Prabhakar K S, Pall A A, Woo K T
Department of Renal Medicine, Singapore General Hospital, Singapore.
Singapore Med J. 2000 Apr;41(4):182-3.
Rhabdomyolysis should be considered in the aetiology of all patients with unexplained acute renal failure (ARF). Early recognition provides the opportunity to initiate therapy aimed at preventing or limiting nephrotoxicity from the released heme pigment, myoglobin. We report an adult patient who developed ARF following the ingestion of a large amount of household detergent which, as far as we are aware, has not been previously described. The report illustrates the importance of measuring muscle enzyme levels and urinary myoglobin to confirm the possibility of rhabdomyolysis in any unusual presentation of ARF.
对于所有不明原因的急性肾衰竭（ARF）患者，横纹肌溶解症都应被纳入病因考虑范围。早期识别为启动旨在预防或限制因释放的血红素色素（肌红蛋白）导致的肾毒性的治疗提供了机会。我们报告了一名成年患者，该患者在摄入大量家用洗涤剂后发生了急性肾衰竭，据我们所知，此前尚未有过此类报道。该报告说明了在急性肾衰竭任何不寻常表现中测量肌肉酶水平和尿肌红蛋白以确认横纹肌溶解症可能性的重要性。
