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Life-threatening Rhabdomyolysis Complicating Surgical Reperfusion of Peripheral Arterial Occlusive Disease — A Case Report and Literature Review

周邊動脈阻塞性疾病再灌流手術後併發致命性橫紋肌溶血症- 一病例報告暨文獻回溯

摘要


在阻塞性周邊動脈成功再灌流手術後發生橫紋肌溶血症是相當罕見的併發症。此類的患者經常會演變成急性腎衰竭,一旦併發腎衰竭,則有相當高的死亡率。我們報告一位78歲患有兩側股動脈幾近完全阻塞的女性病患,在成功的兩側股-膕動脈分流術後發生橫紋肌溶血症併發急性腎臟衰竭,雖然予以積極的治療,仍死於多重器官衰竭。

並列摘要


Rhabdomyolysis is a rare complication following successful reperfusion of occluded peripheral arteries. Acute renal failure frequently develops in these patients, and it carries a high mortality rate. We report a 78-year-old female with near-total occlusion of bilateral femoral arteries. After successful femoral-popliteal artery bypass, she developed rhabdomyolysis with acute renal failure. Despite intensive support and treatment, she died ofmultiple-organ failure.

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