Document Detail


Treatment of crush syndrome patients following the great Hanshin earthquake.
MedLine Citation:
PMID:  9179697     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Five of 8 patients with rhabdomyolysis treated at our hospital following the Great Hanshin Earthquake were diagnosed with crush syndrome. One patient with crush syndrome and 3 patients with rhabdomyolysis and no renal dysfunction recovered with conservative therapy, while 1 crush syndrome patient recovered with peritoneal dialysis (PD). Of the 3 patients who died, 2 had undergone continuous arterio-venous hemofiltration (CAVH). We examined the laboratory data to identify any factors that may be prognostic for crush syndrome. The serum amylase levels were significantly higher and the levels of aspartate transaminase (AST) and lactic dehydrogenase (LDH) tended to be higher from the patients who died. Examination of the serum amylase, AST and LDH levels may be useful for assessing the prognosis in patients with crush syndrome.
Authors:
I Hara; Y Nakano; H Okada; S Arakawa; S Kamidono
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of urology : official journal of the Japanese Urological Association     Volume:  4     ISSN:  0919-8172     ISO Abbreviation:  Int. J. Urol.     Publication Date:  1997 Mar 
Date Detail:
Created Date:  1997-08-11     Completed Date:  1997-08-11     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9440237     Medline TA:  Int J Urol     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  202-5     Citation Subset:  IM    
Affiliation:
Department of Urology, Kobe University, School of Medicine, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Amylases / blood
Aspartate Aminotransferases / blood
Crush Syndrome / complications,  mortality,  therapy*
Disasters*
Female
Hemofiltration
Humans
Japan
L-Lactate Dehydrogenase / blood
Male
Middle Aged
Peritoneal Dialysis
Prognosis
Rhabdomyolysis / complications
Chemical
Reg. No./Substance:
EC 1.1.1.27/L-Lactate Dehydrogenase; EC 2.6.1.1/Aspartate Aminotransferases; EC 3.2.1.-/Amylases

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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