卡赫拉曼马拉什地震中的儿童挤压综合征:马拉蒂亚单个中心的经验。

IF 1.3 Q3 PEDIATRICS
Şenay Zırhlı Selçuk, Ahmet Taner Elmas, Yılmaz Tabel
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引用次数: 0

摘要

目的:自然灾害会造成巨大的环境、经济和人员损失。儿童是最脆弱的群体,面临着严重的后果。直接伤害是造成创伤后死亡的主要原因,而挤压综合征(CS)则是次要原因。在这项研究中,我们旨在通过评估一组 26 名儿科患者的临床和实验室结果,分享我们在灾难期间管理 CS 儿童的经验:对地震后急诊科收治的 26 名儿科患者的年龄、体重、在废墟下停留的时间、实验室结果和挤压伤特征进行了评估。建立了挤压伤的诊断标准,并评估了透析、高压氧或截肢的需求及其决定因素:结果:26 名患者中有 10 人出现挤压综合征。结果:26 名患者中有 10 人出现了挤压综合征,血肌酐、天门冬氨酸氨基转移酶、丙氨酸氨基转移酶、肌酸激酶、血细胞比容、pH 值、HCO3 和肌红蛋白水平在有 CS 和没有 CS 的患者之间存在显著差异。在最初 6 小时内从废墟中救出的人中,没有一人出现与 CS 相关的症状。这 10 名出现 CS 的患者是在地震发生后 48 小时内获救的,而 2 名兄弟姐妹是在 81 小时后获救的,他们没有出现 CS:结论:这些儿童在 81 小时后才从废墟中获救,并且没有出现 CS,这表明在救援行动中耐心的重要性。此外,此次地震期间天气非常寒冷,可能避免了脱水和急性肾损伤的发生,降低了发生 CS 的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Crush Syndrome of Children in Kahramanmaraş Earthquake: A Single Center Experience in Malatya.

Objective: Natural disasters cause enormous environmental, economic, and human losses. Children are the most vulnerable group and face severe consequences. While the primary cause of post-traumatic death is direct injury, the secondary cause is crush syndrome (CS). In this study, we aimed to share our experience in the management of children with CS during disasters by evaluating the clinical and laboratory outcomes of a group of 26 paediatric patients.

Materials and methods: Age, weight, length of time under rubble, laboratory results, and characteristics of crush injuries were assessed in 26 paediatric patients admitted to the emergency department after the earthquake. Diagnostic criteria for CS were established and the need for dialysis, hyperbaric oxygen or amputation and its determinants were assessed.

Results: Crush syndrome was observed in 10 of the 26 patients. Significant differences in creatinine, aspartate aminotransferase, alanine aminotransferase, creatine kinase, hematocrit, pH, HCO3, and myoglobin levels were observed between patients with and without CS. None of the individuals rescued from the rubble within the first 6 hours had symptoms associated with CS. These 10 patients who developed CS were rescued within the first 48 hours of the earthquake, while 2 siblings were rescued after 81 hours and did not develop CS.

Conclusion: The fact that the children were rescued from the rubble after 81 hours without developing CS shows the importance of patience in rescue operations. In addition, the very cold weather conditions during this earthquake may have prevented the development of dehydration and acute kidney injury and reduced the possibility of CS.

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