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Clinical findings and therapy in cases of severe rhabdomyolysis Nobuyuki Aizawa 1 , Hiroshi Matsuura 1 , Seiya Ooyama 1 , Kunikane Kim 1 , Youichi Himeno 1 , Yoshihide Ogawa 1 , Kuniko Aso 1 , Kazuhiro Takeoka 1 , Hiroshi Sudo 2 , Masafumi Watari 2 , Toshiya Mutsukura 2 , Tetsumasa Kamei 2 , Jirou Fukuyama 2 , Reizou Tsukamoto 2 1Department of Internal Medicine, Shonan Kamakura Medical Center 2Department of Internal Medicine, Chigasaki Tokushukai Medical Center pp.200-203
Published Date 1991/5/15
DOI https://doi.org/10.11477/mf.1414900061
  • Abstract
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We reviewed clinical findings and therapies in 22 cases of rhabdomyolysis. Serum creatnine kinase values in these patients ranged from 10190~287600IU/l with an average of 55000IU/l.

Causes of rhabdomyolysis included trauma, diabetus mellitus, malignant syndrome, alcohol, hypothermia, sepsis, and so on. There were various clinical findings as follows ; leukocytosis thrombocytopenia, metabolic acidosis, positive urine myoglobin, and renal insufficiency.

Therapies conducted included hydration, dopamine, furosemide and hemodialysis ; Prognosis was excellent exept for one case who came to the hospital with anuria and developed renal failure requiring hernodialysis.

We concluded that rhabdomyolysis has various clinical features and that the prognosis in exellent with adequate therapies leading to early diuresis.


Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1197 印刷版ISSN 0917-138X 医学書院

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