Ando T, Kato T, Hikichi N
Brain Dev. 1979;1(2):139-41. doi: 10.1016/s0387-7604(79)80023-6.
Myoglobinemia and/or myoglobinuria was demonstrated in 12 of 17 unconscious children studied. Myoglobinemia was noted in patients with serum CPK levels above 200-250 units. Ten of the 12 patients in whom myoglobinemia was present had convulsions. Some degree of renal disturbance was noted in six of seven patients with myoglobinuria. Five patients, including four with renal disturbance, died. In unconscious children with myoglobinuria the possibility of a disturbance of renal function should always be considered.
在研究的17名昏迷儿童中,有12名出现了肌红蛋白血症和/或肌红蛋白尿。血清肌酸磷酸激酶(CPK)水平高于200 - 250单位的患者出现了肌红蛋白血症。出现肌红蛋白血症的12名患者中有10名发生了惊厥。7名肌红蛋白尿患者中有6名出现了某种程度的肾脏功能紊乱。5名患者死亡,其中4名有肾脏功能紊乱。对于有肌红蛋白尿的昏迷儿童,应始终考虑肾功能紊乱的可能性。