과도한 운동으로 인한 횡문근융해증 2례
Two Cases of Rhabdomyolysis after Excessive Exercise
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초록
횡문근융해증은 다양한 원인에 의해 발생하며 여러가지 합병증이 발생할 수 있는 증후군이다. 합병증으로 심한 대사성 이상과 여러 장기의 침범이 동반 될 수 있는데 치명적인 합병증으로는 급성 신부전이 나타날 수 있으며 이를 예방하기 위해 초기에 충분한 수액 요법을 실시하는 것이 필요하다. 저자들은 학교에서 벌로 과도한 운동을 시행 받은 후 발생한 횡문근 융해증 2례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.
Abstract
Rhabdomyolysis is a syndrome involving the breakdown of skeletal muscle causing myoglobin and other intracellular proteins and electrolytes to leak into the circulation. There are various causes of acute rhabdomyolysis in childhood, such as direct trauma to muscle, muscle necrosis from ischemia, inflammation in muscle, or exposure to drugs and toxins. The most-important complication of this disorder is acute renal failure (ARF). However, the contributing factors to the development of ARF in children with rhabdomyolysis remain obscure. We report two cases of rhabdomyolysis after excessive exercise.
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