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横纹肌溶解综合征致急性肾损伤临床预后分析
Clinical and prognostic analysis of rhabdomyolysis induced acute kidney injury
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DOI:
作者:
文 丹,邹彦芳,沈平雁,马晓波,谢静远,徐静,陈晓农,张 文,陈楠
WEN Dan,ZOU YF,SHEN PY,MA XB,XIE JY,XU Jin,CHEN XN,ZHANG Wen,CHEN Nan
作者单位:
上海交通大学医学院附属瑞金医院
Department of Nephrology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
关键词:
横纹肌溶解综合征;急性肾损伤;血液净化
Rhabdomyolysis, Acute kidney injury, Hemopurification
摘要:
目的 回顾横纹肌溶解综合征(RM)致急性肾损伤(AKI)的病因、临床表现及治疗转归,分析创伤性与非创伤性RM的特点。方法 收集RM合并AKI患者51例,平均年龄为45.00±21.07岁,男40例,女11例;所有患者均检测血清肌酸磷酸激酶(CPK)、乳酸脱氢酶(LDH)、Mb(Mb)、尿酸(UA)、尿素氮(BUN)、肌酐(SCr)以及血电解质等;AKI采取综合治疗必要时行血液净化治疗。结果 创伤性RM 24例(47.06%),非创伤性RM 27例(52.94%),感染为最常见病因;创伤性RM组的血SCr、P3+、K+水平均显著高于非创伤性RM组;31例(60.78%)行血液净化治疗,1年死亡率为29.41%,91.67%的存活者肾功能完全恢复。结论 RM病因多样,以非创伤性为主;RM合并AKI病情重,创伤性RM较非创伤性RM更加严重;RM合并AKI死亡率高,但存活患者肾功能恢复情况较好。
Objective To investigate the cause, clinical feature, therapy and prognosis of patients with rhabdomyolysis induced acute kidney injury(RM-AKI), and analysis the charateristics of traumatic and non-traumatic RM-AKI. Method A total of 51 patients with RM-AKI were investigated, the mean age was 45.00±21.07 years, 40 males and 11 females. Serum creatine phosphokinase (CPK), serum lactate dehydrogenase (LDH), serum myoglobin (Mb), uric acid (UA), blood urea nitrogen (BUN), serum creatinine (SCr) and electrolytes were tested. All the patients received comprehensive treatment, hemopurification was applied when necessary. Results There were 24(47.06%) cases of traumatic RM-AKI and 27(52.94%) cases of non-traumatic RM-AKI, infection was common cause. The average levels of SCr, serum phosphorus and serum potassium were significantly higher in traumatic RM-AKI patients than non-traumatic RM-AKI. 31(60.78%) patients received hemopurification, and one year mortality was 29.41%, 91.67% survivals completely recovered their renal function. Conclusion RM has various causes and non-traumatic causes are more common. Traumatic RM-AKI are more severe than non-traumatic ones. Though RM-AKI is coupled with critical conditions and high mortality, the recovery of renal function is not bad.
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