MacSearraigh E T, Kallmeyer J C, Schiff H B
Nephron. 1979;24(5):236-40. doi: 10.1159/000181723.
The Comrades Marathon is a gruelling test of man's stamina and only trained athletes participate. It is surprising that of over 2,000 contestants each year on a 90-km (56.25-mile) course, severe cardiac and renal damage does not occur more often. We are able, however, to report 10 cases over 9 years when renal damage did occur. 3 cases required haemodialysis; 1 had peritoneal dialysis; 2 patients had renal biopsies. Possible idiosyncratic factors are discussed as is the pathogenesis of acute tubular necrosis.
同志马拉松赛是对人类耐力的一项严峻考验，只有经过训练的运动员才能参赛。令人惊讶的是，在每年参加90公里（56.25英里）赛程的2000多名参赛者中，严重的心脏和肾脏损伤并没有更频繁地发生。然而，我们能够报告在9年期间发生肾脏损伤的10例病例。3例需要血液透析；1例进行了腹膜透析；2例患者进行了肾活检。文中讨论了可能的特异质性因素以及急性肾小管坏死的发病机制。
