17天16岁少女危在旦夕 35岁壮汉命悬一线 17 days 16 years old girl at stake 35 strong man hanging by a thread

两名饕餮客过量食用河海鲜，致肾功能衰竭和多脏器功能衰竭，经华东医院救治起死回生 Two gulosity guest excessive edible river seafood,The renal failure and multiple organ failure,The east China hospitals back to life

　　饮食不当或可危及生命。复旦大学附属华东医院近日连续收治了两例危重的横纹肌溶解症病人，两人发病前皆食用了大量河海鲜，结果引起急性肾功能衰竭和多脏器功能衰竭，还曾一度生命垂危。经医院多科室联合救治，患者方得转危为安，目前都已康复出院。

Improper diet or can be life-threatening.Fudan university affiliated hospital of east China recently consecutive patients for two cases of rhabdomyolosis critically ill patients,Two people before the disease are eating a lot of river seafood,The result causes acute renal failure and multiple organ failure,Also once in critical condition.The hospital many department combined treatment,Patients party have to turn the corner,Have been well enough to come home from hospital.

医院里躺了17天 The hospital for 17 days

　　16岁女孩佳佳在外地吃过大量海鲜之后，便全身酸痛、高烧不退、小便量少，病情持续加重至第三天晚上，女孩开始出现“酱油色”小便，右小腿更是疼痛难忍，无法触碰。急诊送至华东医院，血液学检查发现其中一项“磷酸肌酸激酶(CPK)”超过标准值1700多倍！

16 year old girl allison in the field had a lot of seafood later,And systemic ache/fever/Urinate less,Illness continue to increase the third night,The girl began to appear"Soy sauce color"urinate,Right leg is unbearable pain,Cannot touch.Emergency sent to the east China hospital,Hematology inspection found one"Creatine phosphate kinase(CPK)"More than standard value of more than 1700 times!

　　横纹肌溶解症，并发急性肾功能衰竭。临床医生当即给出了诊断。入院后佳佳病情持续加重，全身水肿并一度昏迷、抽筋，氧饱和度下降至60%，出现了多脏器功能衰竭。

rhabdomyolosis,Concurrent acute renal failure.Clinical doctors immediately gives the diagnosis.After admission for allison illness aggravating,Anasarca and fell into a coma/cramps,Oxygen saturation decline to 60%,Appeared multiple organ failure.

　　为了挽救花季般的生命，俞卓伟院长亲自主持，组织重症监护、呼吸内科、心血管内科、肾脏内科等多位院内外知名专家联合会诊，并转入重症监护室后积极救治。经过长达17天的抢救，通过呼吸机辅助通气、连续血液净化、抗感染等多学科综合治疗后，佳佳终于脱离了危险期。

In order to save the flower of life,YuZhuoWei dean hosted in person,Organization intensive care/Respiratory medicine/Cardiovascular internal medicine/Kidney medicine waiting for many well-known experts YuanNaWai joint consultation,And turn into severe medicine actively after treatment.After more than 17 days of the rescue,Through the breathing machine auxiliary ventilation/Continuous blood purification/Resistance to infection after multidisciplinary comprehensive treatment,Allison finally out of crisis.

96小时尿量8毫升 96 hours urine volume 8 ml

　　无独有偶。佳佳入院一周时，华东医院再次收治了一位因饮食不当引起横纹肌溶解症的病人。今年35岁的吴先生，发病前一周内连吃四天大闸蟹，因突发剧烈腹痛被送进了华东医院。

similarly.Allison admission when a week,Hua dong hospital were again a diet because of undeserved cause rhabdomyolosis patients.This year, 35, Mr. Wu,Disease within one week before even eat four days hairy crab,Because of the sudden severe abdominal pain was sent to the east China hospital.

　　吴先生发病后6小时就出现了急性肾功能衰竭，96小时尿量仅有8毫升，随即并发败血症、感染性休克，心、肺、肝、肾、凝血系统等“全线告急”。面对命悬一线的病人，重症监护室宋晓华主任果断决定，立即为病人进行气管插管和连续血液净化治疗，为挽救生命赢得了时间。

Mr. Wu incidence after 6 hours in acute renal failure,96 hours only 8 ml of urine output,Then concurrent septicemia/Infectious shock,heart/lung/liver/renal/Clotting system, etc"In all".In the face of the hanging by a thread of the patients,Severe medicine SongXiaoHua director decisive decision,Immediately for patient endotracheal intubation and continuous blood purification treatment,To save lives won the time.

　　不料险象环生。吴先生的血小板数量骤跌至正常人的1/10，病人口鼻出血，皮下遍布淤点、淤斑和出血，床旁护士必须每3分钟就要为其填塞特制的止血棉球止血。为避免更为严重的颅脑内出血，医院和市血液中心一起，尽一切努力从全市调集了8个单位的单采血小板，相当于100份全血中血小板的含量。

Behold 22-hour.Mr. Wu of the number of platelet precipitous drop to normal 1/10,Disease population nose bleeding,Subcutaneous in silt point/Ecchymosis and hemorrhage,Bedside nurse must every three minutes for the tamping special hemostatic sponge hemostatic.To avoid more serious cerebral hemorrhage,The hospital and the municipal blood center together,Make every effort from the assemble 8 units of single mining platelet,The equivalent of 100 a whole blood platelets in the content.

　　经过七个昼夜的全力救治，吴先生终于恢复了意识。以后又经过两周的针对性治疗，目前吴先生也已康复出院了。

After seven of the day and night to treatment,Mr. Wu finally returned to consciousness.Later after two weeks of targeted therapy,Now Mr. Wu has also rehabilitation was released from the hospital.

美食可口也需节制 Food delicious also need to moderate

　　横纹肌溶解症是因肌细胞产生毒性物质而导致肾损害的一种疾病，俗称肌肉溶解。通常是发生在和我们的肢体运动相关的骨骼肌，发病后普遍有肌肉疼痛、乏力、肌肉痉挛、肌肉肿胀、肌肉“注水感”及少尿、无尿等急性肾功能衰竭等临床表现。

Rhabdomyolosis because muscle cells to produce toxic substances to cause kidney damage a kind of disease,Commonly known as muscle dissolved.Is usually occur in and our body movement related skeletal muscle,After the onset of generally muscle pain/Lack of power/Muscle spasm/Muscle swelling/muscle"Water injection are"And oliguria/No such as urine acute renal failure and clinical manifestation.

　　“究竟是何物质导致这两位病人发病，还有待进一步研究，”全程参与抢救的华东医院重症监护室宋晓华主任强调说，饮食不当、过量很可能是诱发因素。2010年夏天南京等地突然出现大量横纹肌溶解症病例，就曾高度怀疑市民爱吃的小龙虾。因此奉劝广大市民，海鲜虾蟹鲜美可口，但也需节制，尽量避免短时间内大量摄入。(首席记者 施捷 通讯员 王晨瑶 左钢)

"What substances cause the two patients disease,Still needs further research,"Fully involved in the rescue of east China hospital medicine in SongXiaoHua director stressed,Improper diet/Excess is likely to be induced factors.In the summer of 2010 nanjing suddenly appeared a lot of rhabdomyolysis disease,Was highly suspected people love to eat small lobster.Therefore advise the general public,Delicious seafood lobster crab,But also need to moderate,Try to avoid intake in a short time.(ShiJie chief reporter correspondent WangChenYao ZuoGang)