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25例横纹肌溶解症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,尤其是运动性横纹肌溶解症的患者;运动、热射病、挤压、药物、自身免疫性疾病等均可导致横纹肌溶解,本组病例运动性横纹肌溶解症占48.0%;起病急,病程短;均有血肌酸激酶增高,平均值为38 642U.L^-1;多数病例伴急性肾衰竭(72.0%);88.0%的患者好转或痊愈,肾功能恢复正常或发病前水平,12.0%的患者死亡,死亡病例肌酸激酶显著高于好转病例。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,常合并急性肾衰竭。及时诊治大多数可好转或痊愈,少数病情严重者预后差。
Objective: To investigate the clinical feature and the prognosis of rhabdomyolysis.Methods: To analyze sexuality,age,the cause of RM and renal function,the peak of CK,the changes of clinical status and the prognosis of the 25 patients.Results: The incidence of crowd of rhabdomyolysis were male young,especially the exercise-induced rhabdomyolysis.Many causes could induce rhabdomyolysis,such as exercise,thermoplegia,crash injury,drugs or autoallergic disease.In this group,exercise-induced rhabdomyolysis was 48.0%.Rhabdomyolysis has a flash onset and short course of disease.The CK value increased in all of patients,the general average of CK was 38 642U·L^-1.Most of the patients were with acute renal failure(72.0%).Improve rate was 88.0%,12 patients was dead.The CK of death group was significant higher than that of improved group.Conclusion: Rhabdomyolysis was an acute disease caused by more etiology such as exercise,with the high CK value and acute renal failure.Most patients of RM will improve,few serious patients will die.