摘要
目的:观察早期血液净化治疗对横纹肌溶解症的临床效果。方法:32例横纹肌溶解症患者于起病后72 h内接受血液净化治疗,监测治疗前后患者血肌红蛋白、肌酸磷酸激酶(CPK)、肌酸磷酸激酶同工酶(CPK-MB)、血肌酐(Cr)、血尿素氮(BUN)、丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)、乳酸脱氢酶(LDH)水平,并观察预后。结果:治疗后患者的血肌红蛋白、CPK、CPK-MB、Cr、BUN、AST、ALT、LDH均明显低于治疗前;31例患者痊愈,1例死于脑梗死。结论:早期血液净化治疗对于救治横纹肌溶解患者有良好的疗效。
Objective： To investigate the effect of early blood purification in the treatment of rhabdomyolysis.Methods： Thirty-two patients with rhabdomyolysis were taken blood purification in 72 hours after they got the disease.Serum concentration of myohemoglobin,creatine phosphokinase（CPK）,creatine phosphokinase-isoenzyme-MB（CPK-MB）,creatinine（Cr）,urea nitrogen（BUN）,alanine aminotransferase（ALT）,aspartate aminotransferase（AST） and lactate dehydrogenase（LDH） were measured before and after the treatment.Results： After the treatment,the average serum levels of myohemoglobin,CPK,CPK-MB,Cr,BUN,AST,ALT,LDH were significantly decreased.Thirty-one cases recovered,1 patient died for cerebral infarction.Conclusions： Early blood purification is effective in treating rhabdomyolysis.
出处
《现代医学》
2010年第5期498-500,共3页
Modern Medical Journal
关键词
横纹肌溶解症
血液净化
早期
rhabdomyolysis
blood purification
early myohemoglobin
