Kinjyo T, Ohno T, Tanaka K, Nishimura A, Taira A
Satsumagun Medical Association Hospital, Kagoshima, Japan.
J Trauma. 1994 Apr;36(4):592-3. doi: 10.1097/00005373-199404000-00025.
We present a case of traumatic injury of the colon by compressed air. Elevated levels of urinary myoglobin, creatinine phosphokinase, lactate dehydrogenase, and glutamic oxaloacetic transaminase indicating rhabdomyolysis were noted. In this type of injury, rhabdomyolysis related to acute peripheral circulatory failure may occur because of obstruction of venous return to the heart following a great increase in intraperitoneal pressure.
我们报告一例因压缩空气导致的结肠创伤病例。发现尿肌红蛋白、肌酸磷酸激酶、乳酸脱氢酶和谷草转氨酶水平升高,提示存在横纹肌溶解。在这类损伤中,由于腹腔内压力大幅升高后静脉回心血流受阻,可能会发生与急性外周循环衰竭相关的横纹肌溶解。