Department of Health, Human Performance and Recreation, School of Education, Baylor University, Waco, Texas 76798-7304, USA
Clin J Sport Med. 2013 May;23(3):235-7. doi: 10.1097/JSM.0b013e3182625a37.
This case study reports the clinical details and pathologic mechanisms of a nonfatal case of rhabdomyolysis secondary to heat exhaustion and sickle cell trait (SCT) resulting in acute renal failure. A 19-year-old African American male college football player collapsed after running 5 intervals of 300 m during a preseason conditioning test. After 17 days of treatment, the athlete was released from the hospital to a short-term noncritical care facility for further treatment and dialysis. Scientific literature reports that at least 15 college football players with SCT have died as a result of a sickling crisis after intense physical exertion. This case study presents the clinical importance of prompt medical treatment and sustained low-efficiency dialysis in treating rhabdomyolysis and its sequelae after collapse in an SCT athlete.
本病例研究报告了一例非致命性横纹肌溶解症的临床细节和病理机制，该病例由热衰竭和镰状细胞特征（SCT）引起，导致急性肾衰竭。一名 19 岁的非裔美国男性大学生橄榄球队员在进行赛前体能测试时跑完 5 个 300 米区间后突然晕倒。经过 17 天的治疗，该运动员从医院出院到短期非重症监护病房进行进一步治疗和透析。科学文献报告称，至少有 15 名 SCT 大学生橄榄球队员在剧烈体力活动后出现镰状细胞危象而死亡。本病例研究提出了在 SCT 运动员晕倒后，及时进行医疗治疗和持续低效透析对治疗横纹肌溶解症及其后果的临床重要性。
