Payne R B
J Clin Pathol. 1966 Mar;19(2):170-2. doi: 10.1136/jcp.19.2.170.
A student had haemoglobin in the urine after running but not after cycling. The haemoglobinuria was related to the hardness of the surface on which he ran and to his running style. The concentration of haptoglobin in his plasma was less than normal. This was most pronounced after he had been running, when haptoglobin had combined with free haemoglobin, but the concentration was also low when there had been no haemolysis for six weeks. Thus two factors combined to give him haemoglobinuria: lysis of red cells by mechanical damage and lack of haptoglobin to combine with liberated haemoglobin.
一名学生跑步后尿液中出现血红蛋白，但骑自行车后则没有。血红蛋白尿与他跑步的地面硬度以及跑步方式有关。他血浆中触珠蛋白的浓度低于正常水平。这在他跑步后最为明显，此时触珠蛋白已与游离血红蛋白结合，但在六周没有溶血的情况下，其浓度也很低。因此，有两个因素共同导致了他出现血红蛋白尿：机械损伤导致红细胞溶解以及缺乏触珠蛋白来结合释放出的血红蛋白。
