事实就是如此：横纹肌溶解症的诊断与管理

Just the Facts: Diagnosis and management of rhabdomyolysis.

作者信息

Long Brit, Targonsky Elisha, Koyfman Alex

机构信息

Brooke Army Medical Center, Department of Emergency Medicine, Fort Sam Houston, TX.

Emergency Physician, North York General Hospital, Trillium Health Partners-Credit Valley Hospital, Lecturer, University of Toronto, ON.

出版信息

CJEM. 2020 Nov;22(6):745-748. doi: 10.1017/cem.2020.37.

DOI:10.1017/cem.2020.37

PMID:32390586

Abstract

A 32-year-old male presents with diffuse myalgias, weakness, and dark urine for 1 day. The patient states he recently started a new exercise program. He is hemodynamically stable, and his physical examination reveals diffuse muscle tenderness. His creatine kinase (CK) returns at 8,000 international units per liter (IU/L), and his urinalysis reveals blood but only three red blood cells (RBCs) on microscopy.

摘要

一名32岁男性因弥漫性肌痛、乏力和深色尿1天前来就诊。患者称他最近开始了一项新的锻炼计划。他血流动力学稳定，体格检查发现弥漫性肌肉压痛。他的肌酸激酶（CK）结果为8000国际单位/升（IU/L），尿液分析显示有血，但显微镜检查仅发现三个红细胞（RBC）。