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超高通量血液滤过在创伤性横纹肌溶解症和急性肾损伤中的应用:一例报告

The Use of Supra-Hemodiafiltration in Traumatic Rhabdomyolysis and Acute Kidney Injury: A Case Report.

作者信息

Donati Gabriele, Cappuccilli Maria, Di Filippo Federica, Nicoletti Simone, Ruggeri Marco, Scrivo Anna, Angeletti Andrea, La Manna Gaetano

机构信息

Nephrology Dialysis and Renal Transplantation Unit, Department of Experimental Diagnostic and Specialty Medicine (DIMES), St Orsola Hospital, University of Bologna, Bologna, Italy.

出版信息

Case Rep Nephrol Dial. 2021 Feb 3;11(1):26-35. doi: 10.1159/000507424. eCollection 2021 Jan-Apr.

Abstract

Oliguric acute kidney injury due to traumatic rhabdomyolysis can be potentially lethal if the proper medical therapy combined with extracorporeal detoxification is not performed. Different extracorporeal techniques are available to overcome this syndrome. Here, we report the first case of removal of myoglobin and successful recovery from acute kidney injury in an elderly septic patient using supra-hemodiafiltration with endogenous reinfusion technique (HFR-Supra) combined with the medical therapy.

摘要

创伤性横纹肌溶解所致少尿型急性肾损伤若未进行适当的药物治疗并结合体外解毒,可能会危及生命。有多种不同的体外技术可用于克服该综合征。在此,我们报告首例采用内源性再输注技术的高通量血液滤过(HFR-Supra)联合药物治疗,成功清除肌红蛋白并使一名老年脓毒症患者从急性肾损伤中康复的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/226e/7923720/fd62519a880b/cnd-0011-0026-g01.jpg

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