【摘要】 横纹肌溶解症（rhabdomyolysis）是各种因素导致的横纹肌破坏、崩解，引起机体内环境紊乱甚至急性肾衰竭的临床综合征。回顾性分析1例宫颈癌根治术后发生的横纹肌溶解症，其发生与全身麻醉状态、手术体位、长时间制动有关，临床表现为肌痛、乏力和深色尿，血清肌酸激酶、肌红蛋白升高，经扩容、利尿、连续性肾脏替代治疗（continuous renal replacement therapy,CRRT）后痊愈。旨在引起医生重视因长时间手术、被动体位导致的横纹肌溶解症，强调在患者清醒状态下摆放手术体位的重要性。更多还原

【Abstract】 Rhabdomyolysis(RM) is a well-known clinical syndrome caused by the breakdown and necrosis of muscle tissue. It can lead to electrolyte abnormalities and acute kidney injury. A case of RM is analyzed retrospectively during laparoscopic surgery for cervical cancer. It is related to the state of general anesthesia, surgical position and long time immobilization. It is characterized by muscle pain, weakness, and dark pigmentation of the urine. The diagnosis is confirmed by elevated creatine kinase and myoglobin levels. The management of RM is prompt intravenous volume expansion, maintainous urine output, and continuous renal replacement therapy(CRRT). Doctors need to pay attention to the intro-operative RM.Prolonged duration and passive position of surgery is a well-recognized risk factor in the development of RM. It emphasize the importance of placing the patient in the surgical position in the awake state.更多还原