Cianflocco A J
Department of Orthopaedic Surgery, Cleveland Clinic Foundation, Ohio.
Clin Sports Med. 1992 Apr;11(2):437-51.
Exercise-related conditions such as proteinuria and hematuria are relatively common and represent diagnoses of exclusion. A variety of renal disorders with identical presenting signs and symptoms must be excluded as underlying disorders. The relationship of the onset to and clearance after exercise of the findings is key to making the diagnosis of these exercise-related conditions. Athletes with sports hematuria or proteinuria are not prone to develop renal disease but must be followed closely to exclude the development of a significant underlying problem. Fortunately, acute renal failure is a rare and preventable life-threatening complication of exercise. Appropriate training techniques and adequate fluid replacement are key in prevention, as are prompt recognition and treatment of dehydration and disorders of thermoregulation. Prevention and prompt recognition are also the first steps in the approach to renal trauma. Close observation and conservative management of the athlete with renal trauma will result in salvaging more kidneys.
与运动相关的病症，如蛋白尿和血尿，相对常见，且属于排除性诊断。必须排除各种具有相同临床表现的肾脏疾病作为潜在病症。运动后这些发现的发作与清除之间的关系是诊断这些与运动相关病症的关键。患有运动性血尿或蛋白尿的运动员不易患肾脏疾病，但必须密切随访以排除严重潜在问题的发生。幸运的是，急性肾衰竭是运动罕见且可预防的危及生命的并发症。适当的训练技术和充足的液体补充是预防的关键，及时识别和治疗脱水及体温调节障碍也是如此。预防和及时识别也是处理肾创伤的首要步骤。对肾创伤运动员进行密切观察和保守治疗将挽救更多的肾脏。
