皮肤科学通报2024,Vol.41Issue(2) :214-216.

新型冠状病毒感染合并横纹肌溶解症1例

COVID-19 Infection Complicated with Rhabdomyolysis:A Case Report

裴志超 朱函坪 孙一晟 姚苹苹 徐芳 沈鑫
皮肤科学通报2024,Vol.41Issue(2) :214-216.

新型冠状病毒感染合并横纹肌溶解症1例

COVID-19 Infection Complicated with Rhabdomyolysis:A Case Report

裴志超 1朱函坪 1孙一晟 1姚苹苹 1徐芳 1沈鑫2
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作者信息

  • 1. 浙江省疾病预防控制中心微生物所,浙江 杭州 310051
  • 2. 宿迁市第一人民医院医学检验科,江苏宿迁 223800
  • 折叠

摘要

患者男,30岁,长期进行高强度训练运动,新型冠状病毒感染后出现全身肌肉酸痛、乏力等症状持续半月余,体力不能支撑体育运动.3个月后患者自觉身体恢复开始进行适应性训练,1周后出现胸闷、肌肉剧烈疼痛、乏力、尿液呈茶色等症状.入院查体:双上肢肌肉压痛,四肢活动正常,未见明显水肿;实验室检查:血浆中肌酸激酶31 007 U/L,血清肌酸激酶同工酶153 U/L,肌红蛋白2170 ng/mL.诊断:横纹肌溶解症.经过补液、碱化尿液等治疗后,患者肝肾功能、心肌酶谱各项指标均下降至正常范围内,遂出院.

Abstract

A 30-year-old male,who had been engaged in longterm high-intensity training and exercise,developed muscle aches and fatigue that lasted for half a month after the severe acute respiratory syndrome coronavirus 2 infection.His physical strength could not support sports.After 3 months,he felt that his body recovered and began to carry out adaptive training,and after a week,he developed symptoms such as chest tightness,severe muscle pain,fatigue,and brown urine.Physical examination on admission:muscle tenderness in both upper limbs,normal movement of limbs,no obvious edema;Laboratory tests:creatine kinase in plasma 31 007 U/L,serum creatine kinase-MB isoenzyme 153 U/L,and myoglobin 2 170 ng/mL.Diagnosis:rhabdomyolysis.After rehydration,alkalinization of urine and other treatments,his liver and kidney function and cardiac enzyme spectrum decreased to the normal range,and he was discharged.

关键词

新型冠状病毒/横纹肌溶解症/肌酸激酶

Key words

SARS-CoV-2/Rhabdomyolysis/Creatine Kinase

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基金项目

浙江省医药卫生科技计划项目(2023RC008)

出版年

2024
皮肤科学通报
西安交通大学

皮肤科学通报

CSTPCD
影响因子:0.273
ISSN:1001-8077
参考文献量13
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