Highland Hospital, Oakland, CA.
Associate Clinical Professor, University of California San Francisco School of Medicine, San Francisco, CA; Associate Residency Program Director, Highland Hospital, Oakland, CA.
Emerg Med Pract. 2020 Dec;22(12):1-20. Epub 2020 Dec 1.
Rhabdomyolysis is a life-threatening pathological process that must be treated as early as possible to avoid potentially life-threatening sequelae. Much of the evidence that informs the management of rhabdomyolysis is retrospective research, often reported from mass disasters, and many practices that have been implemented as standard treatment are based on small studies published more than 30 years ago. This issue reviews the current literature on rhabdomyolysis and provides recommendations for each phase of care, from the prehospital setting through disposition. The evidence is examined regarding the variety of therapies that are used to manage rhabdomyolysis, the potential for recognizing a genetic predisposition for the condition, and therapeutic recommendations that improve patient outcomes.
横纹肌溶解症是一种危及生命的病理过程,必须尽早治疗,以避免潜在的危及生命的后果。指导横纹肌溶解症治疗的大部分证据来自回顾性研究,通常来自大规模灾害,许多已作为标准治疗实施的做法是基于 30 多年前发表的小型研究。本问题综述了横纹肌溶解症的当前文献,并就从院前急救到处置的各个护理阶段提供了建议。对用于治疗横纹肌溶解症的各种疗法、识别该病症遗传易感性的可能性以及改善患者预后的治疗建议的证据进行了检查。