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研究新型冠状病毒肺炎(COVID-19)患者横纹肌溶解相关急性肾损伤及其与其他类型急性肾损伤的比较。

Examining rhabdomyolysis-related acute kidney injury in COVID-19 patients and its comparison to other acute kidney injury types.

作者信息

D Souza Liyan Ajit, Nashwan Abdulqadir J

机构信息

Research Intern, Hamad Medical Corporation, Doha 3050, Qatar.

Nursing & Midwifery Research Department, Hamad Medical Corporation, Doha 3050, Qatar.

出版信息

World J Virol. 2025 Jun 25;14(2):100986. doi: 10.5501/wjv.v14.i2.100986.

Abstract

Rhabdomyolysis (RM) is characterized by disrupting muscle cells and releasing intracellular components into circulation. Some symptoms associated with RM include muscle weakness, discolored urine, and myalgia. RM can be caused by coronavirus disease 2019 (COVID-19) causing exaggerated immune response leading to muscle damage. Acute kidney injury (AKI), when presented with RM, leads to increased mortality. Examining RM-related AKI and its comparison to other AKI types in COVID-19 patients could improve the management of viral infections developing RM and AKI. RM potentially complicated COVID-19 infection course and is a major etiology of AKI. RM-related AKI had higher severity and mortality than other AKI types, with increased hypercoagulopathy and inflammatory markers. Findings also express procalcitonin use in follow-ups with severe COVID-19 patients. Study limitations include small sample size, absence of kidney biopsies, and focus on the first wave of the pandemic, which should be addressed in future research to generate accurate and relevant findings.

摘要

横纹肌溶解症(RM)的特征是肌肉细胞被破坏,细胞内成分释放到循环系统中。与RM相关的一些症状包括肌肉无力、尿液变色和肌痛。RM可能由2019冠状病毒病(COVID-19)引起,导致过度免疫反应,进而造成肌肉损伤。RM合并急性肾损伤(AKI)时,会导致死亡率增加。研究COVID-19患者中与RM相关的AKI及其与其他类型AKI的比较,可能会改善对并发RM和AKI的病毒感染的管理。RM可能会使COVID-19感染病程复杂化,并且是AKI的主要病因。与RM相关的AKI比其他类型的AKI具有更高的严重程度和死亡率,同时高凝状态和炎症标志物增加。研究结果还表明降钙素原可用于重症COVID-19患者的随访。研究局限性包括样本量小、未进行肾活检以及仅关注疫情的第一波,未来研究应解决这些问题以得出准确且相关的结果。

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