Bloom A I, Zamir G, Muggia M, Friedlaender M, Gimmon Z, Rivkind A
Department of General Surgery, Hadassah University Hospital, Jerusalem, Israel.
J Trauma. 1995 Feb;38(2):252-4. doi: 10.1097/00005373-199502000-00020.
Two patients who were systematically tortured and deprived of any oral intake presented with acute renal failure several days later. Unlike the classical crush syndrome, we describe a clinical entity wherein repeated direct muscle injury from blunt trauma, in addition to forced dehydration, led to myoglobinuria and renal failure. The literature is reviewed, and biochemical indices predicting severity of injury, pathophysiology, and management protocol are described. This pseudo-crush syndrome caused by rhabdomyorhexis in addition to rhabdomyolysis is an unusual entity, in part related to extreme sociopolitical factors.
两名遭受系统性折磨且完全无法经口摄入食物的患者，数日后出现急性肾衰竭。与典型的挤压综合征不同，我们描述了一种临床情况，即除了强迫性脱水外，钝性创伤导致的反复直接肌肉损伤引发了肌红蛋白尿和肾衰竭。本文回顾了相关文献，并描述了预测损伤严重程度的生化指标、病理生理学及治疗方案。这种由横纹肌断裂及横纹肌溶解引起的假性挤压综合征是一种不寻常的情况，部分与极端的社会政治因素有关。
