摘要目的 总结急性动脉栓塞致肌病肾病代谢综合征的诊治经验.方法 回顾性分析自2002年4月～2009年3月由急性动脉栓塞导致的肌病肾病代谢综合征临床资料.结果 3例存活,3例死亡,1例死于高钾血症引起的心搏骤停,2例死于急性肾功能衰竭.结论 及早恢复血流,减少缺血时间,早期补液扩容、碱化尿液、血液净化治疗是降低肌病肾病代谢综合征发病率,降低病死率、截肢率的关键.

abstractsObjective To investigate diagnosis and treatment of myonephropathic-metabolic syndrome after acute medal embolism.Methods Between April 2002 and March 2009,6 cases of myonephropathicmetabolic syndrome caused by acute arterial embolism were retrospectively reviewed.Results Three cases were cured,1 case died of sudden cardiac arrest induced by hyperkalemia,2 cases died of acute renal failure.Conclusion The early diagnosis and treatment may increase the curative rate,decrease the mortality and amputation in patients with myonephropathic-metabolic syndrome after acute arterial embolism.