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肥胖症患者脊柱手术后发生致命性横纹肌溶解症:病例报告

Fatal Rhabdomyolysis following Spine Surgery in a Morbidly Obese Patient: A Case Report.

作者信息

Jung Se Ho, Kim Seok Won, Kim Dong Min, Ju Chang Il

机构信息

Department of Neurosurgery, Chosun University College of Medicine, Gwangju, Korea.

Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea.

出版信息

Korean J Spine. 2014 Dec;11(4):238-40. doi: 10.14245/kjs.2014.11.4.238. Epub 2014 Dec 31.

Abstract

We generally believe that obese patients are faced on higher risk of developing perioperative complications. Rhabdomyolysis is a rare but potentially life-threatening condition caused by the release of injured skeletal muscle components into the circulation. It usually results from mechanical damage to the muscle, intoxication, or a postictal state after a seizure. In the present study, we have reported a rare case of rhabdomyolysis developing in a morbidly obese patient after upper thoracic spinal fusion surgery. We have found acute renal failure that evolved during the course of treatment resulted in a fatal outcome even though the patient received intensive supportive care. Our experience suggests that this rare complication should be considered in morbidly obese patients and those efforts should be made to avoid rhabdomyolysis.

摘要

我们通常认为肥胖患者面临更高的围手术期并发症发生风险。横纹肌溶解是一种罕见但可能危及生命的病症,由受损的骨骼肌成分释放到循环系统中引起。它通常源于肌肉的机械损伤、中毒或癫痫发作后的发作后状态。在本研究中,我们报告了一例在严重肥胖患者行上胸椎融合手术后发生横纹肌溶解的罕见病例。我们发现,尽管患者接受了强化支持治疗,但在治疗过程中出现的急性肾衰竭导致了致命的结果。我们的经验表明,对于严重肥胖患者应考虑到这种罕见并发症,并应努力避免横纹肌溶解的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8793/4303285/6e07cd1f00ee/kjs-11-238-g001.jpg

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