[Prevention of acute renal insufficiency due to nontraumatic rhabdomyolysis].

Nine patients with nontraumatic rhabdomyolysis underwent preventive treatment for acute renal failure (ARF) (vascular filling, furosemide, dopamine, Na bicarbonate, allopurinol). Four patients developed functional azotemia and 4 others ARF with conserved diuresis and normalization of renal function without substitutive treatment. Only one patient remained oligoanuric and needed hemodialysis for 3 weeks. Comparing these 3 groups it appears that the severity of the renal impairment is due on one hand to the extent of the muscular lysis and on the other to early commencement of preventive treatment.