A Very Old Man with Crush Syndrome.

概要

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A 90-year-old man fell into a marsh and was rescued 18 hours later. When he was admitted to our emergency room, physical examination revealed no remarkable findings except for many abrasions on his skin. Laboratory examination revealed a serum CPK level of 46, 904IU/L, which had furthre increased to 84, 678IU/L by the following day. Oliguria developed on the second day, along with an increase in serum creatinine to 5.5mg/dl. Hemodialysis was considered for the treatment of acute renal failure, but his renal function recovered soon by the continuation of conservative fluid therapy. Fluid therapy may be an effective and easy treatment for acute renal failure due to the crush syndrome, even in very old patients.
社団法人日本老年医学会の論文