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本文结合8个典型病例的正反两方面的经验教训,提出防治严重挤压伤病人可能合并的急性肾功能衰竭的几个主要问题: 1.积极有效的抗休克治疗是预防挤压伤并发急性肾功能衰竭的首要问题。此时,应根据受压严重度、伤面大小和时间长短,及时补充液体。一般补液指标为每1%庄伤面积补充胶体液80～100毫升,一般给予血浆及右旋醣酐;按受压时间,每小时每公斤体重
Based on the positive and negative experiences and lessons from eight typical cases, this paper presents several main problems in the prevention and treatment of acute renal failure that may be combined with severe crush injury: 1. Active and effective anti-shock treatment is to prevent crush injury Acute renal failure of the primary problem. At this point, should be based on the severity of pressure, wound size and length of time, timely replenishment of liquid. General rehydration index for each 1% Zhuang wound area of colloidal fluid supplement 80 to 100 ml, generally given to plasma and dextran; press time, per hour per kilogram of body weight