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황문근융해증에 동반된 급성 신부전의 임상 소견 |
채동완 , 이종호 , 한진석 , 김성권 , 이정상 |
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Abstract |
We analyzed 23 acute renal failure patients with rhabdomyolysis and follwing results were obtained. 1) RhaMomyolysis was 6.5% cause of acute renal failure in internal medicine of Seoul National Univerity Hospital and carbon monoxide poisoning and snake bite were main etiology of rhabdomyolysis. 2) Serum creatine phosphkinase, orthotoluidine test of urine, "Tc-MDP bone scan were useful diagnostic method. 3) There were initial hemoconcentration and leu- kocytosis. Blood chemisty showed severe hyperkalemia, hyperphosphatemia, hyperuricemia and hypocalcemia during clinical course. 4) There were 16 oliguric acute renal failure and 7 non-oliguric acute renal failrue. Duration of olguric phase was 11.8±4.2 days and average six times of hemodialysis was required in oliguric renal failure and mortality was 13%. |
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