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上肢受压继发急性前臂压迫性肌病综合征:肾衰竭的一种罕见病因。

Acute forearm compressive myopathy syndrome secondary to upper limb entrapment: an unusual cause of renal failure.

作者信息

Tachtsi Maria D, Kalogirou Thomas E, Atmatzidis Stefanos K, Papadimitriou Dimitrios K, Atmatzidis Konstantinos S

机构信息

2nd Department of Surgery, School Medicine, Aristoteleion University of Thessaloniki, Thessaloniki, Greece.

出版信息

Ann Vasc Surg. 2011 May;25(4):559.e1-5. doi: 10.1016/j.avsg.2010.10.017.

Abstract

Compressive myopathy syndrome (SCM) is a syndrome characterized by the lesion of skeletal muscle resulting in subsequent release of intracellular contents (myoglobin, creatine phosphokinase, potassium, etc.) into the circulatory system, which can cause potentially lethal complications. There are numerous causes that can lead to SCM resulting to acute rhabdomyolysis, and many patients present with multiple causes. The most common potentially lethal complication is acute renal failure. The occurrence of acute rhabdomyolysis should be considered as a possibility in any patient who can remain stationary for long periods, or is in a coma, or is intoxicated in any form. We report the rare case of a 26-year-old patient who developed SCM caused by ischemia reperfusion, with subsequent acute rhabdomyolysis and acute renal failure after prolonged compression of the right upper extremity.

摘要

压迫性肌病综合征(SCM)是一种以骨骼肌损伤为特征的综合征,导致细胞内物质(肌红蛋白、肌酸磷酸激酶、钾等)随后释放入循环系统,这可能引起潜在致命性并发症。有许多原因可导致SCM并引发急性横纹肌溶解,许多患者存在多种病因。最常见的潜在致命性并发症是急性肾衰竭。对于任何长时间保持静止、处于昏迷状态或有任何形式中毒的患者,都应考虑急性横纹肌溶解的发生可能性。我们报告了一例罕见病例,一名26岁患者因缺血再灌注导致SCM,右上肢长时间受压后继而出现急性横纹肌溶解和急性肾衰竭。

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