摘要
目的总结分析横纹肌溶解综合征的临床诊治和处理经验。方法通过对入选的41例小龙虾致横纹肌溶解综合征患者早期诊断,并及时给予生理盐水或葡萄糖液充分补液水化,碳酸氢钠碱化尿液,速尿或甘露醇快速利尿等综合处理后,观察治疗前后的临床疗效和肌酶的变化情况,并对临床诊治和处理资料进行回顾性分析总结。结果 41例患者给予早期正确诊断和及时综合治疗后,所有患者均痊愈或好转出院,无患者病情恶化或死亡,临床治疗总有效率100%。结论早期诊断及综合治疗是横纹肌溶解综合征治疗成功的关键,对于改善疾病预后有重要意义。
Objective To summarize and analyse the clinical diagnosis and treatment experience. Methods To observe the clinical efficacy and the change situation of creatase by giving early diagnoses and the comprehensive treatments such as giving normal saline or glucose liquid to adequate hydration fluids, alkalize urine by giving sodiumbicarbonate, rapid diuresis by giving furosemide or mannitol of the selected 41 Rhabdomyolysis patients, and then to review and analyse the clinical diagnosis and peocessed data. Results After the early diagnoses and promptly comprehensive treatments, all the selected 41 Rhabdomyolysis patients were cured or turned good, there was no deterioration or death. The total effective rate was 100%. Conclusion Early diagnoses and promptly comprehensive treatments such as correcting or preventing pathogenic factors, adequate hydration fluids, alkalizing urine, preventing and treating complications are the keys of the successful treatment of Rhabdomyolysis, which have important meaning to improve the prognosis of the disease.
出处
《吉林中医药》
2017年第5期463-465,共3页
Jilin Journal of Chinese Medicine
关键词
横纹肌溶解综合征
早期诊断
综合治疗
预后
Rhabdomyolysis
early diagnoses
comprehensive treatments
prognosis
