每天4只,一男子确诊尿毒症!医生提醒
<section data-role="outer" label="edit by 135editor"><p data-mpa-powered-by="yiban.io" style="text-align:justify;margin-bottom: 24px;letter-spacing: 0.578px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"></p><section data-mpa-powered-by="yiban.io" style="outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);text-align: center;line-height: 1.75em;visibility: visible;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;visibility: visible;font-size: 16px;">一到冬天,<br style="outline: 0px;visibility: visible;"/></span></section><section style="margin-bottom: 24px;outline: 0px;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);visibility: visible;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><section style="outline: 0px;visibility: visible;"><section style="outline: 0px;text-align: unset;visibility: visible;"><section style="outline: 0px;font-size: 15px;letter-spacing: 0.578px;text-align: center;line-height: 1.75em;visibility: visible;"><span style="outline: 0px;visibility: visible;font-size: 16px;">最快乐的事情莫过于靠着暖气,</span></section></section><section style="outline: 0px;text-align: unset;visibility: visible;"><section style="outline: 0px;text-align: center;line-height: 1.75em;visibility: visible;"><span style="outline: 0px;visibility: visible;font-size: 16px;">吃酸酸甜甜的砂糖橘、贡桔等水果。</span></section><section style="outline: 0px;text-align: center;font-size: 15px;letter-spacing: 0.5px;line-height: 1.75em;visibility: visible;"><span style="outline: 0px;visibility: visible;font-size: 16px;"><strong style="outline: 0px;visibility: visible;"><span style="outline: 0px;color: rgb(0, 122, 170);visibility: visible;">有人一吃就停不下来,</span></strong></span></section><section style="outline: 0px;text-align: center;line-height: 1.75em;visibility: visible;"><span style="outline: 0px;visibility: visible;font-size: 16px;"><strong style="outline: 0px;visibility: visible;"><span style="outline: 0px;color: rgb(0, 122, 170);visibility: visible;">甚至一下子能吃一筐</span></strong>。</span></section></section><section style="outline: 0px;text-align: center;visibility: visible;"><p style="outline: 0px;visibility: visible;"></p><p style="outline: 0px;visibility: visible;"></p><p style="outline: 0px;"></p><p style="outline: 0px;"></p><section style="outline: 0px;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;color: rgb(0, 122, 170);font-size: 16px;"><strong style="outline: 0px;">紧急提醒:</strong></span></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;color: rgb(0, 122, 170);font-size: 16px;"><strong style="outline: 0px;">一定要控制住量!</strong></span></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;">近期,</span></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;"><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">浙江杭州一医院接诊了</span></strong></span></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;"><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">不少</span></strong><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">高钾血症患者</span></strong>,</span></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;">有人甚至还<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">确诊尿毒症</strong>,</span></span></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;">一问都是桔子惹的祸。</span></section><section style="outline: 0px;line-height: 1.75em;"><br style="outline: 0px;"/></section></section><section style="outline: 0px;line-height: 1.75em;"><section style="outline: 0px;vertical-align: middle;display: inline-block;line-height: 0;"></section></section><section style="outline: 0px;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="outline: 0px;font-size: 15px;letter-spacing: 0.5px;line-height: 1.75em;"><section style="margin-top: 10px;margin-bottom: 20px;outline: 0px;text-align: center;justify-content: center;display: flex;flex-flow: row nowrap;"><section style="padding: 8px;outline: 0px;display: inline-block;width: auto;vertical-align: top;align-self: flex-start;flex: 0 0 auto;border-style: solid;border-width: 1px;min-width: 5%;height: auto;box-shadow: rgb(69, 119, 218) 6px 6px 0px 0px;"><section style="outline: 0px;text-align: left;"><section style="outline: 0px;text-align: justify;"><p style="text-align:center;outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong style="outline: 0px;">吃桔子吃进急诊室?