Bolgiano E B
Department of Surgery, University of Maryland Medical Center, Baltimore.
J Sports Med Phys Fitness. 1994 Mar;34(1):76-8.
A 40 year old man presented with severe muscle (biceps) pain and rhabdomyolysis following a session of weight lifting. He denied use of anabolic steroids or other drugs. Total serum creatine kinase was 76,080 IU/l. The patient was treated with intravenous sodium chloride, sodium bicarbonate, and mannitol. He did not develop renal failure and his symptoms resolved after two weeks. Cases of rhabdomyolysis associated with other forms of excessive physical exertion are commonly reported, however cases associated with weight lifting are reported relatively infrequently. Probably many cases in this setting go unrecognized and are diagnosed as simple muscle strain. The exact incidence of rhabdomyolysis in this setting of body building exercise remains unknown. Treatment is essentially the same as for rhabdomyolysis due to other causes.
一名40岁男性在一次举重训练后出现严重的肌肉（肱二头肌）疼痛和横纹肌溶解症。他否认使用过合成代谢类固醇或其他药物。血清总肌酸激酶为76,080 IU/l。患者接受了静脉注射氯化钠、碳酸氢钠和甘露醇治疗。他未发生肾衰竭，症状在两周后得到缓解。与其他形式的过度体力消耗相关的横纹肌溶解症病例常有报道，但与举重相关的病例报道相对较少。在这种情况下，可能许多病例未被识别，而是被诊断为单纯的肌肉拉伤。在这种健身锻炼背景下横纹肌溶解症的确切发病率仍然未知。其治疗方法与其他原因导致的横纹肌溶解症基本相同。
