急性动脉阻塞致肌病肾病代谢综合征诊治的进展
被引量:2
摘要
肌病肾病代谢综合征是急性肢体缺血性疾病的严重并发症,以急性动脉栓塞及血栓形成常见。急性动脉阻塞引起肢体缺血导致骨骼肌溶解,临床出现肌红蛋白尿、代谢性酸中毒、高钾血症、急性肾功能衰竭等一系列表现。Haimnovici首次报道,将其命名为肌病肾病代谢综合征(myonephropathic-metabolic syndrome,MNMS)。高截肢率和高死亡率是其日益受到重视的主要原因。目前认为越高的动脉阻断平面,越广泛的缺血范围,越长的缺血时间,出现肌病肾病代谢综合征的风险越大,甚至截除坏死肢体是挽救生命的唯一方法。
出处
《中华急诊医学杂志》
CAS
CSCD
2008年第3期330-331,共2页
Chinese Journal of Emergency Medicine
参考文献15
-
1Haimovici H. Muscular, renal, and metabolic complications of acute arterial occlusions: myonephropathic metabolic syndrome [J]. Surgery, 1979, 85 (4) :461-468.
-
2杨德华,段志泉,辛世杰,张健,胡新华.急性腹主动脉骑跨栓塞21例的治疗[J].中国普通外科杂志,2006,15(12):901-904. 被引量:15
-
3Callum K, Bradbury A. ABC of arterial and venous disease: Acute limb ischaemia [J]. BMJ, 2000, 320 (7237): 764-767.
-
4Sanghavi R, Aneman A, Parr M, et al. Systemic capillary leak syndrome associated with compartment syndrome and rhabdomyolysis [J]. Anaesth Intensive Care, 2006, 34 (3) : 388-391.
-
5Seal JB, Gewertz BL, Vascular dysfunction in ischemia-reperfusion [J], Ann Vasc Surg, 2005, 19 (4): 572-584.
-
6Criddle LM. Rhabdomyolysis: pathophysiology, recognition, and management [J]. Crit Care Nurse , 2003 , 23 (6) : 14-22 .
-
7Sharp LS, Rozycki GS, Feliciano DV, Rhabdomyolysis and secondary renal failure in critically ill surgical patients [ J ], Am J Surg, 2004, 188 (6): 801-806.
-
8Vaillancomt C, Shrier I, Falk M, et al, Quantifying delays in the recognition and management of acute compartment syndrome [ J ], CJEM, 2001, 3 (1): 26-30.
-
9Altizer L, Compartment syndrome [ J ], Orthop Nurs, 2004,23 (6) : 391-396.
-
10Dickson KF, Sullivan MJ, Steinberg B, et al. Noninvasive measurement of compartment syndrome [J]. Orthopedics, 2003, 26 (12): 1215-1218.
二级参考文献28
-
1季大玺.连续性血液净化与重症感染[J].肾脏病与透析肾移植杂志,2004,13(3):235-236. 被引量:59
-
2李大勇,谭鸿雁,吕延伟,张强.急性腹主动脉末端栓塞围手术期的处理[J].中国普通外科杂志,2006,15(1):72-73. 被引量:2
-
3Bellomo R,Honore P,Matson J,et al.Eextracorporeal blood treatment (EBT)methods in SIRS/Sepsis Artif Organs,2005,28:450-459.
-
4Chertow GM,Levy EM,Hammermeister KM,et al.Independent association between acute renal failure and mortality following cardiac surgery.Am J Med,1998,104:343-348.
-
5Bellomo R,Ronco C.The changing pattern of severe acute renal failure.Nephrology,1991,2:602-610.
-
6Ronco C,Bellomo R.Acute renal failure and multiple organ dysfunction in the ICU:From renal replacement therapy (RRT) to multiple organ support therapy (MOST).IJAO,2002,25(8):733-747.
-
7Ympa YP,Sakr Y,Reinhart K,et al.Has mortality from acute renal failure decreased? A systematic review of the literature.Am J Med,2005,118(8):827-832.
-
8De Vriese AS,Colardyn FA,Philippe JJ,et al.Cytokine removal during continuous hemofiltration in septic patients.J Am Soc Nephrol,1999,10:846-853.
-
9Ronco C,Bellomo R,Homel P,et al.Effects of different doses in continuous veno-venous hemofiltration on outcomes of acute renal failure:A prospective randomised trial.Lancet,2000,355:26-30.
-
10Ji DX,Gong DH,Xie HL,et al.A retrospective study of continuous renal replacement therapy versus intermittent hemodialysis in severe acute renal failure.Chinese Medical Journal,2001,114(11):1157-1161.
共引文献30
-
1白岭晓,宫梅.连续性血液净化治疗替考拉宁致急性肾衰竭的疗效观察[J].内蒙古医科大学学报,2012,34(S01):53-54.
