Rhabdomyolysis after Prolonged Suspension in a Cave

被引：8
|
作者：
Wharton, David R. [2 ]
Mortimer, Roger B. [1 ]
机构：
[1] UCSF Fresno Med Educ Program, Dept Family Med, Fresno, CA 93701 USA
[2] Univ Tennessee, Erlanger Med Ctr, Div Emergency Med, Chattanooga, TN USA
来源：
WILDERNESS & ENVIRONMENTAL MEDICINE | 2011年 / 22卷 / 01期
关键词：
rhabdomyolysis; suspension trauma; cave; CARDIAC-ARREST; HYPOTHERMIA;
D O I：
10.1016/j.wem.2010.12.007
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
A 29-year-old man was caving and could not ascend his rope. He was rescued after 4+ hours of hanging after which he could not feel his legs and could not move one of them. He was shivering but still alert. In the field, he received calcium chloride, normal saline, and bicarbonate. At the hospital, he was found to have elevated creatine phosphokinase levels that resolved after continued intravenous fluid. Suspension trauma can include early syncope and late rhabdomyolysis. Persons suspended passively must be rescued immediately and given intravenous fluid to prevent rhabdomyolysis and renal failure.
引用
收藏
页码：52 / 53
页数：2
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