Kruger Danielle, Han Joseph
Danielle Kruger is academic coordinator and an associate professor in the PA program at St. John's University in Queens, N.Y.; director of PA development at Coney Island Hospital in Brooklyn, N.Y.; and practices in the ED at Coney Island Hospital. Joseph Han is a student in the PA program at St. John's University. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2017 Jan;30(1):20-26. doi: 10.1097/01.JAA.0000510986.14286.fd.
The presentation of patients with rhabdomyolysis is variable and can range in severity from asymptomatic serum elevations of creatine kinase to life-threatening electrolyte disturbances and acute kidney injury. Clinicians must have a high suspicion for rhabdomyolysis and be familiar with the risk factors for developing this condition. This article focuses on prompt recognition and evidence-based approaches to diagnose and treat rhabdomyolysis.
横纹肌溶解症患者的临床表现各异,严重程度从无症状的血清肌酸激酶升高到危及生命的电解质紊乱和急性肾损伤不等。临床医生必须高度怀疑横纹肌溶解症,并熟悉发生这种情况的危险因素。本文重点关注横纹肌溶解症的快速识别以及基于证据的诊断和治疗方法。