糖尿病急性并发症与横纹肌溶解综合征

Acute diabetic complications and rhabdomyolysis

糖尿病急性并发症患者应尽早进行肌酸激酶(CK)的检测以及时发现横纹肌溶解综合征(RM),尤其是亚临床RM,早期发现、积极治疗有助于改善RM的预后。但目前内分泌代谢科医生容易忽视对于RM的诊断。本文将对糖尿病急性并发症引起RM的发病机制、特点以及最新诊治情况、预后进行综述,以提高临床医生的认识及救治能力。

It is important to test creatine kinase in patients with acute diabetic complications in order to detect rhabdomyolysis,especially subclinical rhabdomyolysis.The prognosis of rhabdomyolysis can be improved when it is treated once diagnosed.However,endocrinologists sometimes neglect the diagnosis of rhabdomyolysis.Here,we reviewed the pathogenesis of rhabdomyolysis caused by acute diabetic complications,and also the clinical features,diagnosis,treatment and prognosis of rhabdomyolysis.