毒蛇咬伤致急性肾损伤  

Acute kidney injury induced by snakebite

作　　者：陈浩[1] 梁少姗[1] 曾彩虹[1] 

机构地区：[1]南京军区南京总医院国家肾脏疾病临床医学研究中心全军肾脏病研究所,南京210016

出　　处：《肾脏病与透析肾移植杂志》2014年第1期89-92,30,共5页Chinese Journal of Nephrology,Dialysis & Transplantation

摘　　要：老年女性,蝮蛇咬伤后出现持续无尿,肝酶、肌酶升高,血清肌酐进行性升高,肾活检证实为急性肾小管坏死,肌红蛋白染色管型阳性,电镜观察发现肾小管上皮细胞胞质内巨大线粒体。最终诊断多器官功能障碍综合征、横纹肌溶解症、急性肾小管坏死。A 63-year-old woman was bitten by agkistrodon on her left foot, then the laboratory examination showed elevation of serum liver enzymes, muscle enzymes, and creatinine progressively increased. Renal biopsy showed acute tubular necrosis and myoglobin casts. The final diagnosis was multiple organ dysfunction syndrome, rhabdomyolysis and acute tubular necrosis.

关 键 词：蛇咬伤 急性肾小管坏死 横纹肌溶解症 肾活检 

分 类 号：R646[医药卫生—外科学] R692[医药卫生—临床医学]