침수 후 발생한 급성 신손상 1예A Case of Acute Kidney injury After Seawater Immersion
- Other Titles
- A Case of Acute Kidney injury After Seawater Immersion
- Authors
- 박재석; 김정훈; 양종오; 이은영; 홍세용; 길효욱
- Issue Date
- 2010
- Publisher
- 대한신장학회
- Keywords
- Hypothermia; Acute kidney failure; Immersion; Hypothermia; Acute kidney failure; Immersion
- Citation
- Kidney Research and Clinical Practice, v.29, no.2, pp 247 - 249
- Pages
- 3
- Journal Title
- Kidney Research and Clinical Practice
- Volume
- 29
- Number
- 2
- Start Page
- 247
- End Page
- 249
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/18471
- ISSN
- 2211-9132
2211-9140
- Abstract
- Acute renal failure (ARF) secondary to immersion and near-drowning has rarely been described and it is poorly understood. ARF associated with immersion and near-drowning might be involved with systemic tissue hypoxia, hypovolemia and hypothermia. Some reports have shown that rhabdomyolysis could be involved. We report here on a 52 year old seaman who developed ARF after cold sea-water immersion. He had been swimming for one hour in cold sea-water because his ship became stuck on a rock. After 2 days, his serum creatinine level was increased to 7.8 mg/dL, and pulmonary edema was developed. The serum myoglobin level was 495.1 ng/mL. He was diagnosed as oliguric ARF and treated with hemodialysis. Thereafter, renal function was gradually recovered. We presumed that hypothermia-induced vasoconstriction, hypovolemia and rhabdomyolysis were involved in ARF in the patient. It should be considered that cold sea-water immersion for a long time could evoke ARF in healthy men.
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