挤压综合征在汶川地震中较为常见,但同时并发可逆性大脑后部白质脑病少见,结合文献复习,报道1例如下。1病例资料患者,女,16岁,学生,因地震双下肢受压28h被救出,伤后3d在当地医院行“左下肢截肢术,右小腿筋膜切开减压术”,术后血液透析3次转本院。入院全天尿量约100mL,查体:T37. Crush syndrome in the Wenchuan earthquake is more common, but concurrent with reversible posterior cerebral white matter encephalopathy rare, combined with the literature review, reported 1 case as follows. Female patients, aged 16, were rescued by 28 h after the earthquake. The left lower extremity amputation and right fascia incision decompression were performed at the local hospital on day 3 after injury. Postoperative hemodialysis 3 times transferred to the hospital. Admission of urine a day about 100mL, physical examination: T37.