A Case of Severe Acute Kidney Injury by Near-Drowning

被引：10

作者：

Seong, Eun Young ^{[1
]}

Rhee, Harin ^{[1
]}

Lee, Naria ^{[1
]}

Lee, Sung Jun ^{[1
]}

Song, Sang Heon ^{[1
]}

Lee, Dong Won ^{[1
]}

Lee, Soo Bong ^{[1
]}

Sol, Mee Young ^{[2
]}

Kwak, Ihm Soo ^{[1
]}

机构：

[1] Pusan Natl Univ, Coll Med, Dept Internal Med, Med Res Inst, Pusan 602739, South Korea

[2] Pusan Natl Univ, Coll Med, Dept Pathol, Med Res Inst, Pusan 602739, South Korea

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2012年 / 27卷 / 02期

关键词：

Acute Kidney Injury; Acute Tubular Necrosis; Hemodialysis; Near Drowning; ISCHEMIA-REPERFUSION INJURY; ACUTE-RENAL-FAILURE; RHABDOMYOLYSIS; VICTIMS; UPDATE; CELLS;

D O I：

10.3346/jkms.2012.27.2.218

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Acute kidney injury (AKI) secondary to near-drowning is rarely described and poorly understood. Only few cases of severe isolated AKI resulting from near-drowning exist in the literature. We report a case of near-drowning who developed to isolated AKI due to acute tubular necrosis (ATN) requiring dialysis. A 21-yr-old man who recovered from near-drowning in freshwater 3 days earlier was admitted to our hospital with anuria and elevated level of serum creatinine. He needed five sessions of hemodialysis and then renal function recovered spontaneously. Renal biopsy confirmed ATN. We review the existing literature on near-drowning-induced AKI and discuss the possible pathogenesis.

引用

页码：218 / 220

页数：3

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