32例横纹肌溶解症临床分析
[摘要] 目的 了解横纹肌溶解症的临床发病特点以及预后。 方法 总结分析32例横纹肌溶解症患者的临床资料及治疗预后情况。 结果 发病人群以青年男性为主，大部分患者表现为运动性横纹肌溶解症，31.3%的患者合并有急性肾损伤，所有患者按有无合并AKI进行分组，分为AKI组和非AKI组，两组CK值比较差异有统计学意义（P<0.05），血肌酐、尿酸、尿素氮、血磷比较差异有统计学意义（P<0.01），经治疗后所有患者临床指标均恢复正常。 结论 横纹肌溶解症是一种可由运动等多种原因所致的急性疾病，均有肌酸激酶增高，常合并急性肾损伤，及时诊治大多数预后良好。
[关键词] 横纹肌溶解症；急性肾损伤；肌酸激酶；临床特点
[中图分类号] R692.5 [文献标识码] B [文章编号] 1673-9701（2017）09-0064-04
Clinical analysis of 32 cases of rhabdomyolysis
RUI Yanxia
Department of Nephrology， the First Hospital of Jiaxing City in Zhejiang Province， Jiaxing 314000， China
[Abstract] Objective To investigate the clinical characteristics and prognosis of rhabdomyolysis. Methods The clinical data and treatment prognosis of 32 cases of rhabdomyolysis were analyzed. Results The main population with disease was young male， and most of the patients showed motor rhabdomyolysis. 31.3% of patients were with acute renal injury.All patients were grouped by the presence or absence of AKI， and divided into AKI group and non-AKI group. It was found that CK values between the two groups were different（P<0.05）. The differences in serum creatinine， uric acid， urea nitrogen and blood phosphorus were significant（P<0.01）. After treatment， clinical indicators of all patients returned to normal. Conclusion Rhabdomyolysis is an acute disease which can be caused by many causes such as movement， all with increased creatine kinase and often associated with acute kidney injury， and the majority has good prognosis when timely diagnosed
[Ke...
|
== 试读已结束，如需继续阅读敬请充值会员 ==
|
|
本站文章均为原创投稿，仅供下载参考，付费用户可查看完整且有格式内容！
(费用标准：38元/2月，98元/2年，微信支付秒开通！) |
| 升级为会员即可查阅全文 。如需要查阅全文，请 免费注册 或 登录会员 |
|
