Update: Exertional rhabdomyolysis, active component, U.S. Army, Navy, Air Force, and Marine Corps, 2011-2015.
Update: Exertional rhabdomyolysis, active component, U.S. Army, Navy, Air Force, and Marine Corps, 2011-2015.
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更新：劳力性横纹肌溶解症，活性成分，美国陆军、海军、空军和海军陆战队，2011-2015 年。
DOI：
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
Armed Forces Health Surveillance Branch
中科院分区：
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作者：
Armed Forces Health Surveillance Branch
2015 年，美国陆军、海军、空军和海军陆战队现役军人中有 456 起横纹肌溶解症事件，可能是由于体力消耗或热应激（“劳力性横纹肌溶解症”）所致。 2014 年至 2015 年间，劳力性横纹肌溶解症的年诊断率增加了 17%。2015 年，发病率最高的是男性军人；2015 年，男性军人的发病率最高。年龄小于20岁；黑人、非西班牙裔；海军陆战队和陆军成员；招募实习生；以及特定于战斗的职业。大多数劳力性横纹肌溶解症病例是在支持基本战斗/新兵训练或陆军或海军陆战队主要地面作战部队的设施中诊断出来的。当服役人员（尤其是新兵）在剧烈体力活动后（特别是在炎热、潮湿的天气）出现肌肉疼痛和肿胀、活动范围受限或排出深色尿液（例如肌红蛋白尿）时，医疗保健提供者应在鉴别诊断中考虑劳力性横纹肌溶解症。
Among active component members of the U.S. Army, Navy, Air Force, and Marine Corps in 2015, there were 456 incident episodes of rhabdomyolysis likely due to physical exertion or heat stress ("exertional rhabdomyolysis"). Annual rates of incident diagnoses of exertional rhabdomyolysis increased 17% between 2014 and 2015. In 2015, the highest incidence rates occurred in service members who were male; younger than 20 years of age; black, non-Hispanic; members of the Marine Corps and Army; recruit trainees; and in combat-specific occupations. Most cases of exertional rhabdomyolysis were diagnosed at installations that support basic combat/recruit training or major ground combat units of the Army or Marine Corps. Medical care providers should consider exertional rhabdomyolysis in the differential diagnosis when service members (particularly recruits) present with muscular pain and swelling, limited range of motion, or the excretion of dark urine (e.g., myoglobinuria) after strenuous physical activity, particularly in hot, humid weather.