Krouzecký A, Matĕjovic M, Rokyta R, Novák I
I. interní klinika Lékarské fakulty UK a FN, Plzen.
Vnitr Lek. 2003 Aug;49(8):668-72.
Rhabdomyolysis is a syndrome characterized by striated muscle necrosis and the release of intracellular muscle constituents into the circulation. The severity of illness ranges from asymptomatic elevations of muscle enzymes in the serum to life-threatening cases associated with extreme enzyme elevations, electrolyte imbalances, and acute renal failure. This chapter reviews recent knowledge of pathophysiologic mechanisms leading to myocytes injury, diseases its causes, consequences and treatment options. Particular attention is focused on rhabdomyolysis in critically ill patients.
横纹肌溶解症是一种以横纹肌坏死和细胞内肌肉成分释放到循环系统为特征的综合征。疾病严重程度从血清中肌肉酶无症状升高到与极端酶升高、电解质失衡和急性肾衰竭相关的危及生命的病例不等。本章回顾了导致心肌细胞损伤的病理生理机制、其病因、后果及治疗选择的最新知识。特别关注危重症患者的横纹肌溶解症。