Smith C D, Moir C R, Mucha P
Department of Surgery, Mayo Graduate School of Medicine, Rochester, MN.
J Trauma. 1991 Mar;31(3):423-5. doi: 10.1097/00005373-199103000-00022.
Trauma-induced rhabdomyolysis and myoglobinuric renal failure are well recognized. The mechanism of trauma in reported cases has been burns, crush injuries, or compression syndromes. We report a case of myoglobinuric renal failure in a 5-year-old boy who suffered primarily lacerations and penetrating wounds from a wolf attack. We are unaware of any other reports of nonvenomous bites or penetrating trauma causing rhabdomyolysis and myoglobinuric renal failure. Early suspicion, diagnosis, and treatment of this condition result in an excellent prognosis. Pathogenesis, treatment, and a review of the literature are presented.
创伤性横纹肌溶解症和肌红蛋白尿性肾衰竭已广为人知。报告病例中的创伤机制包括烧伤、挤压伤或压迫综合征。我们报告一例5岁男孩发生肌红蛋白尿性肾衰竭的病例，该男孩主要因狼袭击而遭受撕裂伤和贯通伤。我们未发现任何关于无毒咬伤或贯通伤导致横纹肌溶解症和肌红蛋白尿性肾衰竭的其他报告。对这种情况的早期怀疑、诊断和治疗可带来良好的预后。本文介绍了其发病机制、治疗方法并对文献进行了综述。
