Baxter Sebastian John, Puchakayala Madhusudan Rao, Bapat Vinayak N
Department of Anaesthetics, St Thomas' Hospital, London SE1 7EH, United Kingdom.
Department of Cardiac Surgery, St Thomas' Hospital, London SE1 7EH, United Kingdom.
Ann Card Anaesth. 2017 Oct-Dec;20(4):453-455. doi: 10.4103/aca.ACA_11_17.
Rhabdomyolysis is the result of skeletal muscle tissue injury and is characterized by elevated creatine kinase levels, muscle pain, and myoglobinuria. It is caused by crush injuries, hyperthermia, drugs, toxins, and abnormal metabolic states. This is often difficult to diagnose perioperatively and can result in renal failure and compartment syndrome if not promptly treated. We report a rare case of inadvertent rhabdomyolysis and compartment syndrome in a bodybuilder undergoing minimally invasive cardiac surgery. The presentation, differential diagnoses, and management are discussed. Hyperkalemia may be the first presenting sign. Early recognition and management are essential to prevent life-threatening complications.
横纹肌溶解症是骨骼肌组织损伤的结果，其特征为肌酸激酶水平升高、肌肉疼痛和肌红蛋白尿。它由挤压伤、高热、药物、毒素及异常代谢状态引起。围手术期常难以诊断，若不及时治疗可导致肾衰竭和骨筋膜室综合征。我们报告一例在接受微创心脏手术的健美运动员中意外发生横纹肌溶解症和骨筋膜室综合征的罕见病例。文中讨论了其临床表现、鉴别诊断及处理方法。高钾血症可能是首个出现的症状。早期识别和处理对于预防危及生命的并发症至关重要。
