Rhabdomyolysis induced by acute alcohol intoxication and acute renal failure syndrome in 1 patient care.docVIP

 PAGE \* MERGEFORMAT 7 Rhabdomyolysis induced by acute alcohol intoxication and acute renal failure syndrome in 1 patient care [Keywords:] rhabdomyolysis with acute renal failure syndrome care Striated muscle injury in rhabdomyolysis syndrome is the release of a large number of myoglobin and creatine kinase, lactate dehydrogenase into the blood of a group of clinical and laboratory syndrome. Is a variety of clinical causes severe, often lead to acute renal failure due to or life-threatening organ failure in April .2010 of a patient admitted to our department because of unconsciousness after drinking heavily, nonsense, behaving aggressively, release a lot of rhabdomyolysis myoglobin, myoglobin into the kidney filtration Direct renal tubular damage and acute tubular necrosis caused by acute renal failure. After 1 month of treatment and careful nursing system, the patient recovered and discharged. A case report Male patient, 45 years old, usually alcohol, in April 3, 2010 a large number of liquor drink (white wine 3 pounds after vomiting blood, bright red blood, a town immediately to the hospital in Guangdong, the effect is poor, then go to the Zhanjiang City People’s Liberation Army 422 hospitals, vomiting control after treatment, stool gradually turned yellow, but the fever, the highest temperature of 41.5 , during hospitalization, confusion, nonsense, behaving aggressively and was forcibly bound, the hospital consider comprehensive alcohol dependence withdrawal Zheng, the symptomatic treatment of patients turned clear consciousness, normal behavior, but the gradual emergence of oliguria to anuria, urinary color of soy sauce, then a diagnosis of acute renal failure. patient on April 9 go to a hospital inpatient days and so, when fever, cough, mild scleral jaundice, check renal function: creatinine (Cr565umol / L, urea nitrogen (BUN26.09mmol / L, by the anti-infection, hemodialysis, correct water and electrolyte disorders, acid-base balance of the t