MYOGLOBINURIC ACUTE-RENAL-FAILURE FOLLOWING ELECTRICAL INJURY

被引：9

作者：

GUPTA, KL

KUMAR, R

SEKHAR, MS

SAKHUJA, V

CHUGH, KS

机构：

[1] Department of Nephrology, Institute of Medical Education and Research, Chandigarh

来源：

RENAL FAILURE | 1991年 / 13卷 / 01期

关键词：

ACUTE RENAL FAILURE; ELECTRICAL INJURY; MYOGLOBINURIA;

D O I：

10.3109/08860229109022142

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Eight patients with acute renal failure (ARF) following electrical injury were studied. The mean area of cutaneous burns was 23 +/- 16% (range 6-60%) and extensive tissue necrosis with gangrene was uniformly present. Oliguria developed 9.3 +/- 7 h (range 3-24 h) after the injury in 7 patients (88%). Urinalysis revealed presence of myoglobin in 75% of the patients. The mean duration of oliguria among those who recovered was 16 +/- 6 days (range 11-23 days) and the mean interval between the onset of oliguria and recovery of renal function was 25 +/- 6 days (range 21-34 days). Four patients died. The cause of death was Klebsiella septicemia in 1, hyperkalemia associated with extensive myonecrosis in 2 patients, and uncertain in 1 patient. Our observations showed that myoglobinuric acute renal failure associated with electrical injury carries a high mortality. Early detection and aggressive management of hyperkalemia and sepsis are necessary to reduce mortality among these patients.

引用

页码：23 / 25

页数：3

共 7 条

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