Abstract
Objective To evaluate the effects of fluid resuscitation on prevention of acute renal failure after limb compression injury caused by the Wenchuan earthquake. Methods We analyzed the clinical and laboratory data of 11 patients with crush-syndrome who had been transferred to No.452 Hospital of Air Force after the Wenchuan earthquake. Results The patients were buried under collapsed houses for an average of 10.9+4.81(range, 2 to 18) hours. They were transferred to the destination hospital 96.18+26. 59(range, 24 to 143) hours after the earthquake. Peak serum creatine kinase ranged from 1,500 to 102, 400 (22327.3±26881) U/L. Initial fluid resuscitation of admission reached above 12000 mL. No death or renal failure happened. Conclusion Prompt and adequate fluid resuscitation can prevent acute renal failure after limb compression injury after an earthquake. Key words: Earthquakes; Water-electrolgte balance; Crush syndrome
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