极低血清钠导致的肌肉细胞膜损伤
Muscle cell membrane damage by very low serum sodium.
作者信息
Varghese Joye, Balakrishnan Vallath, Sadasivan Shine, Nair Prem, Narayanan Venkadeswaran Anantha
机构信息
Department of Gastroenterology, Amrita Institute of Medical Sciences and Research Centre, Cochin, India.
出版信息
Pan Afr Med J. 2009 Nov 12;3:14.
Abstract
A 63-year-old male was admitted with complaints of upper gastrointestinal symptoms with fatigue and myalgia. Investigations revealed severe hyponatremia with elevated creatine phosphokinase levels. Following further workup, it was diagnosed as a case of hyponatremia induced rhabdomyolysis. Because of prompt correction of hyponatremia, his renal function was preserved and myoglobinuria induced renal failure was avoided. The importance of early recognition of this potentially dangerous condition is emphasized.
摘要
一名63岁男性因上消化道症状伴疲劳和肌痛入院。检查发现严重低钠血症，肌酸磷酸激酶水平升高。进一步检查后，诊断为低钠血症诱发的横纹肌溶解症。由于低钠血症得到及时纠正，其肾功能得以保留，避免了肌红蛋白尿诱发的肾衰竭。强调了早期识别这种潜在危险状况的重要性。
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