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Rhabdomyolosis and its pathogenesis

机译:横纹肌溶解及其发病机理

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BACKGROUND: Rhabdomyolysis may cause severe damage to the human body because of acute renal failure, fatal heart rhythm disturbances, hypovolemic shock, disturbances of electrolyte balance, metabolic acidosis, hyperthermia, disseminated intravascular coagulation, etc. Drugs and toxins are the most common factors for the disease. This article aimed to review the prognosis of rhabdomyolysis. DATA SOURCES: Based on the reported studies of cell and molecular biology, we reviewed the clinical presentations, laboratory findings, and mechanisms of rhabdomyolysis in the Pubmed. RESULTS: The clinical symptoms of rhabdomyolysis were dependent on the severity of the condition and whether kidney failure develops. Since the necrosis and dissolution of muscle cells, entocytes such as myoglobin, creatine phosphokinase (CPK), electrolytes, proteins and non-protein substances were released into the plasma, the detection of the entocytes may contribute to the early diagnosis of rhabdomyolysis. CONCLUSION: Despite the etiology of the disease is multifactorial, the potential causes of rhabdomyolysis share the same pathophysiological pathway involving an increase in intracel ular calcium.
机译:背景:横纹肌溶解症可能由于急性肾功能衰竭,致命的心律失常,低血容量性休克,电解质平衡失调,代谢性酸中毒,体温过高,弥散性血管内凝血等对人体造成严重损害。药物和毒素是最常见的因素这种病。本文旨在综述横纹肌溶解的预后。数据来源:基于对细胞和分子生物学的报道研究,我们回顾了Pubmed的临床表现,实验室检查结果以及横纹肌溶解的机制。结果:横纹肌溶解症的临床症状取决于病情的严重程度以及是否出现肾衰竭。由于肌细胞的坏死和溶解,诸如肌红蛋白,肌酸磷酸激酶(CPK),电解质,蛋白质和非蛋白质物质等肠溶细胞被释放到血浆中,因此对肠溶细胞的检测可能有助于横纹肌溶解的早期诊断。结论:尽管该病的病因是多因素的,但横纹肌溶解的潜在原因具有相同的病理生理途径,其中涉及细胞内钙的增加。

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  • 来源
    《世界急诊医学杂志(英文)》 |2012年第001期|11-15|共5页
  • 作者

    Mei-hua Zhang;

  • 作者单位

    Department of Pharmacy, First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310006, China;

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  • 入库时间 2022-08-19 04:13:14
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