理,至关重要。建议在现场人员的灾难规划中优先考虑这一点。
BACKGROUND Crush injury can result in crush syndrome (CS) when the pressure is released from the limb, resulting in ischemia-reperfusion injury and rhabdomyolysis. This retrospective
study aimed to evaluate the demographics, clinical findings, management, and outcomes of 377 patients admitted as an emergency with a diagnosis of crush syndrome between February 6 and 16, 2023, following the Türkiye-Syria earthquakes. MATERIAL AND METHODS This observational
study retrospectively analyzed CS patients admitted to the emergency service from February 6 to 16, 2023. We collected data on demographics, vital signs, time under debris, blood parameters, hemodialysis needs, outcomes, hospital stay duration, 7-day mortality, diagnoses, and treatments. RESULTS During the
study period, 1682 earthquake victims were admitted, with 377 diagnosed with CS included in the
study. The mean age was 33.51±0.89 years, with 51.7% male. The mean time under debris was 24.92±1.62 h, and the mean hospital stay was 34.39±1.20 days. Hemodialysis was required for 91 patients (24.1%), and 20 patients (5.3%) died. AKI developed in 23.1% (n=87) of the patients, with 30.5% (n=115) under debris for more than 24 h. Mortality, hospital stay, and AKI rates were higher in those requiring hemodialysis (P<0.001, P=0.003, and P<0.001, respectively). CONCLUSIONS The
study highlights a high incidence of AKI, increased hemodialysis needs, and higher mortality in earthquake-related crush syndrome cases. Longer debris entrapment (over 24 h) was common. Early and aggressive fluid resuscitation, beginning in the field and continuing through hospital care, is crucial. Prioritizing this in disaster planning for field personnel is recommended.