产后大出血致横纹肌溶解症一例

Rhabdomvolvsis caused bv intractable oostoartum hemorrhase： a case report

本文报告一例因产后大出血致出血性休克，发生横纹肌溶解症的病例。在产后出血的抢救过程中该患者出现深色尿，少尿，肌酸激酶升高，血、尿肌红蛋白阳性，确诊横纹肌溶解症。急诊行开腹子宫切除术，术后患者出现急性肾损伤。通过积极的抗休克治疗，并采取水化、碱化及利尿，纠正酸中毒、高钾、低钙等治疗措施，患者病情得到控制，预后良好。

We reported a case of rhabdomyolysis following hemorrhagic shock caused by intractable postpartum hemorrhage. During the resuscitation, the patient was clearly diagnosed with the following manifestations, including dark urine, oliguria, significantly increased creatine kinase and positive myoglobin in both serum and urine. Acute kidney injury occurred after emergent abdominal hysterectomy. The patient was fully recovered after active anti-shock management, including a successful resuscitation, aggressive hydration, urine alkalinization, dinresis,treatment on acidosis hvnernotassemia and hvnoealcernia