长期停训后迅速恢复无氧运动导致急性肾衰竭，并伴有严重的腰痛和散在性肾缺血。
Acute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise caused by rapid resumption after prolonged detraining.
作者信息
Takehara Kei, Mizobe Michiko, Endo Keita, Miyake Akihiro, Suzuki Toshihiko, Funakoshi Hiraku
机构信息
Department of Emergency and Critical Care Medicine Tokyobay Urayasu Ichikawa Medical Center 3-4-32 Todaijima, Urayasu Chiba 279-0001 Japan.
Department of Nephrology, Endocrinology and Diabetes Tokyobay Urayasu Ichikawa Medical Center 3-4-32 Todaijima, Urayasu Chiba 279-0001 Japan.
出版信息
Acute Med Surg. 2022 Feb 19;9(1):e732. doi: 10.1002/ams2.732. eCollection 2022 Jan-Dec.
BACKGROUND
We report a case of acute renal failure with loin pain and patchy renal ischemia after anaerobic exercise (ALPE) caused by sudden training resumption.
CASE PRESENTATION
A 19-year-old Asian man who was a college American football player presented with severe back pain, headache, and malaise. He developed acute kidney injury without myoglobinuria. Based on the typical medical history and symptoms, we made a diagnosis of ALPE. Symptoms improved within a few days, and serum creatinine levels simproved after discharge. He resumed training, adjusting his load step by step.
CONCLUSION
During the coronavirus disease 2019 pandemic, many athletes were unable to undergo adequate training. Long-term de-training leads to decreased various organ function and reduces the anaerobic threshold. Rapid resumption after prolonged de-training may put individuals at risk of developing ALPE.
背景
我们报告一例因突然恢复训练导致无氧运动后出现腰痛和散在性肾缺血的急性肾衰竭病例（ALPE）。
病例介绍
一名19岁的亚洲男性，是一名大学美式橄榄球运动员，出现严重背痛、头痛和不适。他发生了急性肾损伤但无肌红蛋白尿。根据典型的病史和症状，我们诊断为ALPE。症状在几天内有所改善，出院后血清肌酐水平也有所改善。他恢复训练，逐步调整负荷。
结论
在2019冠状病毒病大流行期间，许多运动员无法进行充分的训练。长期停训会导致各器官功能下降并降低无氧阈值。长时间停训后迅速恢复训练可能使个体有发生ALPE的风险。
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