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相關文獻
- Acute Kidney Injury Caused by Near-Drowning: A Case Report
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- Rhabdomyolysis and Acute Renal Failure
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頁籤選單縮合
題名 | Acute Kidney Injury Caused by Near-Drowning: A Case Report=溺水造成急性腎衰竭:病例報告 |
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作 者 | 蕭志彥; 李吉斌; 洪培豪; 林杏麟; 曾進忠; 王明誠; | 書刊名 | Medical Journal of South Taiwan |
卷期 | 12:2 2016.12[民105.12] |
頁次 | 頁84-88 |
分類號 | 415.222 |
關鍵詞 | 急性腎衰竭; 溺水; 橫紋肌溶解症; Acute kidney injury; Near-drowning; Rhabdomyolysis; |
語文 | 英文(English) |
中文摘要 | 溺水較常見於年輕人、而且經常造成不可預期的悲劇。橫紋肌溶解症是其中成的橫紋溶解症症狀通常不明顯,但必須注意溺水過後可能造成威脅生命的併發症,包括急性腎衰竭。 我們報告一位三十四歲的病人,溺水後被救起並觀察兩個小時後出院。 但溺水過後產生橫紋肌溶解症並造成急性腎衰竭。 由於病人經內科治療後仍持續寡尿,所以接受兩次血液透析治療。病人腎功能經治療後回復,因此我們停止血液透析治療。 因溺水所產生的橫紋肌溶解症症狀通常不明顯,所以可能造成延誤治療。臨床醫師應該注意因溺水救回的病人有潛在產生橫紋肌溶解症的風險而積極治療橫紋肌溶解症以避免產生急性腎衰竭是必要的。 |
英文摘要 | Drowning and near-drowning events are most frequently reported in young individuals, and these events often result in unexpected tragedies. Rhabdomyolysis is one of the complications in victims of submersion. Although rhabdomyolysis after submersion is usually asymptomatic, potential life-threatening complications such as acute kidney injury may occur and be overlooked due to delayed manifestation. A 34-year-old near-drowning patient who was resuscitated and discharged after two hours of observation. Unfortunately, rhabdomyolysis developed after the event and resulted in acute kidney injury. He underwent two successive of hemodialysis due to persistent oliguria despite medical treatment. After treatment, the patient's renal function improved and hemodialysis therapy was discontinued. Rhabdomyolysis after submersion is often omitted, which may delay the treatment. For patients rescued after submersion, clinicians should be aware of rhabdomyolysis as a potential confounding factor and aggressive treatment for rhabdomyolysis may prevent the development of acute kidney injury. |
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