횡문근 융해증과 좌골신경 손상을 유발한 급성 구획증후군에 대한 고찰 = The study of rhabdomyolysis and sciatic nerve injury associated with compartment syndrome

다국어 초록 (Multilingual Abstract)

Like any other diseases, rhabdomyolysis can be treated in a conservative way without any complications, on the other hand, it can bring about severe disablities with various complications or death.
Rhabdomyolysis is an acute disorder resulting from skeletal muscle injury in which intracellular contents are released into extracellular space and plasma.
This study is to evaluate the clinical characterisitics
of rhabdomyolysis and sciatic nerve palsy resulting from gluteal compartment syndrome after rhabdomyolysis.
Several clinical and laboratory datas of 31 patients with non-traumatic rhabdomyolysis from January 2009 to September 2012 were collected and analyzed.
Patients are consisted of 19 males and 12 females.
Etiologic factors of non-traumatic rhabdomyolysis were as follows : alcohol abuse (26%), seizure (25%), excessive labor
or exercise (19%), CO intoxication (10%), Drug intoxication (6%) Metabolic derangement(10%)
Among 31 patients, the most common complication is acute renal failure (48%) and sciatic nerve palsy resulting from gluteal compartment syndrome (10%).
One patients with sciatic nerve palsy resulting from gluteal compartment syndrome were received an immediate fasciotomy, and rehabilitation. Six month after initial treatment, patients could walk independently with their right lower limb function almost nearly recovered.
Through examples of compartment syndrome and sciatic nerve injury caused by rhabdomyolysis, MRI exam has been shown to be very efficient for diagnosis of rhabdomyolysis. Various factors including alcohol abuse, seizure, excessive labor or exercise, CO intoxication can cause non-traumatic rhabdomyolysis, which can lead to severe complications like renal failure, pulmonary edema, and compartment syndrome. Early diagnosis and treatment is important, so that keen attention and full knowledge for non-traumatic causes and surgical treatment like immediate decompression are needed.

목차 (Table of Contents)

• ABSTRACT…………………………………………………1
• Ⅰ. 서론 ………………………………………………………3
• Ⅱ. 대상 및 방법 ……………………………………………4
• 1. 연구 대상 ………………………………………………4
• 2. 연구 방법 ………………………………………………4
• 3. 통계학적 분석 방법………………………………………4
• Ⅲ. 결과 ………………………………………………………5
• 1. 대상 황자의 특징 ………………………………………5
• 2. 원인질환 …………………………………………………5
• 3. 전체 환자의 임상경과……………………………………6
• 4. 입원시 검사소견 …… …………………………………6
• 5. 구획증후군 환자의 임상양상 및 치료성적 ………………7
• Ⅳ. 고찰 …………………………………………………… 11
• Ⅴ. 결론 ……………………………………………………14
• 참고문헌 ……………………………………………………15