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題名 | 橫紋肌溶解症案例探討=Rhabdomyolysis Case Study |
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作者 | 陳韋璇; 黃美鈴; 張震鴻; | 書刊名 | 藥學雜誌 |
卷期 | 29:4=117 2013.12[民102.12] |
頁次 | 頁111-116 |
分類號 | 416.64 |
關鍵詞 | 橫紋肌溶解症; 低血鉀; 電解質不平衡; Rhabdomyolysis; Hypokalemia; Electroyte disorders; |
語文 | 中文(Chinese) |
中文摘要 | 相較於外傷引起的橫紋肌溶解症,非外傷引起的發生率竟高出五倍之多,而橫紋肌溶解症的併發症有可能導致威脅生命的心律不整或急性腎衰竭等,故不可輕忽。低血鉀會使肌肉缺乏血液灌注,嚴重低血鉀更會造成肌肉壞死,而導致橫紋肌溶解。本案例敘述一位 33歲健康女性因全身虛弱、噁心就診,診斷為低血鉀症及橫紋肌溶解症,入院後給予大量輸注液與鉀離子補充後,沒有嚴重併發症,恢復情形良好,出院後由門診追蹤治療。本文藉由此案例討論橫紋肌溶解症與併發症的病因與治療策略,橫紋肌溶解症的治療應儘早給予大量體液輸注,並維持尿液鹼性,配合使用利尿劑,以減少腎傷害,注意維持電解質平衡,避免嚴重併發症發生。 |
英文摘要 | Non-trauma induced rhabdomyolysis is more frequent than that caused by traumatic conditions. Severe rhabdomyolysis may lead to a potentially life-threatening condition such as cardiac arrhythmia and acute renal failure. The deficiency of potassium will bring muscle to relative ischemia; severe hypokalemia even results in muscle necrosis and rhabdomyolysis. This case is a 33-year-old healthy woman who felt severe general weakness and moderate nausea, the diagnosis for her is hypokalemia and rhabdomyolysis. Massive hydration with appropriate potassium chloride supplement was given after admission, few days later the symptoms were improved gradually and the patient was follow-up at OPD. We want to discuss the etiology and treatment of rhabdomyolysis and its complications by this case. The treatment of rhabdomyolysis includes aggressive hydration, urine alkalization, diuresis to reduce renal injury, to correct electrolyte imbalance, and to avoid severe complications. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。