创伤与肾功能变化的关系,先由Bywaters(1942)描述,他提出“肢体挤压综合征”患者往往合并肾衰而死亡。此后学者们对创伤休克后,肾血液动力学的改变进行研究,在诊断及治疗方面均有不少改进。但由于发病原理复杂,本质未明,死亡率还在50%。因而仍是临 The relationship between trauma and changes in renal function, first described by Bywaters (1942), suggested that patients with “limb crush syndrome” often die with renal failure. Since then, scholars have studied the changes of renal hemodynamics after traumatic shock and have made many improvements in diagnosis and treatment. However, due to the complicated pathogenesis, the nature is unknown, the mortality rate is still 50%. So it is still coming