RESUMO
Our study included 31 patients with traumatic rhabdomyolysis divided into 4 groups to evaluate the biochemical changes induced by different lines of management by comparing the admission and discharge, the four lines of management are conservative therapy only with isotonic saline infusion. Fasciotomy with conservative therapy, haemodialysis replacement therapy, and lastly fasciotomy with haemodialysis. Our results showed that the management of rhabdomyolysis should start immediately at the site of injury by conservative therapy which succeeded to correct most of biochemical alterations included by the crush injury, while fasciotomy must be limited to certain occasions where and vascular compression occurs, as acute renal failure more liable to occur in patients with delayed conservative therapy with marked alteration in electrolytes, Creatinine and BUN. Also our results showed that haemodialysis with fasciotomy is supposed to be valuable in the management of hyperkalaemia, while fluid therapy and haemodialysis corrected hyponatraemia, Urea, Creatinine and CPK levels