Department of Neurology, Medical College of Wisconsin, CCC Suite 540, 5000 W. Wisconsin Avenue, Milwaukee, WI 53226, USA.
Crit Care Clin. 2022 Apr;38(2):271-285. doi: 10.1016/j.ccc.2021.11.004.
Rhabdomyolysis is a relatively common phenomenon, and most cases do not require intensive care unit level of care. Although most common causes can be easily identified, in encephalopathic or critically ill patients, symptoms can be easily missed, as can uncommon etiologies. Given the potential morbidity, it is important that in any patient with concern for rhabdomyolysis, evaluation and management occur expeditiously. As the list of potential causes is large, not every possible cause for rhabdomyolysis will be discussed. This article, however, will provide a general framework to manage any patient with this muscle disease.
横纹肌溶解症较为常见,大多数病例不需要重症监护病房级别的护理。尽管大多数常见病因很容易识别,但在出现脑病或病危的患者中,症状可能很容易被忽视,不常见的病因也是如此。鉴于横纹肌溶解症可能带来的发病率,对于任何疑似横纹肌溶解症的患者,迅速进行评估和管理非常重要。由于潜在病因很多,因此不会讨论所有可能的横纹肌溶解症病因。本文将为管理任何患有这种肌肉疾病的患者提供一个总体框架。