Citation

Reingardiene D, Jodžiūnienė L, Lažauskas R. Medicina (Lithuania) 2010; 46(6): 435-441.

Vernacular Title

Raumenu sutraiskymas ir sutraiskymo sindromas.

Affiliation

Kauno medicinos universiteto Intensyviosios terapijos klinika. dagmara.reingardiene@gmail.com

Copyright

(Copyright © 2010, Lietuvos Gydytoju Sajunga Lithuania)

DOI

unavailable

PMID

20944453

Abstract

Crush injury is defined as compression of extremities or other parts of the body that causes muscle breakdown (traumatic rhabdomyolysis). Systemic consequences of crush injuries are as follows: rhabdomyolysis, electrolyte and acid-base abnormalities, hypovolemia, and acute renal failure. Crush injuries are important injuries in disaster situations: earthquakes, hurricanes, mining and road traffic accidents, war, collapse of buildings, etc. In this review article, there are discussed about epidemiology of crush syndrome, risk factors, pathophysiology (mechanisms of muscle cell injury, release of substances from injured muscles, other consequences of reperfusion), clinical features, differential diagnosis, investigations, complications (acute renal failure, hypovolemic shock, hyperkalemia, infection, compartment syndrome), approach to treatment (adequate rehydration, a forced mannitol-alkaline diuresis, intravenous fluids, management of hyperkalemia, wound care, hyperbaric oxygen, etc.), prognosis, the mortality rate and prevention (timely support may reduce morbidity and mortality).

Language: lt