Abstract:
BACKGROUND:Crush syndrome developing as a result of earthquake and other natural disasters has been investigated from many angles to date. Data are scarce, however, on cases associated with the spontaneous crash of buildings. This study presents the results on seven rhabdomyolysis patients treated in our clinics out of nine casualties who were rescued from the rubble of Zümrüt apartment after the building collapsed suddenly and spontaneously. METHODS:As a result of the sudden, spontaneous collapse of the 10-floor Zümrüt apartment in Konya at 20:15 hours on February 2, 2004, 92 out of a total of 121 persons who were inside the building lost their lives, and 29 casualties were rescued from the rubble. Nine hospitalized patients had crush syndrome, and a prophylactic mannitol-bicarbonate cocktail was started in all at admission. RESULTS:The time they remained entrapped under the rubble was 11.1 +/- 7.3 (5-24 hours) on average. The highest CPK level of the patients was 79049 +/- 75374 u/L (17478-223600 u/L), observed on the median day 1.7 +/- 1.1 (days 1-4) following the incident. ARF developed in only two cases (28.6%) owing to the prophylactic mannitol-bicarbonate cocktail administered to prevent ARF, and because of hyperpotassemia, hemodialysis (HD) treatment was administered to these patients. One patient required two sessions of HD, and another required four. In both patients who received HD treatment, the level of potassium was in excess of 7 mEq/L. A total of eight fasciotomies were performed on five (71.4%) of the seven patients with crush syndrome. Five of the fasciotomies (62.5%) were performed on two of our patients who required HD treatment. None of our patients with crush syndrome developed permanent kidney damage, and no mortality occurred. CONCLUSION:It was deduced that rapid fluid therapy accompanied by the prophylactic administration of mannitol-bicarbonate are largely effective in preventing the development of ARF in cases with crush syndrome resulting from disasters.
journal_name
Ren Failjournal_title
Renal failureauthors
Altintepe L,Guney I,Tonbul Z,Türk S,Mazi M,Ağca E,Yeksan Mdoi
10.1080/08860220701460095subject
Has Abstractpub_date
2007-01-01 00:00:00pages
737-41issue
6eissn
0886-022Xissn
1525-6049pii
781574063journal_volume
29pub_type
杂志文章相关文献
RENAL FAILURE文献大全abstract::Recent studies show that clinically stable renal transplant recipients have an increased prevalence of hyperhomocysteinemia (hyperHcy), but the mechanism of this disorder has not yet been elucidated. The aim of the present study was to evaluate the factors associated with hyperHcy after a successful renal transplantat...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1080/08860220500461260
更新日期:2006-01-01 00:00:00
abstract:UNLABELLED:Conventional urea kinetic modeling and peritoneal equilibration test (PET) were performed on 73 patients undergoing CAPD in order to determine factors influencing morbidity. Dialysis adequacy (KT/V, creatinine clearance, efficacy number) and nutrition (PCR, nPCR, creatinine generation rate, body mass index, ...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.3109/08860229509037622
更新日期:1995-09-01 00:00:00
abstract::Kidney transplant recipients have increased risk of cancers when compared with the general population. Hepatocellular carcinoma (HCC) is extremely important in Asia where hepatitis B virus (HBV) infection is endemic. The aim is to study the epidemiological and clinical aspects of all de novo HCC in our kidney transpla...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.3109/0886022X.2014.899879
更新日期:2014-07-01 00:00:00
abstract::Amidinotransferase (transamidinase, L-arginine: glycine amidinotransferase, EC 2.1.4.1) is an enzyme that catalyses the first step in creatine synthesis primarily in the kidney and pancreas. The kidney is also the primary target organ for the toxic effect of mercury. Therefore, we studied the effect of acute uremic sy...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1081/jdi-200037149
更新日期:2004-11-01 00:00:00
abstract::Pentoxifylline (PTX) has been reported to inhibit TNF-alpha production and prevent several types of acute renal failure. This study was undertaken to determine the effect of PTX on the cisplatin-induced acute renal failure in rabbits. Rabbits received a single injection of cisplatin (5 mg/kg, i.p.) with or without PTX...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1081/jdi-120026026
更新日期:2003-11-01 00:00:00
abstract:BACKGROUND:Advanced glycation end products (AGEs) have biological properties that may contribute to the mortality of children on hemodialysis (HD). This study examines the relationship of LMW fluorescence AGEs, oxidized LDL (ox-LDL), soluble receptor AGE (sRAGE) as markers of oxidative stress in children with end stage...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.3109/0886022X.2015.1077317
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND AND AIM:There is an increased mortality risk in long-term hemodialysis patients of renal failure due to the chronic inflammation. The relationship between the chronic renal failure (CRF) and the role of familial genetic markers remains incompletely understood. In the current study, it was aimed to find out t...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.3109/0886022X.2014.982954
更新日期:2015-03-01 00:00:00
abstract::Iron accumulates within proximal tubular lysosomes in several models of renal disease and may play a role in the progression of proteinuric chronic renal disease by the generation of reactive oxygen species. In this study, tubular iron was examined at an ultrastructural level by energy dispersive x-ray spectrometry in...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.3109/08860229409044877
更新日期:1994-01-01 00:00:00
abstract::Paraproteins or monoclonal proteins are the result of clonal B-cell or plasma cell proliferation of a malignant, premalignant or non-malignant nature. Monoclonal proteins may consist of intact immunoglobulin molecules or of heavy or light chains only. Depending on their rate of production and/or secretion they may acc...
