Rabdomyolize bağlı akut böbrek yetmezliği gelişen İntradural servikal ateşli silah yaralanması.

Spinal yaralanmalar sık karşılaştığımız, mortalite ve morbiditesi oldukça yüksek travmalardır. Spinal ateşli silah yaralanması nedeniyle rabdomyolis bu vakaların yaklaşık yarısında karşılaştığımız bir durumdur. Rabdomyolizis, vücuttaki kasların hızlı bir şekilde hasar görmesi ve ortaya çıkan yıkım ürünleri dolayısı ile ortaya çıkan tablodur. Ortaya çıkan yıkım ürünlerinin miktarı kaslardaki hasarın büyüklüğü ve şiddeti ile ilişkilidir. Yıkım ürünleri böbreklerin temizleyebileceğinden daha fazla olduğunda böbrek yetmezliği hatta ölüm gözlenebilir. Omurgada Servikal bölge en az ateşli silah yaralanmasına maruz kalan ve mortalitesi en yüksek spinal bölgedir. Servikal bölge yaralanmalarında çok miktarda kas grubunda pleji ve parezi gelişme riski olduğundan, çok daha sıklıkla rabdomyolizis gözlenmektedir. Bu yazıda servikal spinal ateşli silah yaralanmasına bağlı rabdomyolizis ve böbrek yetmezliği gelişen bir olguyu sunduk.

Anahtar Kelimeler:

servikal omurga, ateşli silah yaralanması, akut böbrek yetmezliği, rabdomiyoliz

Rhabdomyolysis related acute renal failure developing in a patient with intradural cervical gunshot injury.

Spinal injuries are frequent traumas with high mortality and morbidity. Spinal gunshot injury-related rhabdomyolysis is a condition which develops in approximately half of the patients. Rhabdomyolysis results from rapid injury of the muscles and degradation products. Amount of the degradation products is associated with the magnitude and the severity of the muscle injury. Renal failure and even death may occur when the amount of degradation products exceeds the renal clearance capacity. Cervical region is the spinal region which is exposed to injury least and which has the highest mortality. Rhabdomyolysis develops more frequently in cervical region injuries due to the risk of plegia and paresis development in large muscle groups. In this paper, we presented a patient who developed cervical spinal gunshot injury-related rhabdomolysis and renal failure.

Keywords:

Cervical spine, gunshut injury, acute renal failure, rabdomyolysis,

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