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알코올성 섬망후 발생한 횡문근 융해와 근색소뇨증에 의한 급성 신부전증 1례
송종오 건국대학교 의과학연구소 1996 건국의과학학술지 Vol.6 No.-
Rhabdomyolysis and myoglobinuria are associated with acute renal failure. The cause of rhabdomyolysis is diverse: disturbance of muscle metabolism, alcohol abuse, primary muscle disease, sustained seizure, infection, drugs or toxins. Rhabdomyolysis is abnormal clinical condition that myoglobin and other muscle cell components are released from injured muscle, and causes myoglobinuria and acute tubular necrosis. A 30 year old man developed acute renal failure with rhabdomyolysis and myoglobinuria after sustained seizure due to alcohol withdrawal delirium. A conservative management of renal failure was failed and hemodialysis was done. He recovered uneventfully from renal shut down.
알콜성 간염을 동반한 만성 음주자에 병발된 횡문근융해증 및 급성신부전증 3예
김희승,문봄내,김태균,윤기현,최동진,한상훤,박찬호,김민호,이성주,김영훈 인제대학교 백병원 2001 仁濟醫學 Vol.22 No.2
Acute alcoholic myopathy may present as a fulminant syndrome of muscular pain, swelling and tenderness in extremities associated with rhabdomyolysis and acute renal failure. Acute renal failure caused by rhabdomyolysis and myoglobinuria is one of the serious complications of alcohol and may be lethal occasionally. We report 3 cases of acute renal failure caused by rhabdomyolysis and myoglobinuria associated with alcoholic intoxication, treated in Pusan Medical Center between August 1999 and July 2000.
김성중,조수형,조남수 조선대학교 부설 의학연구소 2002 The Medical Journal of Chosun University Vol.27 No.2
Backgrounds: Good documentation of electrical injuries at the time of presentation is very important for emergency management, so this study was designed to investigate the clinical characteristics and the outcome of the patient with electrical injury. Through the clinical review of electrical injuried patients, We would like to know if any electrical injury actually causes patients to develop the cardiovascular injuries and musculoskeletal injuries to some extent, and easily find whether the patient's underlying tissue is damaged by the electrical injury. Method: A review of 26 cases of electrical injuries admitted to Chosun University Hospital via the emergency department over the period of 3 year from 1998 to 2000 was conducted. Results: There were 11 patient's with high-voltage injuries and 15 patients with low-voltage injuries. The most common type of injury was contact burn which had both entry and exit. The majorities of contact burn patients had minor burns of total body surface. Myoglobinuria was noted in a patient, but didn't develop acute renal failure. In the high-voltage group, 9 patients had false positive results in urine occult test. These patients had elevated muscular enzyme level as like LDH(lactate dehydrogenase), CPK(creatine phosphokinase), AST (aspartate aminotransferase). In the low-voltage group, a patient developed ventricular fibrillation. The complications of electrical injury were observed, which were peripheral neuropathy in 2 cases, compartment syndrome in 2 cases, loss of consciousness in 2 cases, and corneal injury 2 cases. Compartment syndrome occurred as a result of vascular ischemia and muscle edema. Conclusion: Urine occult test is useful for evaluation of severity of tissue injury evaluated in high-voltage electrical injuried patients. False positive result in urine occult test prevents acute renal failure by attempting initial fluid therapy.