Management of myonephropathic-metabolic syndrome after acute arterial occlusion: report of 17 cases
- VernacularTitle:急性动脉阻塞导致肌病肾病代谢综合征17例的治疗
- Author:
Dehua YANG
;
Haidi HU
;
Zhiquan DUAN
- Publication Type:Journal Article
- Keywords:
Arterial occlusive diseases;
Metabolic diseases;
Syndrome;
Myoglobinuria;
Vascular surgical procedures
- From:
Chinese Journal of General Surgery
1993;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the management of myonephropathic-metabolic syndrome (MNMS) after acute arterial occlusion. Methods17 cases of MNMS caused by acute arterial occlusion were restrospectively reviewed. Results5 cases were cured, 6 cases died of sudden cardiac arrest induced by hyperkalemia, and another 6 cases died of multiple organ dysfunction syndrome (MODS) complicated by acute renal failure. The total mortality rate was 71% and the amputation rate was 41%.ConclusionEarly revascularization should be performed in acute arterial occlusion. In patients with compartment syndrome, fasciotomy should be performed as soon as possible. Early amputation of gangrene limb is very important to prevent MNMS. Early and effective fluid resuscitation and alkalinization is the key point to prevent ARF, early hemodialysis for ARF is very important in treating MNMS.
