What are the treatments for crush syndrome

In our lives, there are many things that we are not exposed to, and there are many diseases that we have never heard of. For example, crush syndrome is a disease caused by prolonged squeezing of the patient's body. This disease usually occurs in engineering landslides, house collapses, traffic accidents and natural disasters. After being squeezed for a long time, the patient will show skin damage, blisters, pain in the limbs, and even symptoms of shock. Now let's talk about the treatments for crush syndrome.

Method 1

Crush syndrome is an acute and severe orthopedic disease and should be treated promptly with early diagnosis, early incision and detension of the injured limb, and prevention and treatment of renal failure.

1. On-site first aid

(1) Rescue personnel should enter the scene quickly and try to relieve the pressure of heavy objects as soon as possible to reduce the chance of this disease occurring.

(2) Immobilize the injured limb to reduce the absorption of toxins from tissue decomposition and relieve pain. In particular, the dangers of activity should be explained to the injured who are still able to move.

(3) Cool the injured limb with cool water or expose it to cool air. Massage and hot compress are prohibited to avoid aggravating tissue hypoxia.

(4) The injured limb should not be elevated to avoid lowering local blood pressure and affecting blood circulation.

(5) If there are open wounds or active bleeding on the injured limb, the bleeding should be stopped, but avoid using pressure bandages and anti-sedative cuffs.

(6) All patients suffering from compression should drink alkaline beverages (8g

Sodium bicarbonate is dissolved in 1000~2000ml of water, and then appropriate amounts of sugar and salt are added. It can act as a diuretic and alkalize urine, thus preventing myoglobin from depositing in the renal tubules. If the patient is unable to eat, 150 ml of 5% sodium bicarbonate can be given intravenously.

2. Treatment of injured limbs  

(1) Early incision and tension relief: reduce tissue pressure in the fascial septum to prevent or alleviate the occurrence of compression syndrome. Even if the muscles have already died, drainage by reducing tension can prevent harmful substances from invading the bloodstream and alleviate the symptoms of poisoning. At the same time, it removes dead tissue and reduces the chance of infection.

The indications for early incision and relaxation are:

① There is a history of obvious crush injury.

② More than one fascial compartment is affected, with high local tension, obvious swelling, blisters and corresponding motor and sensory disorders. ③Positive urine myoglobin test (including positive occult blood in the absence of hematuria).

(2) Indications for amputation:

① The affected limb has no blood supply or severe blood supply disorder, and it is estimated that it will have no function after preservation.

② The symptoms of systemic poisoning are severe, and the symptoms are not relieved after incision and tension relief, and the patient's life is in danger.

③ Specific infection of the injured limb, such as gas gangrene.

4. Other treatments

For patients with crush syndrome, dialysis therapy should be initiated as soon as possible if there is evidence of renal failure.

Method 2

Acute renal failure

Death caused by hyperkalemia, etc., is a very important treatment method. Hospitals with the necessary conditions can provide hemodialysis (i.e. artificial kidney).

Peritoneal dialysis is simple to operate and can produce good results for most patients.