【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。更多还原

【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.更多还原