摘要
Abstract
Objective To summarize the pathogeny, clinical features, treatment methods and prognosis of exercise -induced rhabdomyolysis. Methods The pathogeny, clinical features, treatment and prognosis of 17 cases diagnosed as exercise -induced rhabdomyolysis in the Workers' Hospital of Tangshan from January of 2000 to August of 2011 were retrospectively analysed. Results 11 out of the 17 exercise - induced rhabdomyolysis patients, accounting for 64. 7% , accompanied infection; 3, accounting for 17. 6% , had ever took medicine. In clinic the patients mainly manifested as fever, fatigue, myalgia, swelling of involved muscles, red urine, oliguria or anuria and high serum creatine kinase, etc. Acute renal failure ( ARF ) was a major complication, which up to 58. 8% suffered. The treatment method adopted included infusing fluid, alkalizing urine, reducing muscle injuries, handling complications, and if necessary, using renal replacement therapy. The overall mortality rate was 5. 9% , and the patients survived could have their kidney gradually restored or maintained normal renal function. Conclusion Early diagnosis and timely and proper treatment can help the survivors restore and maintain normal renal function.关键词
横纹肌溶解/肾功能衰竭,急性/临床特征Key words
Rhabdomyolysis/Kidney failure,acute/ Clinical features分类
医药卫生
