ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
The Evaluation Of Crush Syndrome Patients Who Are Observed Inour Hospital After The Marmara Earthquake On 17th August In 1999
Başol CANBAKAN*, Cüneyt YÜKSEL*, Hacı Veli ATALAY**, Belda Dursun YILMAZER**,
Ayşegül ÖRS ZÜMRÜTDAL**, Süreyya ADANALI***
* Uz.Dr., Ankara Numune Eğitim ve Araştırma Hastanesi 3. Dahiliye Kliniği (Nefroloji), Başasist.,
** Uz.Dr., Ankara Numune Eğitim ve Araştırma Hastanesi 3. Dahiliye Kliniği (Nefroloji),
*** Uz.Dr., Ankara Numune Eğitim ve Araştırma Hastanesi 3. Dahiliye Kliniği (Nefroloji), Şefi, ANKARA
As there is limited knowledge in the literature, we wanted to report the clinic and laboratory findings and the important guidelines of the 22 patients who were referred to our hospital after the Marmara Earthquake on 17th of August in 1999 and were diagnosed crush syndrome.
The patients were evaluated according to their ages, the mean time period they stayed under the debris, their renal function parameters after they admitted to our hospital, medical, surgical and dialysis therapies, their clinic outcome and their prognosis.
Our patients’ mean age was 29.3 ± 12.1 years. The mean time period they stayed under the debris was 8.5 ± 2.9 hours. 17 (77%) of them were in need of dialysis while the other 5 (23%) patients were not in such a need. 15 (68%) had oliguria at admission. Two (9.1%) patients died. The mean creatinine level at admission was 630 ± 351 mmol/L and mean blood potassium level was 5.25 ± 1.33 mmol/L. Mean blood phosphate, calcium and uric acid levels were 1.73 ± 0.47 mmol/L, 2.032 ± 0.26 mmol/L and 0.49 mmol/L respectively. Nine (41%) patients underwent surgery.
Nearly all of the important laboratory fındings found at admission in the patients with crush syndrome were present in our patients. These fındings were hyperpotassemia, hyperphosphatemia, hypocalcemia and hyperuricemia. The oliguria rate at admission and the rate of patients who were in need of dialysis were concordant with the literature.
As conclusion, we emphasized that in patients with crush syndrome acute renal failure and especially hyperpotassemia need extra concern, treatment of hypovolemia is very important and in order to minimize the damage on skeletal muscle and peripheric nerves, fasciotomy can be performed.Keywords: Crush syndrome, Acute renal failure,
Hyperpotassemia, EarthquakeTurkiye Klinikleri J Med Sci 2001, 21:377-380
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