阿托伐他汀钙片致横纹肌溶解综合症并急性肾衰竭1例

One case of atorvastatin lead to rhabdomyolysis and acute renal failure

1病例资料患者,男,40岁,2个月前因急性前壁心肌梗死、急性左心衰行前降支PCI手术治疗,术后坚持口服氯吡格雷75mg qd,拜阿司匹林100mg qd,阿托伐他汀钙片20mg qn,呋塞米片20mg qd,螺内酯片20mg qd。患者本次因＂少尿、乏力、浮肿1周,无尿1d＂入院,伴解酱油样尿,气促,发热,体温最高达39.1℃,咳嗽,咳粉红色泡沫痰。

A 40-year-old man who received PCI had oliguria,weakness and edema for one week,then anuria for one day.He had significantly increased CK,CK-MB,BUN and Cr.The diagnosiss were rhabdomyolysis,acute renal failure and coronary heart disease.The rhabdomyolysis and acute renal failure because of atorvastatin were cured successfully by dopamine and blood purification therapy.