You are here

Home » Content

Konya'da Zümrüt Apartmanı Çökmesi Sonucu Oluşan "Crush" Sendromu Olguları

Crush Syndrome Cases Following Spontaneous Collapse of Zümrüt Apartment

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
When Zümrüt apartment in Konya collapsed spontaneously on monday 02.02.2004, 92 of total 121 people in the apartment at the moment of the incident died and 29 wounded people were rescued from the collapsed building. While mildly wounded people were treated ambulatorily, 9 seriously wounded people were hospitalized. Prophylactic mannitol- bicarbonate treatment was applied to 9 seriously wounded person. Crush syndrome was developed in 9 pa¬ tients and 7 of them were treated and followed in our cli¬ nics. Mean age of the crush syndrome patients (5 male, 4 female) was 23.6±11.7 (6-42) years. Mean time of remaining in the collapsed building of the crush syndrome patients was 1589±2627 min (302-8010 min). Seven of 9 crush syndrome patients were rescued from the collapsed build¬ ing within the first 24 hours and the other 2 patients were rescued at days 6 and 7. Most of the 29 wounded people were rescued from the 1st and 8th floors. Fasciotomy was applied to 5 of the 7 crush syndrome patients. Thanks to using prophylactic mannitol-bicarbonate treatment for blocking ARF, hemodialysis was applied only in 2 patients who had acute renal failure (ARF). Sepsis developed in one of these 2 patients and ARF improved in both of them. Myoglobinuria and myoglobinemia were determined in all of the crush syndrome patients.
Bookmark/Search this post with
Abstract (Original Language): 
Konya'daki Zümrüt apartmanının 02.02.2004 pazartesi saat 20:15'te spontan olarak aniden çökmesi sonucunda, olay anında apartmanda bulunan toplam 121 kişiden 92'si hayatını kaybetmiş, 29 kişi ise yaralı olarak göçük altından kurtarılmıştır. Yaralı olanlardan hafif olanlar ayakta tedavi edilirken, ağır yaralı olan 9 kişi hospitalize edilmiştir. Ağır yaralılar muhtelif kliniklere yatırılmış olup, hepsine profilaktik mannitol-bikarbonat kokteyli başlanmıştır. Yatırılan 9 hastada da "crush" sendromu gelişmiştir. Dokuz hastanın 7'si ünitelerimizde takip ve tedavi edilmiştir. " C r u s h " sendromu gelişen hastaların (5 E, 4 K) yaş ortalaması 23.6±11.7 (6- 42) idi. Göçük altında kalma süreleri ortalama 1589±2627 dak (302-8010 dak) idi. Dokuz " c r u s h " l ı olgunun 7'si ilk 24 saatte göçük altından kurtarılmıştır. iki hasta ise 6. ve 7. günlerde kurtarılmıştır. Göçük altından canlı olarak çıkartılan olguların yarısı 1. ve 8. katlardandı. " C r u s h " sendromu gelişen 7 hastanın 5'ine fasyotomi yapılmıştır. A B Y gelişimini engellemek için uygulanan profilaktik mannitol-bikarbonat kokteyli sonucunda yal¬ nızca 2 olguda A B Y nedeniyle diyaliz gereksinimi ol¬ muştur. Bu 2 olgudan birinde sepsis gelişirken, her iki olguda da ABY düzelmiştir. Tüm olgularda miyoglobinüri ve miyoglobinemi tespit edildi.
FULL TEXT (PDF): 
PDF icon pdf_tndt_513.pdf
  • 1
18-22
  • Turkish

REFERENCES

References: 

1. Vanholder R, Sever MS, Erek E, et al. Acute renal failure related to crush syndrome: towards an era of seismo-nephro-logy. Nephrol Dial Transplant (2000)15:1517-21.
Official Journal of the Turkish Society of Nephrology / Türk Nefroloji Diyaliz ve Transplantasyon Dergisi
21
0 Crush .Syndrome Cases Following Spontaneous Collapse of Zümrüt Apartment
2. Zager RA. Rhabdomyolysis and myohemoglobinuric acute renal failure. Kidney Int 1996;49:314-326
3. Ron D, Taitelman U, Michaelson M, Bar-Joseph G, Bursztein S, Beter OS. Prevention of acute renal failure in traumatic
rhabdomyolysis. Arch Intern Med. 1984 Feb;144(2):277-80.
4. Malinoski DJ, Slater MS, Mullins RJ. Crush injury and rhab-
domyolysis. Crit Care Clin. 2004 Jan;20(1):171-92.
5. Sever MS, Erek E, Vanholder R, et al. Clinical findings in the renal victims of a catastrophic disaster: the Marmara earth¬quake. Nephrol Dial Transplant (2002)17:1942-49.
6. Tattersall JE, Richards NT, McCann M, Mathias T, Samson A, Johnson A. Acute haemodialysis during the Armenian earth¬quake diseaster. Injury 1990;21:25-28.
7. Sever MS. Crush (ezilme) sendromu ve Marmara
Depremin
¬den çıkarılan dersler. Lebib Yalkın Yayımları ve Basım İşleri A.Ş., İstanbul, 2002; 140.
8. Sever MS. Crush (ezilme) sendromu ve Marmara Depremin¬den çıkarılan dersler. Lebib Yalkın Yayımları ve Basım İşleri A.Ş., İstanbul, 2002; 151-155.
9. Sever MS. Crush (ezilme) sendromu ve Marmara Depremin¬den çıkarılan dersler. Lebib Yalkın Yayımları ve Basım İşleri A.Ş., İstanbul, 2002; 170.
10. Gunal AI, Celiker H, Dogukan A, Ozalp G, Kirciman E, Simsekli H, et al. Early and Vigorous Fluid Resuscitation Prevents Acute Renal Failure in the Crush Victims of Catast¬rophic Earthquakes. J Am Soc Nephrol 2004,15:1862-67.

Thank you for copying data from http://www.arastirmax.com