摘要
目的：总结高强度军训所致ARF患者的临床病理特点。方法：回顾性分析11例高强度军训后发生ARF患者的临床及病理表现。均为青年男性，年龄19—32岁，起病前有明确的3—10km超负荷军训史。结果：所有患者均有恶心、呕吐，血压升高者7例，少尿和无尿者5例，晕厥3例。辅助检查：11例有轻-中度蛋白尿，9例尿NAG酶升高，血肌酐170-1720μmoL／L，6例ALT和AST升高，无贫血，无双肾缩小。肾组织病理为肾小管坏死脱落，间质水肿，间质内大量红细胞淤积。治疗后所有患者肾功能恢复正常。结论：高强度军事训练可引起急性肾功能衰竭，临床为少尿性和／或非少尿性，肾活检病理为急性小管间质病变，预后良好。
Objective： To analyze the clinical and pathological characteristic of the patients with acute renal failure induced by overload military training. Methods： The clinical and pathological data of 11 patients admitted to our hospital from 2000 to 2005 were reviewed. Results： The average age of 11 patients was （25.3 ± 5.3） years old. The clinical manifestatation included proteinuria （ 100% ）, increased urinary N - acetyl -β - D - glucosaminidase （NAG） （81.8%）, hypertension （63.6%）, oliguria （45.5%）, nausea and vomitus. Kidney biopsy specimens were obtained from these patients. The main pathological changes were acute tubular necrosis and edema of the interstitial space. Conclusion： Overload military training can lead to ARF, causing oliguria, proteinuria and hypertension. The primary histologic lesion is acute tubuli- interstitial nephritis.
出处
《西北国防医学杂志》
CAS
2007年第4期265-267,共3页
Medical Journal of National Defending Forces in Northwest China
关键词
急性肾功能衰竭
临床病理
军事训练
运动
Acute renal failure
Clinic pathology
Military training
Exercise
