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目的 探讨肌红蛋白尿症的病因、临床表现、诊断、治疗和预后。方法 报道 1例病毒性肌炎伴肌红蛋白尿症患者的临床、肌电图及病理资料 ,并结合文献对本病的病因、临床表现、诊断、治疗和预后进行讨论。结果 该患者在流感流行期出现上呼吸道感染后肌肉无力、肿胀、疼痛伴肌红蛋白尿症。血清 CPK增高至正常上限的 16 0倍。肌电图示肌源性损害。肌活检见肌纤维变性、坏死。结论 本病的诊断需临床与实验室检查相结合。其预后与急性期处理是否积极密切相关 ,但病毒性肌炎所致者预后良
Objective To investigate the etiology, clinical manifestations, diagnosis, treatment and prognosis of myoglobinuria. Methods The clinical, EMG and pathological data of 1 patient with viral myositis and myoglobinuria were reported. The etiology, clinical manifestations, diagnosis, treatment and prognosis of this disease were discussed in combination with the literature. Results The patient developed muscle weakness, swelling, and pain with myoglobinuria after upper respiratory infection during the flu pandemic. Serum CPK increased to 16 0 times the upper limit of normal. Myoelectricity shows myogenic damage. Muscle biopsy see muscle degeneration, necrosis. Conclusion The diagnosis of this disease need to be combined with clinical and laboratory tests. The prognosis and acute phase is closely related to whether the positive, but the prognosis of viral myositis good