107例小龙虾致横纹肌溶解综合征病例分析

<正>横纹肌溶解综合征(rhabdomyolysis,RM)是一组由于各种原因所引起的骨骼肌损伤,细胞膜完整性改变,细胞内容物释放入血液中所引起的临床综合征,常伴有代谢紊乱和急性肾衰竭等一系列并发症~[1]。其临床主要表现为肌肉疼痛、肿胀、无力、酱油色尿等。由于肌细胞的坏死和分解,细胞内容物如Mb、CPK、电解质、蛋白质和非蛋白物质被释放进入血浆,因此,这些物质的检测有助于RM的早期诊断~[2]。本文对107例因进食小龙虾所引起的RM病

Analysis of 107 cases of crawfish-induced rhabdomyolysis syndrome

Objective To investigate the clinical diagnosis,treatment and prognosis of crawfish-induced rhabdomyolysis syndrome. Method BY analyzing the diagnosis and treatment of 107 patients who were diagnosed as crawfish-induced rhabdomyolysis syndrome in our hospital ,we can get the related conclusion.Results ALL of the patients had eaten crawfish within 24 hours;had the symptoms of muscle soreness;the level of serum CPK and LDH was significantly increased after the onset;the abnormal rate of liver function is 94.3% in hospitalized patients;all of them were cured , and have no long-term complications.Conclusions All of the patients of crawfish-induced rhabdomyolysis syndrome had muscle soreness ,the blood CPK,LDH and MB were positive ,abnormal incidence of liver function was high, but the prognosis was good.