-
2慈红波,戈小虎.肌病肾病代谢综合征治疗进展[J].国际外科学杂志,2007,34(11):778-781. 被引量:3
-
3熊建明,黄建华,李定军,徐国武.腹主动脉骑跨栓的诊治:附8例报道[J].中国普通外科杂志,2008,17(7):733-735. 被引量:5
-
4吕路,黄锋先.连续血液净化调节多器官功能障碍免疫失衡的研究进展[J].中国血液净化,2008,7(9):488-490. 被引量:9
-
5辛世杰,王雷.腹主动脉骑跨栓塞的诊治[J].中国实用外科杂志,2008,28(10):899-900. 被引量:4
-
6宛家奎,水润芝,余蕾.连续性静脉-静脉血液滤过治疗多脏器功能障碍综合征的疗效观察——附14例临床病例报告[J].透析与人工器官,2008,19(3):11-13. 被引量:1
-
7李海燕,廖祖春,宋斌,叶浩波.连续性血液净化治疗危重慢性肾衰竭32例临床分析[J].海南医学,2009,20(7):24-25. 被引量:4
-
8王一旻.连续性血液净化治疗对多脏器功能不全预后的影响[J].河北北方学院学报(医学版),2009,26(3):46-48.
-
9王一旻.慢性充血性心力衰竭非药物治疗进展[J].河北北方学院学报(医学版),2009,26(4):77-80. 被引量:3
-
10慈红波,戈小虎,刘杰,依马木.急性动脉栓塞致肌病肾病代谢综合征诊断与治疗[J].国际外科学杂志,2009,36(10):655-657. 被引量:7
同被引文献14
-
1夏云祥.四肢主要动脉损伤的诊治[J].中华创伤骨科杂志,2005,7(2):195-196. 被引量:20
-
2寇镭,吴庆华,陈忠,邓洪儒,罗小云,杨宝钟,韩延民,吴章敏,唐小斌,刘晖.125例急性下肢动脉创伤的诊治经验[J].中华普通外科杂志,2005,20(8):492-494. 被引量:7
-
3Rosa NG, Silva G,Teixeira A, et al.Rhabdomyolysis [J].Acta Med Port, 2005,18(4) :271-281.
-
4Tolouian R,Wild D,Lashkari MH,et al.Oral alkalinizing solution as apotential prophylaxis against myoglobinuric acute renal failure: preliminary data from healthy vounteers [J].Nephrol Dial Transplant, 2005,20(6) : 1228-1231.
-
5Kruger A, Florido C, Braunisch A, et al. Penetrating arterial trau- ma to the limbs : outcome of a modified protocol [ J ]. World J Emerg Surg, 2013, 8(1): 51.
-
6Iriz E, Kolbakir F, Sarac A, et al. Retrospective assessment of vascular injuries: 23 years of experience [ J ]. Ann Thorac Cardio-vase Surg, 2004, 10(6): 373-378.
-
7Topal AE, Eren MN, Celik Y. Lower extremity arterial injuries o- ver a six-year period: outcomes, risk factors, and management [J]. Vasc Health Risk Manag, 2010, 6: 1103-1110.
-
8Van Waes OJ, Van Lieshout EM, Hogendoorn W, et al. Treatment of penetrating trauma of the extremities : ten years" experience at a Dutch level 1 trauma center [ J]. Scand J Trauma Resusc Emerg Med, 2013, 21: 2.
-
9Van Waes OJ, Navsaria PH, Verschuren RC, et al. Management of penetrating injuries of the upper extremities [J]. Ulus Travma Acil Cerrahi Derg, 2013, 19(5): 405-410.
-
10Fagundes C, Fuchs FD, Fagundes A, et ah Prognostic factors for amputation or death in patients submitted to vascular surgery for a- cute limb ischemia [ J ]. Vasc Heahh Risk Manag, 2005, 1 (4) : 345-349.
引证文献2
-
1郑少锋,褚燕琦,邓立新.急性动脉阻塞致肌病肾病代谢综合征1例药学监护[J].基层医学论坛,2012,16(34):4525-4526.
-
2赛力木·艾拜都拉,慈红波,田广磊,任昊,阿力木江·沙吾提,朱兵,管圣,戈小虎.四肢主干动脉损伤诊治106例分析[J].国际外科学杂志,2014,41(4):265-267.
-
1杨德华,胡海地,段志泉,张强.急性动脉阻塞导致肌病肾病代谢综合征17例的治疗[J].中华普通外科杂志,2002,17(1):18-19. 被引量:3
-
2万嘉,时德,罗开元,杨镛,杨国凯,何晓明.急性动脉栓塞导致肌病肾病代谢综合征11例的治疗[J].中国普外基础与临床杂志,2007,14(6):701-702. 被引量:5
-
3慈红波,戈小虎.急性动脉阻塞致肌病肾病代谢综合征发病机制的研究进展[J].国际外科学杂志,2007,34(12):844-846. 被引量:1
-
4郑少锋,褚燕琦,邓立新.急性动脉阻塞致肌病肾病代谢综合征1例药学监护[J].基层医学论坛,2012,16(34):4525-4526.
-
5慈红波,戈小虎.肌病肾病代谢综合征治疗进展[J].国际外科学杂志,2007,34(11):778-781. 被引量:3
-
6刘玲,刘志英,林梅.急性下肢动脉栓塞术后并发肌病肾病代谢综合征患者的护理体会[J].中国医药,2011,6(7):878-879.
-
7葛进,宁莫凡.腹股沟韧带远侧动脉阻塞的外科治疗[J].中国实用外科杂志,1998,18(9):525-526. 被引量:1
-
8沈波,李艳,张薇.连续性肾脏替代治疗肌病肾病代谢综合征[J].实用医学杂志,2008,24(17):3022-3024. 被引量:1
-
9肖美妍.身高与心脏疾病:基因联系[J].心血管病防治知识,2015(8):38-38.
-
10贾淑会.肺栓塞24例临床分析[J].山西医药杂志(下半月),2007,36(10):782-783.