</strong></span></p><p style="text-align:center;outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong style="outline: 0px;">此类案例并不少见</strong></span></p></section></section></section></section><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;text-align: left;justify-content: flex-start;display: flex;flex-flow: row nowrap;"><section style="padding: 6px;outline: 0px;display: inline-block;width: 100%;vertical-align: top;align-self: flex-start;flex: 0 0 auto;background-color: rgba(213, 60, 217, 0.06);"><section style="outline: 0px;justify-content: flex-start;display: flex;flex-flow: row nowrap;"><section style="padding: 14px 29px 5px 17px;outline: 0px;display: inline-block;width: 100%;vertical-align: top;align-self: flex-start;flex: 0 0 auto;border-style: solid;border-width: 1px;border-color: rgb(119, 14, 131);background-color: rgb(255, 255, 255);"><section style="outline: 0px;text-align: justify;"><p style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);font-size: 16px;"><strong style="outline: 0px;">【案例一】</strong><br style="outline: 0px;"/></span></p><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;">姜叔(化名)今年56岁,家有果园,最近蜜桔上市,姜叔经常边采摘边吃。<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">每天都要吃四五个才过瘾。</strong></span></span></p><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;">在果园干了半个月活,姜叔突然觉得手脚发麻、肌肉酸痛,他自觉是干活累到了,<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">毕竟他去年还体检出来有慢性肾病,</strong></span>体力不如以往。慢性肾病每个月都要定期复查,这次到了复查时间,他进医院一做检查,把医生吓了一跳——肌酐超过800μmol/L(正常男性53-106μmol/L),血钾也高达7.1mmol/l(正常浓度3.5-5.5mmol/l),而心率只有40次/分(正常人安静情况下心率为60-100次/分),姜叔<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">被诊断为尿毒症、高钾血症</span></strong><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">,随时可能会有心脏骤停的可能。</span></strong><span style="outline: 0px;text-align: left;">随后,姜叔</span>被当地医院<span style="outline: 0px;text-align: left;">紧</span>急收治入院进行治疗。</span></p><p style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);font-size: 16px;"><strong style="outline: 0px;">【案例二】</strong></span></p><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;">据武汉晚报报道,2021年1月的一天,<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">本身患有肾病的蒋先生,一口气吃下了5个桔子后,突然晕倒在地,</strong></span><span style="outline: 0px;text-align: left;">后被</span>紧急送往医院。</span></p><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;">检查报告显示,蒋先生的肌酐高达1700umol/L,血钾也高达7.2mmol/l,而血钾正常浓度为3.5-5.5mmol/l,诊断结果为<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">尿毒症、高钾血症</span></strong><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">,随时可能引发心脏骤停。</span></strong></span></p><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;">幸运的是,经过医院及时地血液透析、降血钾等抢救治疗,蒋先生最终转危为安。</span></p></section></section></section></section></section></section><section style="outline: 0px;text-align: unset;"><section style="outline: 0px;line-height: 1.75em;"><br style="outline: 0px;"/></section></section><section style="outline: 0px;line-height: 1.75em;"><section style="margin-top: 10px;margin-bottom: 20px;outline: 0px;text-align: center;justify-content: center;display: flex;flex-flow: row nowrap;"><section style="padding: 8px;outline: 0px;display: inline-block;width: auto;vertical-align: top;align-self: flex-start;flex: 0 0 auto;border-style: solid;border-width: 1px;min-width: 5%;height: auto;box-shadow: rgb(69, 119, 218) 6px 6px 0px 0px;"><section style="outline: 0px;text-align: left;"><section style="outline: 0px;text-align: center;"><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong style="outline: 0px;">吃水果致病年年都有,<br style="outline: 0px;"/>病人大多有肾病基础</strong></span></p></section></section></section></section></section><section style="outline: 0px;"><section style="outline: 0px;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;">普普通通的桔子,怎么就对一些人而言这么危险呢?