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高强度抗阻训练后的横纹肌溶解症

Rhabdomyolysis after High Intensity Resistance Training.

作者信息

Honda Sakiko, Kawasaki Tatsuya, Kamitani Tadaaki, Kiyota Keisuke

机构信息

Department of Cardiology, Matsushita Memorial Hospital, Japan.

Kiyota Clinic, Japan.

出版信息

Intern Med. 2017;56(10):1175-1178. doi: 10.2169/internalmedicine.56.7636. Epub 2017 May 15.

Abstract

Rhabdomyolysis, which is a characteristic occurrence in associated with muscle cell necrosis, develops due to various causes. We herein report a rare case of a patient with rhabdomyolysis after high intensity resistance training, in which markedly elevated levels of serum creatine kinase (CK) and urine myoglobin were observed. A previously healthy 37-year-old man presented with severe myalgia and dark urine after performing high-intensity exercise. The patient's serum CK level was 95,100 U/L and his urine myoglobin level was 160,000 ng/mL. His symptoms and laboratory findings gradually improved with the intravenous administration of saline and no complications (including electrolyte imbalance and acute renal failure) developed.

摘要

横纹肌溶解症是一种与肌肉细胞坏死相关的典型病症,由多种原因引发。我们在此报告一例高强度抗阻训练后发生横纹肌溶解症的罕见病例,该病例中观察到血清肌酸激酶(CK)和尿肌红蛋白水平显著升高。一名既往健康的37岁男性在进行高强度运动后出现严重肌痛和深色尿液。患者血清CK水平为95,100 U/L,尿肌红蛋白水平为160,000 ng/mL。经静脉输注生理盐水后,其症状和实验室检查结果逐渐改善,且未出现并发症(包括电解质失衡和急性肾衰竭)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01ff/5491812/6703eb0b2b27/1349-7235-56-1175-g001.jpg

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