重症中暑导致的横纹肌溶解症和急性肾损伤
Rhabdomyolysis and Acute Kidney Injury due to Severe Heat Stroke.
作者信息
Trujillo Máximo H, Fragachán G Carlos
机构信息
Critical Care Department, ICU, Instituto Médico La Floresta (IMLF), Caracas 1060, Venezuela ; Critical Care Department, University Hospital of Caracas, Caracas 1050, Venezuela.
出版信息
Case Rep Crit Care. 2011;2011:951719. doi: 10.1155/2011/951719. Epub 2011 Sep 27.
We present a case of heat stroke (HS) and acute kidney injury (AKI) due to severe rhabdomyolysis in a 14-year-old previously healthy female patient. When she was practicing strenuous exercise she suffered acute seizures and high fever. These symptoms were followed by coma and multiple organ failure (MOF), which included AKI, encephalopathy, fulminant hepatic failure (FHF), and disseminated intravascular coagulation (DIC). The patient was managed in the ICU with renal replacement therapy, ventilatory support, and other vital supporting measures. After three weeks of ICU treatment she made a full recovery.
我们报告一例14岁既往健康的女性患者因严重横纹肌溶解导致中暑（HS）和急性肾损伤（AKI）的病例。她在进行剧烈运动时突发急性惊厥和高热。随后出现昏迷及多器官功能衰竭（MOF），包括AKI、脑病、暴发性肝衰竭（FHF）和弥散性血管内凝血（DIC）。患者在重症监护病房（ICU）接受了肾脏替代治疗、通气支持及其他重要支持措施。经过3周的ICU治疗，她完全康复。
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