Taraba I, Mohácsi E, Regös J, Szende B, Schaff Z, Kopper L
Semmelweis Orvostudományi Egyetem, II. sz. Belklinikája, Budapest.
Orv Hetil. 1990 Mar 11;131(10):525-8.
Rhabdomyolysis developed in the muscles of the left lower extremity of a 43 year old man leading to myoglobinuria and acute renal failure. The diagnosis of rhabdomyolysis was strengthened by muscle and renal biopsy. The renal functions were restituted after peritoneal dialysis performed four times (12 hours each) within two weeks. The possible role of alcohol or Dalgol intoxication as well the disturbed circulation in the development of rhabdomyolysis is discussed. Authors point out the benefit of peritoneal dialysis in acute renal failure caused by rhabdomyolysis.
一名43岁男性左下肢肌肉发生横纹肌溶解,导致肌红蛋白尿和急性肾衰竭。肌肉和肾脏活检进一步证实了横纹肌溶解的诊断。在两周内进行了4次(每次12小时)腹膜透析后,肾功能得以恢复。文中讨论了酒精或达戈中毒以及循环障碍在横纹肌溶解发生过程中可能起到的作用。作者指出了腹膜透析在横纹肌溶解所致急性肾衰竭中的益处。