Xiao Wang did not expect that shortly after he did 200 squats, the color of his urine would become "soy sauce color", which made him frightened, so he immediately went to the hospital for treatment. On December 13, the reporter learned from the Department of Nephrology of Guizhou Anshun 302 Hospital that Xiao Wang was suffering from rhabdomyolysis syndrome due to sudden and large-scale exercise, which would lead to kidney failure and even endanger life if not treated in time.
The doctor examines Xiao Wang
Urine after 200 squats becomes "soy sauce color"
On the afternoon of December 13, the reporter met Xiao Wang on the bed of the nephrology department of Anshun 302 Hospital, who was recovering. "It feels better and my legs don't hurt anymore." He said.
Talking about why he suffered from rhabdomyolysis, he seemed a little embarrassed. Xiao Wang was originally a physical education teacher in Anshun, but since September this year, he has been transferred to other positions by the school and has not been exposed to physical education work.
On the evening of December 7, Xiao Wang wanted to exercise his body after a busy day's work, so he came to the school playground and did 200 squats in one go. At first, he did not react, but when he returned home, he felt pain in his legs.
"I thought it was normal." However, the pain lasted for 2 days and showed no signs of relief, Xiao Wang said.
It wasn't until December 10, the third day after the squat, that he found that the color of his urine had changed to "soy sauce color". He began to worry and quickly went to the hospital for treatment.
Indicators at the time of admission
The indicator exceeds the normal value by 300 times
Upon examination, the blood biochemical index was indicated: creatine kinase was as high as 47711.5, while the normal reference range was only between 25 and 200. Subsequently, Xiao Wang immediately came to the Department of Nephrology of 302 Hospital for hospitalization. His doctor diagnosed him with an abnormally elevated creatine kinase and was diagnosed with rhabdomyolysis syndrome.
Wu Song, a nephrologist at 302 Hospital, introduced that under normal circumstances, suffering from rhabdomyolysis syndrome, creatine kinase indicators will be abnormally elevated, and will reach a peak within a week, Xiao Wang after admission to the hospital, creatine kinase indicators up to more than 60,000, however, doctors for it to take stable muscle cells, rehydration, diuresis and other treatment, creatine kinase and other related indicators gradually declined, Xiao Wang is also gradually recovering.
Xu Yansong, deputy director of the Department of Nephrology of 302 Hospital, introduced that rhabdomyolysis refers to the destruction and disintegration of the rhabdomyolysis caused by various causes, so that creatine kinase, myoglobin and other intracellular components enter the blood circulation, causing environmental disorders in the body, and even a group of clinical syndromes of acute renal failure. Simple rhabdomyolysis is mostly prognostic, but when rhabdomyolysis is combined with serious complications such as acute renal failure, mortality rates increase significantly; studies have shown that 15% to 40% of patients with rhabdomyolysis have acute renal failure, and the mortality rate is as high as 20%.
Reminder: Exercise must be gradual
There are many factors that occur in rhabdomyolysis syndrome, which can be roughly divided into physical factors and non-physical factors, of which physical factors include: squeezing and trauma, exercise and muscle hyperactivity, electric shock, high fever and so on. Non-physical factors include: drugs, poisons, infections, electrolyte disorders, autoimmune diseases, endocrine and genetic metabolic diseases. Although there are many factors that cause rhabdomyolysis, its common pathophysiological mechanism is that various electrolyte disorders inside and outside the cell cause the destruction of the cell membrane, which leads to the intracellular creatine kinase, myo-red egg white and other components into the blood, and then a series of clinical manifestations. In general, after a sudden large amount of physical exercise, it is easy to lead to rhabdomyolysis.
Xu Yansong said that previously, they had treated a number of patients with rhabdomyolysis syndrome, most of whom were sports enthusiasts, some of whom were sick after 900 squats, some of whom were sick after 20 squats, and some of whom were sick after stepping on gym spinning. She also introduced that some trauma, drugs, infections, and even eating crayfish may also cause rhabdomyolysis.
Xu Yansong also reminded the majority of sports enthusiasts that before exercise, they should fully warm up and stretch, and at the same time, step by step, when there is discomfort, stop the exercise at the first time and go to the hospital for treatment.
Source: Guizhou Daily Tianyan News