病例报告：动脉瘤性蛛网膜下腔出血并发横纹肌溶解症：1例罕见病例及其对治疗的启示
Case Report: Rhabdomyolysis in aneurysmal subarachnoid hemorrhage: A rare case with implications for management.
作者信息
Liao Gang, Chen Kang, Xu Jiang, Wang Chunliang
机构信息
Department of Neurosurgery, First Affiliated Hospital of Nanchang University, Nanchang City, China.
出版信息
Front Surg. 2023 Jan 6;9:1028093. doi: 10.3389/fsurg.2022.1028093. eCollection 2022.
BACKGROUND
In recent years, some cases of rhabdomyolysis after surgery have been reported. In this report, we present an adult patient with rhabdomyolysis after intracranial aneurysm surgery.
CASE REPORT
A 59-year-old male suffered from a coma, fever, and soy sauce urine after intracranial aneurysm clipping. A routine blood examination showed that liver and kidney function were impaired, and creatine phosphokinase(CK) and creatine phosphokinase isoenzyme(CK-MB) levels increased. Therefore, we consider patients with rhabdomyolysis after intracranial aneurysm surgery. A series of treatment schemes, such as intravenous fluid infusion, alkalized urine, and hemodialysis, were adopted immediately, and finally the patient was discharged safely.
CONCLUSION
For some postoperative patients, once the level of CK/CK-MB increases, acute renal damage occurs, and the urine color turns soy sauce, we should be alert to postoperative rhabdomyolysis.For those patients who have been diagnosed with rhabdomyolysis, we need to take timely treatment measures to avoid an unfortunate occurrence.
背景
近年来，有术后发生横纹肌溶解症的病例报道。在本报告中，我们呈现了1例颅内动脉瘤手术后发生横纹肌溶解症的成年患者。
病例报告
1名59岁男性在颅内动脉瘤夹闭术后出现昏迷、发热及酱油色尿。常规血液检查显示肝肾功能受损，肌酸磷酸激酶（CK）及肌酸磷酸激酶同工酶（CK-MB）水平升高。因此，我们考虑该患者为颅内动脉瘤手术后发生横纹肌溶解症。立即采取了一系列治疗方案，如静脉输液、碱化尿液及血液透析，最终患者安全出院。
结论
对于部分术后患者，一旦CK/CK-MB水平升高、发生急性肾损伤且尿液颜色变为酱油色，我们应警惕术后横纹肌溶解症。对于已诊断为横纹肌溶解症的患者，我们需要及时采取治疗措施以避免不幸事件的发生。
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