下顎骨骨折術後に発症した横紋筋融解症の1例 A case of rhabdomyolysis occurring after surgery for a mandibular fracture

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著者

    • 明石 靖史 MYOISHI Yasufumi
    • 広島大学大学院・医歯薬学総合研究科・先進医療開発科学講座・分子口腔医学・顎顔面外科学 Department of Molecular Oral Medicine and Maxillofacial Surgery, Division of Frontier Medical Science, Graduate School of Biomedical Sciences, Hiroshima University
    • 谷 亮治 TANI Ryouji
    • 広島大学大学院・医歯薬学総合研究科・先進医療開発科学講座・分子口腔医学・顎顔面外科学 Department of Molecular Oral Medicine and Maxillofacial Surgery, Division of Frontier Medical Science, Graduate School of Biomedical Sciences, Hiroshima University
    • 石田 康隆 ISHIDA Yasutaka
    • 広島大学大学院・医歯薬学総合研究科・先進医療開発科学講座・分子口腔医学・顎顔面外科学 Department of Molecular Oral Medicine and Maxillofacial Surgery, Division of Frontier Medical Science, Graduate School of Biomedical Sciences, Hiroshima University
    • 虎谷 茂昭 TORATANI Shigeaki
    • 広島大学大学院・医歯薬学総合研究科・先進医療開発科学講座・分子口腔医学・顎顔面外科学 Department of Molecular Oral Medicine and Maxillofacial Surgery, Division of Frontier Medical Science, Graduate School of Biomedical Sciences, Hiroshima University
    • 岡本 哲治 OKAMOTO Tetsuji
    • 広島大学大学院・医歯薬学総合研究科・先進医療開発科学講座・分子口腔医学・顎顔面外科学 Department of Molecular Oral Medicine and Maxillofacial Surgery, Division of Frontier Medical Science, Graduate School of Biomedical Sciences, Hiroshima University

抄録

Rhabdomyolysis results from the release of skeletal muscle contents (myogloblin, creatinine kinase) and causes renal damage.<BR>We report a case of rhabdomyolysis that developed after a by mandibular fracture operation under general anesthesia.<BR>The patient was an 18-year-old man who underwent operation for surgical repositioning and fixation of the mandible, preformed under general anesthesia with sevoflurane. The course of anesthesia was uneventful, and the patient recovered uneventfully. Two hours postoperatively, dark red urine was voided. On the 1st postoperative day, the creatinine kinase (CK) was 38700 IU/I and increased further to 73900 IU/I at reexamination. He had tenderness of the right brachial muscle, and dark red urine presisted. Rhabdomyolysis caused by general anesthesia was diagnosed. The patient received an infusion of extracellular fluid, and CK normalized on the 11th postoperative day. As postoperative malignant hyperthermia (MH) was suspected, the Ca<SUP>2 +</SUP>-induced Ca<SUP>2 +</SUP>release (CICR) rate was examined. CICR was unaccelerated, ruling out a predisposition to MH. Seven months later, the fixation plates were removed with the patient under local anesthesia. There were no complications.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 53(1), 33-37, 2007-01-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018858595
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    8659287
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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