Rhabdomyolysis caused by intractable postpartum hemorrhage: a case report
10.3760/cma.j.issn.1007-9408.2018.09.009
- VernacularTitle:产后大出血致横纹肌溶解症一例
- Author:
Zengmao LIN
1
;
Dongxin WANG
Author Information
1. 100034,北京大学第一医院麻醉科
- Keywords:
Postpartum hemorrhage;
Rhabdomyolysis;
Shock,hemorrhagic;
Acute kidney injury
- From:
Chinese Journal of Perinatal Medicine
2018;21(9):619-621
- CountryChina
- Language:Chinese
-
Abstract:
We reported a case of rhabdomyolysis following hemorrhagic shock caused by intractable postpartum hemorrhage. During the resuscitation, the patient was clearly diagnosed with the following manifestations, including dark urine, oliguria, significantly increased creatine kinase and positive myoglobin in both serum and urine. Acute kidney injury occurred after emergent abdominal hysterectomy. The patient was fully recovered after active anti-shock management, including a successful resuscitation, aggressive hydration, urine alkalinization, diuresis, treatment on acidosis, hyperpotassemia and hypocalcemia.
