Efstratiadis G, Voulgaridou A, Nikiforou D, Kyventidis A, Kourkouni E, Vergoulas G
Nephrology Department, Aristotle University, Hippokration Hospital, Thessaloniki, Greece.
Hippokratia. 2007 Jul;11(3):129-37.
Rhabdomyolysis constitutes a common cause of acute renal failure and presents paramount interest. A large variety of causes with different pathogenetic mechanisms can involve skeletal muscles resulting in rhabdomyolysis with or without acute renal failure. Crush syndrome, one of the most common causes of rhabdomyolysis presents increased clinical interest, particularly in areas often involved by earthquakes, such as Greece and Turkey. Drug abusers are another sensitive group of young patients prone to rhabdomyolysis, which attracts the clinical interest of a variety of medical specialties. We herein review the evidence extracted from updated literature concerning the data related to pathogenetic mechanisms and pathophysiology as well as the management of this interesting syndrome.
横纹肌溶解症是急性肾衰竭的常见病因,备受关注。多种具有不同发病机制的病因可累及骨骼肌,导致伴或不伴急性肾衰竭的横纹肌溶解症。挤压综合征是横纹肌溶解症最常见的病因之一,临床上愈发受到关注,尤其是在经常发生地震的地区,如希腊和土耳其。药物滥用者是另一类易患横纹肌溶解症的敏感年轻患者群体,这引起了多个医学专科的临床关注。我们在此回顾从最新文献中提取的有关该有趣综合征的发病机制、病理生理学及管理的数据证据。