Rumpf K W, Kaiser H, Gröne H J, Trapp V E, Meinck H M, Goebel H H, Kunze E, Kreuzer H, Scheler F
Dtsch Med Wochenschr. 1981 May 29;106(22):708-11. doi: 10.1055/s-2008-1070386.
Acute rhabdomyolysis with myoglobinuric renal failure occurred in a 66-year-old woman who was in hyperosmolar non-ketotic diabetic coma. No previous description of such a case has been found. The clinical picture was characterized by the typical findings of hyperosmolar coma, in addition to excessive serum creatine kinase and myoglobin levels and massive myoglobinuria with acute renal failure. The rhabdomyolysis became fully manifest only under insulin treatment, possibly the result of insulin-induced hypophosphataemia, which seems to be of importance in the causation of the rhabdomyolysis.
一名66岁处于高渗非酮症糖尿病昏迷状态的女性发生了急性横纹肌溶解症并伴有肌红蛋白尿性肾衰竭。此前未发现此类病例的描述。临床表现除了血清肌酸激酶和肌红蛋白水平过高以及伴有急性肾衰竭的大量肌红蛋白尿外，还具有高渗性昏迷的典型特征。横纹肌溶解症仅在胰岛素治疗下才完全显现，这可能是胰岛素诱导的低磷血症的结果，而低磷血症在横纹肌溶解症的病因中似乎很重要。
