Lim Hyun Kyoung, Park Sang Kyu, Jung Jong Kwon, Lee Choon Soo, Lee Doo Ik, Han Jeong Uk
Department of Anesthesiology and Pain Medicine, Inha University College of Medicine, Incheon, Korea.
Korean J Anesthesiol. 2009 Oct;57(4):528-530. doi: 10.4097/kjae.2009.57.4.528.
The spine surgery performed in the prone position could cause severe complications such as visual acuity impairment, spinal infarct and rhabdomyolysis. When treating rhabdomyolysis, it is important to prevent acute renal failure from accompanying rhabdomyolysis due to the poor prognosis. We have experienced two cases of rhabdomyolysis after spine surgery where dark urine was present during spine surgery under general anesthesia. Anesthesiologists should pay attention for early diagnosis and treatment of the rhabdomyolysis developing during the spine surgery.
俯卧位脊柱手术可能会导致严重并发症,如视力损害、脊髓梗死和横纹肌溶解症。治疗横纹肌溶解症时,由于预后较差,预防横纹肌溶解症伴发急性肾衰竭非常重要。我们遇到过两例脊柱手术后横纹肌溶解症的病例,在全身麻醉下进行脊柱手术时出现了深色尿液。麻醉医生应注意脊柱手术期间发生的横纹肌溶解症的早期诊断和治疗。