Martínez-Guerrero BC, Martínez-García JJ, Cornejo-Medellín BE, Inocente-Argüelles K, Sarmina-Díaz R, Ojendiz-Tolentino J

Language: Spanish
References: 27
Page: 276-280
PDF size: 907.04 Kb.

ABSTRACT

Introduction: the term "rhabdomyolysis" derives from the Greek rabdo- "striatum", myo- "muscle", and -lysis, "decomposition", which describes the process of cell death of striated muscle fibers, which is considered highly complex. It is generated by the presence of various harmful intracellular components in the bloodstream. Although the origin of rhabdomyolysis is cellular ischemia (or hypoxia), it is known that tissue lesions are aggravated during muscular reperfusion, thus creating ischemia-reperfusion lesions that can lead to cell death. Objectives: to present a clinical case of a patient who suffered rhabdomyolysis secondary to prolonged ischemia, management and treatment results. Material and methods: a clinical case of a 17-year-old patient presenting with rhabdomyolysis secondary to ischemia and reperfusion due to firearm injury is presented. An updated review and the different treatment options are performed. This case was handled with parenteral, diuretic and bicarbonate solutions. Results: the patient presented total recovery of renal function, responding satisfactorily to the treatment established. Conclusions: the treatment performed was successful.

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