横纹肌溶解综合征27例临床分析  

A clinical analysis of 27 cases of Rhabdomyolysis

作　　者：韩菊梅[1] 熊丽红[2] 黄宝强[3] 

机构地区：[1]广东工业大学医院,广东广州510006 [2]深圳市第二人民医院,广东深圳518000 [3]广州大学,广东广州510006

出　　处：《中医临床研究》2015年第18期85-86,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨横纹肌溶解综合征(Rhabdomyolysis,RM)的病因、临床特点和转归。方法:对27例RM患者的病因、临床症状、体征、实验室检查进行回顾性分析。结果:本组3例患者因合并基础疾病,并发多器官功能衰竭死亡(病死率11.1%)。无基础疾病的患者均预后较好。结论:早期综合治疗(纠正致病因素或原发病,快速补液、碱化尿液、积极预防和处理并发症)是治疗的关键;但合并基础疾病患者死亡率较高。Objective：To investigate the etiological factors,clinical features and prognosis of Rhabdomyolysis （ RM）. Methods：In 27 cases of RM, etiology, clinical symptoms, signs and laboratory tests were analyzed retrospectively.Results： 3 patients（11.1%） died from underlying diseases plus multiple organ failure. Patients without underlying diseases are better with prognosis.Conclusion： Early comprehensive therapy （correct primary disease or risk factors,rapid infusion,alkaline urine,active prevention and treatment of complications） is the key to treatment;but higher mortality was found in patients with underlying diseases.

关 键 词：横纹肌溶解综合征 病因 临床 预后 

分 类 号：R692[医药卫生—泌尿科学]