journal_title:Renal failure
pub_type: 杂志文章,评审
doi:10.3109/08860229809045179
更新日期:1998-11-01 00:00:00
abstract::Acute renal failure (ARF) is a frequent complication in hospitalized patients and is strongly related to increase in mortality. In order to analyze the clinical outcome and the prognostic factors in hospital-acquired ARF, a prospective study was performed. Data from 200 patients with established ARF during the period ...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.3109/08860229709026285
更新日期:1997-03-01 00:00:00
abstract:AIM:The aim of the present study was to investigate the value of the urine cell glycoprotein 1 (PC-1), aminopeptidase N (APN), N-acetyl-beta-D-glucosaminidase (NAGA), and dipeptidylpeptidase IV (DPP IV) in the evaluation of tubular damage in patients with primary glomerulonephritis, diabetic nephropathy, and lupus neph...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1080/08860220802359048
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Besides possible bleeding complications a further problem in anticoagulation during continuous renal replacement therapy (CRRT) is the development of heparin-induced thrombocytopenia type II (HIT II) where further anticoagulation with heparin is contraindicated. The application of continuous hirudin as alter...
journal_title:Renal failure
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1081/jdi-120039529
更新日期:2004-05-01 00:00:00
abstract::Recently we demonstrated the effect of fenoldopam on ischemia/reperfusion (I/R) induced NFkappaB mediated pro-inflammatory signal transduction. However, the effect of fenoldopam on I/R-induced apoptosis is not known. We utilized a rat model of acute ischemic nephropathy to test the hypothesis that fenoldopam attenuate...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1080/08860220600583690
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVE:The present study investigated whether hemodialysis (HD) patients exhibit future memory impairment (PM; the capability of remembering to perform expected future actions) and exploring relevant factors of PM task performance. METHODS:Sixty HD patients and 60 healthy controls matched by age are enrolled in the...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1080/0886022X.2020.1835673
更新日期:2020-11-01 00:00:00
abstract::The rate of hepatitis B virus (HBV) infection is high in the Chinese population, and the implications of HBV infection are widely recognized, and membranous nephropathy is the most common renal lesion to be associated with HBV infection. Minimal change disease (MCD) is one of the most important histopathological chara...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.3109/0886022X.2014.1001711
更新日期:2015-04-01 00:00:00
abstract::Continuous efforts have been made to find out precise and simple method for determination of glomerular filtration rate (GFR). Cystatin C (cysteine proteinase inhibitor = CyC) is a low molecular weight (LMW) protein which is produced constantly by all nucleated cells independently of different pathological conditions ...
