At the beginning of the school season, the students were happy to go back to school, but a 15-year-old girl from Chinese mainland was lying in a hospital bed. Unfortunately, she suffers from rhabdomyolysis. The girl's brother said that the girl didn't finish her homework a few days ago, and as a result, she was fined 200 squats by the teacher at school. The girl's illness is probably related to this matter. Is that so?
Girl, she told reporters that on the evening of September 7th last Monday, during the evening self-study, the teacher asked the students to dictate words, but she didn't finish six, and then the teacher asked her to do 200 squats. After the girl finished speaking, she felt that her legs were almost unconscious.
On September 9, the girl began to have hematuria symptoms. On the afternoon of September 1 1, she couldn't walk any further and went to the hospital. The hospital diagnosed rhabdomyolysis!
Yan Zonghai, director of toxicology and nephrologist at Chang Gung Memorial Hospital in Linkou, said that rhabdomyolysis is an emergency that doctors must deal with quickly, because if it is not treated quickly, patients may have shock and acute renal failure, which may be life-threatening.
Rhabdomyolysis refers to skeletal muscle in the body; That is to say, the rapid injury of rhabdomyositis, acute necrosis of muscle cells or the destruction of cell membrane will make protein and myosin of muscle leak into blood and urine. Rhabdomyolysis is a symptom, and various causes leading to fine muscle destruction may cause rhabdomyolysis.
There are two main reasons for rhabdomyolysis.
There are two main reasons for acute rhabdomyolysis, the first is traumatic and the second is non-traumatic. The most common traumatic accident is a car accident, in which tissues such as body muscles are quickly destroyed. There are also poisonous snake bites or tiger bee bites in summer. A few days ago, a middle school student accidentally hit a tiger bee's nest while playing ball, and two students were almost killed by hundreds of tiger bees. There have been cases in which teachers died heroically to save students who were attacked by tiger bees after class. The third common reason is long-term physical oppression; For example, taking sleeping pills or coma leads to long-term inability to turn over and body muscle tissue necrosis.
The most common cause of non-traumatic acute rhabdomyolysis is strenuous exercise. For example, marathon is often caused by too much exercise and too much weight-bearing training. In the past, it often appeared in schools to punish frogs, run on the playground or parade in the army. The second common reason is drug abuse, such as taking lipid-lowering drugs and drugs.
Third, high body temperature, such as high fever, convulsions, or muscle necrosis caused by heatstroke. Fourth, various infections, such as this little girl with rhabdomyolysis caused by influenza A, caused by leptospirosis after rain. Yan Zonghai said that in fact, all kinds of virus infections and bacterial infections are caused by virus damage and high fever.
Be alert to these symptoms.
Yan Zonghai said that rhabdomyolysis leads to muscle pain and decreased muscle contractility, so you will feel muscle weakness and your muscles may look swollen and congested. Because the structure of myosin is similar to heme, if myosin enters urine, it will also make urine brown or red. If you have a fever, excessive exercise or injury, you will find muscle pain and the color of urine will become darker. You should suspect the risk of rhabdomyolysis. Go to the doctor quickly.
To prevent acute rhabdomyolysis, it is necessary to replenish water and remove the cause.
Generally, rhabdomyolysis is caused by water shortage. Usually hospitalization requires a lot of intravenous drip. People who exercise excessively or suspect that they may suffer from heatstroke should drink plenty of water as soon as possible to reduce the harm caused by hyperthermia, and pay attention to whether to urinate. If they don't urinate, because of the high concentration of myosin in urine, the function of the kidney to filter out waste may be damaged, which may lead to the deterioration of renal function and even the need for emergency kidney washing.