Aizawa N, Suzuki Y, Akashi T, Kamei T, Uchiyama F, Hara Y, Mitsui T, Yamazaki Y
Department of Internal Medicine, Shonan Kamakura Hospital.
Kaku Igaku. 1990 Aug;27(8):801-7.
We performed bone scans with 99mTechnetium phosphates in 15 cases of clinically suspected rhabdomyolysis admitted to Chigasaki Tokushukai Hospital. Whole body scans were performed within 5 days from the onset of illness or admission. Accumulation of the radioactivity in the skeletal muscle was revealed in 13 of the 15 cases and the involved muscle groups were visualized vividly. Etiologies of rhabdomyolysis were diverse, ranging from malignant syndrome to sepsis. Myocardial concentration was absent in all of the cases. Renal concentration of the isotope was seen in cases where the degree of rhabdomyolysis was higher and renal impairment was present. We conclude that 99mTechnetium phosphate bone scan is useful in clinically suspected rhabdomyolysis as a diagnostic test and as a test to localize and quantitate the muscular involvement.
我们对茅崎德洲会医院收治的15例临床疑似横纹肌溶解症患者进行了99m锝磷酸盐骨扫描。全身扫描在发病或入院后5天内进行。15例中有13例显示放射性在骨骼肌中蓄积，受累肌肉群清晰可见。横纹肌溶解症的病因多种多样，从恶性综合征到败血症。所有病例均未出现心肌浓聚。在横纹肌溶解程度较高且存在肾功能损害的病例中可见同位素在肾脏的浓聚。我们得出结论，99m锝磷酸盐骨扫描作为一种诊断试验以及用于定位和定量肌肉受累情况的检查，在临床疑似横纹肌溶解症中是有用的。