</span></section><section style="outline: 0px;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;"><span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">“每年都有好些因为吃水果导致高钾血症的患者。”</strong></span>浙江一医院肾脏病中心主治医师表示,慢性肾脏病在人群中的发病率并不低,有研究发现中国人群的慢性肾病患病率在10.8%左右,<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">因为短期之内进食大量的水果导致高钾血症,进而查出尿毒症的患者,前面提到的姜叔并不是第一个</span></strong>。</span></section><section style="outline: 0px;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;"><span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">“<span style="font-size: 16px; outline: 0px; color: rgb(192, 0, 0);">但大家不用慌,这些患者原本就有肾病基础。</span>”</strong></span>医生解释道,<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">有肾病基础的人肾功能不全,而肾脏又是调节钾的重要器官</span></strong>,比如对于一个没有肾病的健康人来说,当他钾摄入量增多时,肾脏排出去的钾也会增多,从而保持一个平衡。</span></section><section style="outline: 0px;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;">桔子富含钾离子,肾功能不全的人群,短时间内大量摄入过多钾离子,而功能不全的肾脏拼尽全力也不能将过多的钾离子排出体外,不能及时排出的钾离子在体内积累起来,引起高钾血症,<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">而高钾会直接抑制心跳和呼吸,不进行及时治疗的话,会有生命危险。</strong></span></span></section><section style="outline: 0px;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;"><span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">“毛豆、香蕉、葡萄、桔子、猕猴桃、蘑菇、菌类、紫菜等都属于高钾食物,<span style="font-size: 16px; outline: 0px; color: rgb(192, 0, 0);">有肾病基础的人群要少吃</span>。”</strong></span>医生说。</span></section></section><section style="outline: 0px;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="outline: 0px;line-height: 1.75em;"><section style="margin-top: 10px;margin-bottom: 20px;outline: 0px;text-align: center;justify-content: center;display: flex;flex-flow: row nowrap;"><section style="padding: 8px;outline: 0px;display: inline-block;width: auto;vertical-align: top;align-self: flex-start;flex: 0 0 auto;border-style: solid;border-width: 1px;min-width: 5%;height: auto;box-shadow: rgb(69, 119, 218) 6px 6px 0px 0px;"><section style="outline: 0px;text-align: left;"><section style="outline: 0px;text-align: justify;"><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong style="outline: 0px;">桔子</strong><strong style="outline: 0px;">虽好吃,</strong></span></p><p style="text-align:left;outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong style="outline: 0px;">可不要贪多</strong></span></p></section></section></section></section></section><section style="outline: 0px;"><section style="outline: 0px;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;">此外,<span style="outline: 0px;color: rgb(0, 0, 0);">桔子</span>中有较多的<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">糖分和酸性成分</strong></span>,摄入过多会引起过高的血糖负荷、刺激口腔和咽喉黏膜,从而引起长痘、口腔溃疡等“上火”症状,<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">血糖高的朋友也不建议一次性过多食用</span></strong>;还含有大量胡萝卜素,吃太多,来不及代谢,<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">还易变成“小黄人”</span></strong>。</span></section><section style="outline: 0px;line-height: 1.75em;"><br style="outline: 0px;"/></section><section style="outline: 0px;line-height: 1.75em;"><span style="outline: 0px;font-size: 16px;">因此,按照《中国居民膳食指南2022版》每日摄入200~350克新鲜水果的建议,<span style="outline: 0px;color: rgb(0, 122, 170);"><strong style="outline: 0px;">中等大小的<strong style="outline: 0px;letter-spacing: 0.5px;">桔子</strong>一天吃2~3个就可以了。</strong></span>如果全天水果都打算吃<strong style="outline: 0px;color: rgb(0, 122, 170);letter-spacing: 0.5px;">桔子</strong><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">,最多别超过4个。</span></strong>吃完以后要记得及时漱口,避免出现“上火”症状。</span></section></section></section></section><p style="text-align:justify;outline: 0px;letter-spacing: 0.544px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif;"><span style="outline: 0px;font-size: 14px;color: rgb(136, 136, 136);">来源:齐鲁晚报、青岛日报 、浙大一院、武汉晚报</span></p></section><p style="display: none;"><mp-style-type data-value="3"></mp-style-type></p><p style="color:#999;font-size:.8em;margin-top:1em">转载声明:本文转载自现代快报</p><p><br/></p><link rel="stylesheet" href="//bbs.221700.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_ZB0" id="wcn_editor_css"/> 不能贪嘴 还好不爱吃 肯吃 不能多吃 这属于体质问题 多吃虽然不好 但是多吃的人不少得病的很少
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