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横纹肌溶解综合征(rhabdomyolysis,RM)是指由多种原因导致广泛横纹肌肌纤维坏死,细胞膜受损,短时间内释放大量的肌酸激酶(CK)、肌红蛋白(Mb)和乳酸脱氢酶(LDH)等代谢产物进入血循环的一组临床综合征~([1~3])。我科于2016年6月收治1例慢性乙型肝炎肝衰竭并发RM患者,虽经122天的内科综合治疗和护理,患者仍因ARF而死亡。现将对该患者的治疗和护理要点分析、报告如下。
Rhabdomyolysis (RM) is a disorder in which the majority of rhabdomyolysis (RM) is caused by a variety of causes of muscle fiber necrosis of the broad striated muscle and impaired cell membranes. A large amount of creatine kinase (CK), myoglobin (Mb) and lactate dehydrogenase LDH) and other metabolites into the blood circulation of a group of clinical syndrome ~ ([1 ~ 3]). In June 2016, our department admitted a patient with chronic hepatitis B and liver failure complicated with RM. Although 122 patients died of ARF after 122 days of comprehensive medical treatment and nursing care. Now the treatment of patients and nursing points analysis, the report is as follows.