[Changes in the homeostatic indices in children with the prolonged crush syndrome receiving complex intensive...

Crush syndrome was assessed clinically in 22 children, 16 of whom had renal failure. For objective evaluation, different techniques of extracorporeal detoxication were performed under dynamic control over the level of some homeostasis parameters. It has been established that the most marked changes were associated with the signs of colloid-osmotic condition and the following development of hyperosmolar syndrome. A complex approach to the management of this group of patients, using various intensive care techniques (plasmapheresis, hemodialysis, hemosorption, hyperbaric oxygenation, etc.) is assessed. Using the data of biochemical control, the most informative parameters characterizing the severity of crush syndrome in children have been determined.