急性心肌梗死进行心脏复律和心肺复苏后发生横纹肌溶解症和肌红蛋白尿性肾衰竭。

Rhabdomyolysis and myoglobinuric renal failure following cardioversion and CPR for acute MI.

作者信息

Minor R L, Chandran P K, Williams C L

机构信息

Department of Medicine, University of Iowa Hospitals and Clinics, Iowa City.

出版信息

Chest. 1990 Feb;97(2):485-6. doi: 10.1378/chest.97.2.485.

DOI:10.1378/chest.97.2.485

PMID:2298078

Abstract

A 50-year-old man suffered an MI with VFIB at work, and efforts at resuscitation were initiated immediately. Ninety minutes of CPR and 14 cardioversions were given by trained personnel before VFIB converted to sinus rhythm. Reversible myoglobinuric renal failure ensued, requiring two weeks of hemodialysis. Scanning with technetium-99m pyrophosphate revealed extensive muscle injury in the regions of cardioversion and a large anterolateral MI. Prolonged resuscitative efforts involving repeated cardioversion may predispose to myoglobinuric renal failure.

摘要

一名50岁男性在工作时发生心肌梗死并伴有室颤，随即立即展开复苏抢救。经过训练的人员进行了90分钟的心肺复苏和14次电复律后，室颤才转为窦性心律。随后出现了可逆性肌红蛋白尿性肾衰竭，需要进行两周的血液透析。用锝-99m焦磷酸盐扫描显示，电复律区域有广泛的肌肉损伤以及大面积前壁心肌梗死。涉及反复电复律的长时间复苏努力可能会引发肌红蛋白尿性肾衰竭。