Hojs R, Sinkovic A, Hojs-Fabjan T
Department of Nephrology, General Hospital Maribor, Teaching Hospital of Medical Faculty, University of Ljubljana, Slovenia.
Ren Fail. 1995 Nov;17(6):765-8. doi: 10.3109/08860229509037645.
A 39-year-old male suffered a myocardial infarction at work and cardiopulmonary resuscitation was initiated immediately. After 15 cardioversions, ventricular fibrillation converted to sinus rhythm. Rhabdomyolysis with a 100-fold increase of serum creatine kinase level and myoglobinuria with acute renal failure ensued, requiring hemodialysis treatment. The patient died and autopsy revealed acute posterior myocardial infarction. Prolonged cardiopulmonary resuscitation involving repeated cardioversion may predispose to myoglobinuric renal failure.
一名39岁男性在工作时发生心肌梗死，立即开始进行心肺复苏。经过15次除颤后，室颤转为窦性心律。随后发生横纹肌溶解，血清肌酸激酶水平升高100倍，并出现肌红蛋白尿伴急性肾衰竭，需要进行血液透析治疗。患者死亡，尸检显示为急性后壁心肌梗死。涉及反复除颤的长时间心肺复苏可能易导致肌红蛋白尿性肾衰竭。
