Continuous renal replacement therapy for rhabdomyolysis-induced acute renal failure following trauma
- VernacularTitle:创伤后横纹肌溶解症致急性肾功能衰竭的连续性肾脏替代治疗
- Author:
Shuangyi FAN
;
Jingfeng LIU
;
Penglin MA
;
Qin LI
;
Jinwen SU
- Publication Type:Journal Article
- Keywords:
Wounds and injuries;
Rhabdomyolysis;
Renal failure,acute;
Continuous renal replacement therapy
- From:
Chinese Journal of Trauma
2008;24(8):649-652
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve diagnose and therapy of post-traumatic acute renal failure induced by rhabdomyolysis. Methods A total of 20 patients with post-traumatic acute renal failure induced by rhabdomyolysis were analyzed retrospectively in aspects of clinical manifestation, laboratory examination and treatment. Of all, there were 9 patients treated with continuous renal replacement therapy (CRRT), while the other 11 were set as control, receiving no CRRT. Results After treatment with CRRT, 7 patients obtained clinical curing, with 2 deaths. As for control patients, there were 5 patients with secondary chronic renal insufficiency, 1 with clinical curing and 5 deaths. Conclusions Early diagnosis, CRRT, sufficient hydration, hematedialysis and supportive treatment are key points to improve the cure rate. It is important to apply CRRT for patients with renal inadequacy.
