A CASE OF SEVERE CRUSH INJURY WITH MULTIPLE ORGAN FAILURE SALVAGED SUCCESSFULLY / 第二军医大学学报

ABSTRACT

A case of multiple injuries caused by severe crushing and followed by multiple system organ failure(MSOF)succeded in salvaging was reported. During the course of admission many severe complications occurred, such as shock, acute renal failure, respiratory failure, cardiac insufficiency, bacterial and mycotic septicemia, severe anemia, hypoproteinemia and wound infection. Posttraumatic course was serious, eventful and complicated. According to the treatment of this case authors emphysize as follows: (1) A rescue group including personnel of different professional skill should be established rapidly as soon as possible. (2) Prevention of infection is the basic treatment of MSOF.The most important thing is radical drainage of the wound and removed of the devitaliged tissue. Heavy dose, most effecfive, low-nephrotoxic drugs should be given for control of infection. (3) Maintain normal heart and lung function espescially improving in ventilation and increasing of blood content of 02.Pay attention to the in tra-chcal O2 positive pressure. (4) Hemodialysis should be carried out before occurrance of obvious symptoms and signs of acute renal failuue.(5) Nutritional support.