肝脓肿合并糖尿病非酮症高渗性昏迷致横纹肌溶解症  

Case analysis of rhabdomyolysis caused by liver abscess combined with diabetic nonketotic hyperosmolar coma

作　　者：张爽婷 徐静[1] 张兴文[1] Zhang Shuangting;Xu Jing;Zhang Xingwen(Emergency Department,Hunan Provincial People’s Hospital/The First Affiliated Hospital of Hunan Normal University,Changsha,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)急诊科

出　　处：《实用休克杂志（中英文）》2021年第2期123-125,共3页Journal of Practical Shock

基　　金：湖南省卫健委一般课题(项目编号:20200793)。

摘　　要：横纹肌溶解综合征(RM)是指由多种原因所致横纹肌损伤,使得细胞内成分,如肌酸激酶、肌红蛋白等进入血液循环,引起机体内环境紊乱,甚至出现急性肾衰竭(APF)的一组临床综合征。临床上导致RM的常见原因为感染、创伤、药物、中毒等,少见有中暑、肿瘤、自身免疫等。该病早期症状不典型,常伴有合并症。文章分享本院2020年10月收治的1例因肝脓肿合并糖尿病非酮症昏迷导致RM患者的诊治过程,以期提高临床医生对横纹肌溶解症的认识。Rhabdomyolysis syndrome(RM)refers to a group of clinical syndromes caused by rhabdomyolysis muscle injury due to a variety of reasons,making intracellular components(such as creatine kinase,myoglobin,etc.)enter the blood circulation,leading to the internal environment disorder of the body,even acute renal failure(APF).Clinically,the common causes of RM are infection,trauma,drugs,and poisoning,the rare are heatstroke,tumor,autoimmunity,etc.The early symptoms of RM are atypical and often accompanied by complications.In October 2020,our hospital admitted a patient with severe infection combined with diabetic non-ketotic coma resulting in rhabdomyolysis.The etiology was complicated and the treatment was difficult.Now the report is as follows.

关 键 词：横纹肌溶解症 肝脓肿 糖尿病非酮症高渗性昏迷 

分 类 号：R575.4[医药卫生—消化系统] R587.2[医药卫生—内科学]