横纹肌溶解症
医学
重症监护医学
体格检查
急性肾损伤
外科
内科学
出处
期刊:Pediatrics in Review
[American Academy of Pediatrics]
日期:2020-06-01
卷期号:41 (6): 265-275
被引量:42
标识
DOI:10.1542/pir.2018-0300
摘要
Pediatric rhabdomyolysis is a common diagnosis that pediatricians need to be able to recognize because prompt treatment can prevent potential complications, such as acute kidney injury. The triggers for rhabdomyolysis are extensive, with viruses being the most common cause in pediatric patients. The pathophysiology behind rhabdomyolysis is complex and still being researched, but having a firm understanding of the cascade that results when muscle injury occurs is essential for proper management. Guidelines for managing pediatric rhabdomyolysis currently do not exist, but this article aims to review the available literature and give clinicians a general approach to aid in history taking, physical examination, diagnosis, acute management, follow-up, and prevention.
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