摘要
目的 探讨社区获得性肺炎 （CAP）合并横纹肌溶解症 （RM）患者的临床特点。方法 对我院7例CAP合并RM患者的一般资料、诊疗过程及实验室检验结果进行总结分析。结果 CAP合并RM以中青年男性多发,临床以高热及呼吸道症状为主,RM症状轻微易被忽视,炎症指标较高,普遍存在肝肾功能及心肌酶异常,多于心肌酶异常结果回报后引起重视被诊断。在抗炎、化痰等治疗基础上,予以水化、碱化治疗,大多数患者预后良好,不良事件主要与CAP严重程度相关。结论 CAP可致RM,早发现、早治疗有助于减少肾功能恶化及其他并发症的发生,缩短疗程。
Objective To investigate the clinical characteristics of community-acquired pneumonia （CAP） combined with rhabdomyolysis （RM）. Methods 7 cases of CAP complicated with RM were collected from our hospital. The general data, treatment process and laboratory test results were summarized and analyzed. Results CAP combined with RM was frequently seen in young males. High fever and respiratory symptoms were the main clinical features. The symptoms of RM were atypical and easily overlooked. High inflammation index, abnormal liver and kidney function, abnormal myocardial enzyme were the clinical features. The diagnosis had not been made until abnormal myocardial enzyme was found. The prognosis was good with anti-inflammatory, hydration and alkalization treatments. Major adverse event was related to CAP. Conclusions RM can be caused by CAP. The deterioration of renal function and other complications can be reduced by early detection and early treatment.
作者
赵博
姜珊
郑锐
Zhao Bo, Jiang Shan, Zheng Rui.(Department of Respiratory Medicine, Shengjing Hospital, China Medical University, Shen yang 110004, Chin)
出处
《国际呼吸杂志》
2018年第6期419-423,共5页
International Journal of Respiration
