지방흡인술 시술과 관련된 횡문근융해증에 의한 급성 신손상 1예
A Case of Acute Kidney Injury Associated with Rhabdomyolysis after Liposuction
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초록
지방흡인술 시술은 점차 우리나라에서도 그 빈도가 증가하고 있는 수술로, 수술 시 주의가 필요하다. 횡문근융해증의 조기 징후를 보일 때에는 빠른 뇨 검사와 혈액 검사를 통하여 횡문근융해증을 진단하고 충분한 수액 공급 및 이뇨제투여가 필요하다. 또한 수술 후에도 주의 깊은 관찰을 해야할 것이다.
Abstract
Rhabdomyolysis is defined as a skeletal muscle injury with release of muscle cell constituents into the plasma. It can occur invarious diseases and conditions, including muscle strain, drug or alcohol abuse, connective tissue disease, excess exercise, or followingsurgery. Only one case of rhabdomyolysis has ever been associated with liposuction in Korea. We experienced a case ofrhabdomyolysis that developed after liposuction surgery. The patient was a 39-year-old woman presenting with abdominal pain1 day after liposuction. She was treated with general supportive care, including massive hydration and absolute bed rest. Renal replacementtherapy was performed due to pulmonary edema. She, finally, recovered fully. Acute kidney injury caused by liposuction-induced rhabdomyolysis is a rare disease. Therefore, we present this case with a review of the literature.
참고문헌 (8)
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