Chábová V, Tesar V, Lachmanová J, Zima T
Interní klinika I. LF UK, Praha.
Cas Lek Cesk. 1993 Dec 6;132(23):721-3.
The authors describe three cases of rhabdomyolysis and acute renal failure. In all patients rhabdomyolysis developed in conjunction with ingestion of alcohol, in two moreover in combination with compression of an extremity by body weight during prolonged immobility. One patient was hospitalized on the day when rhabdomyolysis developed, the second one more than 24 hours after and the third one only several days after development of the condition. In none of them the diagnosis was established before the development of renal failure. All were subjected repeatedly to haemodialysis. One patient died from a complication--embolism of the brain--the remaining two patients recovered without sequelae. In the discussion the authors deal with reasons of late diagnosis of the disease.
作者描述了三例横纹肌溶解症和急性肾衰竭的病例。所有患者的横纹肌溶解症均在饮酒后发生，其中两例还伴有长时间不动时身体重量对肢体的压迫。一名患者在横纹肌溶解症发生当天住院，第二名患者在发病24小时后住院，第三名患者在发病几天后才住院。在肾衰竭发生之前，他们中无一例确诊。所有患者均多次接受血液透析。一名患者死于并发症——脑栓塞，其余两名患者康复且无后遗症。在讨论中，作者探讨了该病诊断延迟的原因。
