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血液吸附联合持续静静脉血液透析滤过治疗感染合并严重糖尿病酮症酸中毒相关性横纹肌溶解症1例报告

Hemoadsorption combined with continuous venovenous hemodialyfiltration in a patient with infection and severe diabetic ketoacidosis-associated rhabdomyolysis: A case report.

作者信息

Zhou Xiaochun, Li Xu, Yang Yingying, Wang Fang, Zhang Ling, Fu Ping

机构信息

Department of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, China.

Department of Nephrology, Guang han Hospital of Traditional Chinese Medicine, China.

出版信息

J Int Med Res. 2025 May;53(5):3000605251337905. doi: 10.1177/03000605251337905. Epub 2025 May 15.

Abstract

Herein, we present a rare and complex clinical case of a patient with urinary tract infection leading to ground sepsis, severe diabetic ketoacidosis, and severe rhabdomyolysis. The patient was admitted to the hospital with fever, abnormal mental behavior, disturbances in the internal environment, and acute kidney injury and was thoroughly evaluated by physicians to determine the underlying causes of severe rhabdomyolysis, including infection and metabolic disturbances. After treatment with rehydration resuscitation, anti-infective agents, and hemoadsorption combined with continuous venovenous hemodialyfiltration, the patient's condition improved, renal function was restored, and hemodialysis treatment was discontinued.

摘要

在此,我们呈现了一例罕见且复杂的临床病例,该患者因尿路感染导致全身性脓毒症、严重糖尿病酮症酸中毒和严重横纹肌溶解症。患者因发热、精神行为异常、内环境紊乱及急性肾损伤入院,医生对其进行了全面评估,以确定严重横纹肌溶解症的潜在病因,包括感染和代谢紊乱。经过补液复苏、抗感染药物治疗以及血液吸附联合持续静脉 - 静脉血液透析滤过治疗后,患者病情好转,肾功能恢复,血液透析治疗停止。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d108/12081958/9d3f6d10e928/10.1177_03000605251337905-fig1.jpg

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