橫紋肌溶解 

洪仲丘的死因,法醫判定是中暑造成橫紋肌溶解,但什麼是橫紋肌溶解?根據醫師表示,只要是運動過度,或是遭到外力撞擊,造成肌肉受損,就是所謂的橫紋肌溶解,輕微的會造成肌肉酸痛,嚴重的話會出現急性腎衰竭,甚至休克死亡。

健身房裡,民眾猛踩飛輪,只要半個小時,馬上汗如雨下,氣喘如牛,但要是運動過度,小心橫紋肌溶解,找上你。

[[市立聯合醫院腎臟科主任 夏清智]]
“我們的包在骨頭外面的肌肉,因為過度使用,或是藥物,或某些缺氧的情況底下,造成肌肉外面的膜溶解掉或受傷,讓肌肉裡面的成分,譬如說肌蛋白、
肌肉酵素或鉀離子鈣離子,那些東西釋放出來,叫做橫紋肌的溶解症”

橫紋肌溶解,症狀可大可小,初步會出現,肌肉腫脹疼痛,或是無法排尿等情形,甚至尿液呈現咖啡色,如果沒有緊急處理,可能造成心律不整,腎衰竭,最後導致休克。

[[市立聯合醫院腎臟科主任 夏清智]]
“那最常見就是造成急性腎衰竭,就會排不出尿,甚至比較嚴重就導致浮腫,最後就是死亡,某些東西大量的釋放,有時候會誘發我們的凝血功能異常的激化,所以造成到處都是凝固(DIC)”

但醫師強調,只要出現徵狀,趕緊休息補充水分,或是送醫治療,還是可以避免死亡意外。

Doctor explains the causes of soldier’s death (2013/07/15)

Grueling exercise and heat led to the shutdown of normal body functions in Hung Chung-chiu. A doctor at Taipei City Hospital gave further insight Monday into the rhabdomyolysis and DIC Hung suffered. 

After a half hour of spinning exercises at the gym, the sweat pours down. This woman finds it hard to catch her breath. She should be cautious. Overexertion could lead to a dangerous condition.

Hsia Ching-chih
Taipei City Hospital
Skeletal muscles can break down or be injured due to overuse, drugs or oxygen deficiency. This can lead to the release of components such as muscle protein, enzymes and potassium ions, a condition called rhabdomyolysis.

Dr. Hsia Ching-chih, a kidney specialist at Taipei City Hospital, says symptoms vary in strength.

Early signs include muscle inflammation and soreness. Patients may have trouble urinating, or their urine could be a dark brown. Without emergency care, heart arrhythmia or kidney failure could occur, possibly leading to shock.

Hsia Ching-chih
Taipei City Hospital
Most common is acute kidney failure, making it impossible to urinate. Even more serious is an edema, which can cause death. The release of certain elements can abnormally activate blood coagulation, causing DIC.

Hsia says people exhibiting these symptoms should replenish their fluids and receive treatment. Otherwise, severe illnesses could result, including death.

文章出處 :民視英語新聞

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