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目的探讨醉酒合并重度腹部外伤后横纹肌溶解症的特点及其治疗。方法回顾性分析云南省普洱市人民医院肝胆外科收治的醉酒合并重度腹部外伤后横纹肌溶解2例病人的临床资料,并结合文献进行总结分析。结果 2例病人临床表现和并发症多样,急性肾功能衰竭为主要继发症,经反复血液透析好转。结论重度腹部外伤酒精中毒型横纹肌溶解症是一种临床表现和并发症多样的综合征,早期诊断对于预防急性肾功能衰竭改善预后尤为特别重要。
Objective To investigate the characteristics and treatment of rhabdomyolysis after severe abdominal trauma with alcoholism. Methods The clinical data of 2 patients with rhabdomyolysis after severe alcoholic abdominal trauma admitted to Department of Hepatobiliary Surgery, People’s Hospital of Pu’er City, Yunnan Province were retrospectively analyzed. The clinical data were summarized with the literature. Results The clinical manifestations and complications of 2 patients were diverse. Acute renal failure was the main secondary disease and hemodialysis was improved after repeated hemodialysis. Conclusions Severe abdominal trauma alcoholism rhabdomyolysis is a syndrome characterized by various clinical manifestations and complications. Early diagnosis is particularly important to prevent acute renal failure and improve prognosis.