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[横纹肌溶解诱导的急性肾衰竭后高钙血症]

[Hypercalcemia following rhabdomyolysis-induced acute renal failure].

作者信息

Izsak E, Eisenberg S, Shechter P, Sehayek E

机构信息

Dept. of Medicine C, Chaim Sheba Medical Center, Tel Hashomer.

出版信息

Harefuah. 1995 Feb 1;128(3):147-50, 199.

PMID:7759004
Abstract

Hypercalcemia is an uncommon clinical feature during recovery from acute renal failure. Moderate hypercalcemia developed during recovery of kidney function in a 24-year-old man with acute renal failure following polytrauma-induced rhabdomyolysis (myoglobinuria). He presented with multiple hematomas of the back, chest, abdomen and upper and lower limbs. He was asymptomatic during the hypercalcemic phase, when Ca reached 13.2 mg and PTH levels (immunoradiometric assay) were low, 8.7 muug/ml (normal 10-65).

摘要

高钙血症是急性肾衰竭恢复过程中不常见的临床特征。一名24岁男性在多发伤导致横纹肌溶解(肌红蛋白尿)后发生急性肾衰竭,在肾功能恢复期间出现中度高钙血症。他背部、胸部、腹部以及上下肢有多处血肿。在高钙血症阶段他没有症状,此时血钙达到13.2mg,甲状旁腺激素水平(免疫放射分析)较低,为8.7muug/ml(正常范围10 - 65)。

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