journal_title:Renal failure
pub_type: 临床试验,杂志文章
doi:10.1081/jdi-120017475
更新日期:2003-01-01 00:00:00
abstract::Renal involvement is an unusual but significant Behcet´s disease (BD) complication and AA amyloidosis appears to be the most common etiology. IL-6 is a pro-inflammatory cytokine with an important role in AA amyloidosis development. Tocilizumab (TCZ) is a humanized anti-IL-6 receptor antibody that has emerged as an eff...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.3109/0886022X.2013.773913
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Although adequate peritoneal dialysis is not well defined, Kt/Vurea has been used as an index, and various values have been proposed. However, conflicting evidence existed regarding the appropriateness of using Kt/Vurea to define dialysis adequacy and its optimal value. Therefore, the present study performed...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1080/08860220601166586
更新日期:2007-01-01 00:00:00
abstract::This study was designed to evaluate the role of nitric oxide (NO) in FK506-induced nephrotoxicity by administering an inhibitor of NO synthesis, N omega-nitro-L-arginine methyl ester (L-NAME) to rats treated with FK506. After one week of treatment with FK506 (3.2 mg/kg/day, intramuscularly) and/or L-NAME (5 mg/100 mL ...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1081/jdi-100001279
更新日期:2001-01-01 00:00:00
abstract::Oxygen metabolites play an important role in the pathogenesis of myoglobinuric acute renal failure (ARF). Previously, we have reported a down regulation of peroxisome proliferator activated receptor gamma (PPARgamma) in glycerol-induced ARF, and the induction of PPARgamma has been shown to provide renal protection. In...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1080/08860220701573483
更新日期:2007-01-01 00:00:00
abstract::Heat stroke occurs in the desert area of Saudi Arabia quite frequently and manifest in different patterns including coagulopathy. Frequently encountered complications include renal or hepatic failure, rhabdomyolysis, acute respiratory distress syndrome (ARDS), disseminated intravascular coagulation (DIC), and seizure....
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1081/jdi-100107370
更新日期:2001-09-01 00:00:00
abstract::Acute renal failure secondary to ischemia/reperfusion (I/R) injury is associated with significant mortality and morbidity. Aminoguanidine (AG), an inducible nitric oxide synthase inhibitor with antioxidant properties, has been reported beneficial in renal I/R injury. The aim of the present study was to investigate the...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1080/08860220802546313
更新日期:2009-01-01 00:00:00
abstract::To evaluate the efficacy of Silodosin as a medical expulsive therapy of ureteral stones, we searched PubMed, EMBASE, the Cochrane Library, and CBM up to June 2015. All randomized controlled trials (RCTs) were identified in which patients were randomized to receive Silodosin versus placebo or other therapies for ureter...
journal_title:Renal failure
pub_type: 杂志文章,meta分析,评审
doi:10.1080/0886022X.2016.1215221
更新日期:2016-10-01 00:00:00
abstract::We report on the isolated unilateral renal venous thrombosis (RVT) detected in a young patient who used vibration belt to stay thin. Apart from her sickle cell trait, the patient presented no other clinical situations associated with RVT. ...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.3109/0886022X.2012.712848
更新日期:2012-01-01 00:00:00
abstract::Fibrillary glomerulopathy (FG) can occur either alone or co-existing with other proteinuric glomerular disorders. FG has been associated with poor renal outcomes leading to End Stage Renal Disease (ESRD). Since FG is a relatively rare disorder, limited information is available concerning treatment protocols. We presen...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.3109/0886022X.2014.918832
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:An increased red blood cell (RBC) phosphatidylserine (PS) exposure in uremic patients was found that could promote macrophage recognition and decrease RBC survival time. Furthermore, a reduced red cell life span was found to contribute anemia in patients with renal failure. It is therefore possible to hypoth...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1080/08860220600839647
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Chronic kidney disease (CKD) is a world-wide public health problem. Hypertension is both a cause and a complication of CKD, and a risk factor for progression of kidney disease. The effect of salt intake on blood pressure (BP) and the salt sensitivity in non-dialysis patients with CKD were studied. METHODS:O...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.3109/0886022X.2013.866008
更新日期:2014-04-01 00:00:00
abstract:BACKGROUNDS/AIMS:Renal ischemia-reperfusion (IR) induces organ damage in remote organs. The aim of this study was to assess the role of leukocytes in the induction of liver damage after renal IR injury. METHODS:Inbred mice were subjected to either sham operation or bilateral renal IR injury (60 min ischemia followed b...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.3109/0886022X.2010.541585
更新日期:2011-01-01 00:00:00
abstract::Uremia induces a suppression of the immune status. A large clinical literature suggests that estradiol (E2) plays a critical role in immune function. A large proportion of women hemodialysis patients faced early menopause and inadequate estrogen levels. The aim of the present study is to evaluate the effect of hormone...
journal_title:Renal failure
pub_type: 杂志文章
doi:
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:An elevated serum C-reactive protein (CRP) is strongly associated with morbidity and mortality in dialysis patients. However, the significance of high CRP levels in pre-dialysis patients has not been studied extensively. The aim of this study was to determine the prevalence of elevated serum CRP in pre-dialy...
journal_title:Renal failure
pub_type: 杂志文章
doi:10.1080/08860220701810539
更新日期:2008-01-01 00:00:00