Prall J A, Breeze R E
Division of Neurosurgery, University of Colorado Health Sciences Center, Denver 80262, USA.
J Trauma. 1995 Oct;39(4):802-4. doi: 10.1097/00005373-199510000-00040.
Rhabdomyolysis is commonly seen in association with multisystem trauma. We report an unexpected case of rhabdomyolysis and subsequent renal insufficiency after spinal cord injury unassociated with acute muscular injury. Immobilization, in conjunction with mild systemic hypoperfusion, was the suspected cause. Due to the likelihood of muscle catabolism, the difficulties of diagnosing soft tissue injury, and the impact of any decrease in renal reserve in patients with spinal cord injuries, surveillance for laboratory evidence of rhabdomyolysis in patients with neurologically complete spinal cord injuries appears warranted.
横纹肌溶解症常见于多系统创伤。我们报告了一例意外发生的横纹肌溶解症及随后出现的肾功能不全病例，该病例发生于脊髓损伤后，与急性肌肉损伤无关。固定不动，再加上轻度全身性灌注不足，被怀疑是病因。鉴于存在肌肉分解代谢的可能性、诊断软组织损伤的困难以及脊髓损伤患者肾储备任何下降的影响，对神经学上完全性脊髓损伤患者进行横纹肌溶解症实验室证据的监测似乎是有必要的。
