Dayang.com has recently been exposed to hot weather in Guangzhou. The high-temperature warning has been continuously applied. At this time, it is sitting in the air-conditioned room of the restaurant. The Daxie seasoned crayfish and booze-chilled beer are fun! Slowly, be careful with rhabdomyolysis to find upper body! This is not an alarmist. Guangzhou Daily reporter learned from the Second People’s Hospital of Guangdong Province that from July 29 to July 31 this year, 2 cases of rhabdomyolysis were treated consecutively within 3 days, and severe cases had “soy sauce urineâ€. ". Although there is no direct evidence that eating crayfish causes rhabdomyolysis at home and abroad, the common factor in the onset of the disease is crayfish.
Case 1:
1 pound of crayfish woke up in the middle of the night
“In the morning, I can walk to the hospital to see a doctor. I haven’t waited until the inspection results. The whole person couldn’t walk.†The 23-year-old boy and the Chigang residents of Haizhu District, Guangzhou recalled the disease. "It's terrible."
On the evening of the 28th, Ah Wen met with friends and met. After seeing them, the two men looked at each other and the surrounding stalls were “hot pushing†and “fighting†the crayfish. Then they took a seat, sat down and asked for bottles of 1 kg crawfish. beer. Awen himself felt "to eat a little more, roughly estimate that I have eaten more than 60%," and also drank 2 bottles of beer. The two eat well after eating, more than 10 in the evening, each back home.
When he returned home, he washed and went to bed as usual. “I didn't expect to awake in the middle of the night. The whole back was painful. At that time, I doubted whether it was a problem caused by eating crayfish. I also checked it with my mobile phone.†Say. After checking, Arvin was not so concerned with the control and thought that he had to go to work the next day. "Maybe it will be fine to sleep," and he forced himself to sleep.
Unexpectedly, on the morning of July 29th, Awen got up and found that the problem of back pain did not improve but became increasingly painful. This quickly hurried to a nearby provincial doctor.
According to the results of the medical examination, the acre's creatine kinase index exceeds 6000u/L (normally 26-218), and the myoglobin index >2000 u/L (normally 0-121), which is much higher than the normal value. These two indicators are an important basis for the diagnosis of rhabdomyolysis.
Case 2:
The woman has also recruited "soy sauce urine"
On the evening of July 30, Miss Wang, a 33-year-old resident of Haizhu District, Guangzhou, was the second patient with rhabdomyolysis treated in the second emergency department of the province. Like Arvin, the discovery was wrong. Miss Wang immediately doubted that “to eat crayfish and eat out problemsâ€. It was equally unexpected that the consequences were so serious.
Ms. Wang said that she had eaten about 1 kilogram of crayfish that night. She ate it at dinner and finished eating at 7 o'clock. It was over 12 o'clock in the evening and she felt sore in her body. Then she was almost uncomfortable all night.
On July 31, when she went to the provincial second-episode emergency department for medical treatment, Ms. Wang was in a much worse situation than Alvin, and she began to have “soy sauce urine.†On examination, the two indicators also point to rhabdomyolysis: the creatine kinase index exceeds 7000 u/L (normally 26-218), and the myoglobin index >2000 u/L (normally 0-121).
"It's too shameful!" Miss Wang was lying in bed and was tortured with power and weakness, and she also blamed herself for "splitting her misfortune".
treatment:
Symptomatic resistance to "muscle" is generally not fatal
Rhabdomyolysis refers to the acute destruction and dissolution of skeletal muscles, the release of muscle cell contents such as myoglobin and phosphokinase, and a group of clinical syndromes that enter the peripheral blood, mainly manifested as sudden muscular pain and muscle weakness. The urine was soy sauce. Its greatest danger is that if the release of myoglobin into the blood blocks the renal tubules, it may cause acute renal failure.
"Soy sauce urine" means that kidney function begins to be damaged. Ms. Wang needs to deal with the detoxification of the kidneys, symptomatic treatment of hematuria, urinary protein, urine sugar and other issues, control the further dissolution of muscles, thereby reducing the creatine kinase value, and at the same time improving renal function. , Liver function, until creatine kinase, renal function, liver function returned to normal levels before they can be discharged. Arvin's condition is lighter and is expected to be discharged on August 2.
Wu Xixin, director of the Department of Medicine and Renal Medicine, said that general mild rhabdomyolysis syndrome requires only large amounts of drinking water or infusions. If necessary, taking basic medicines such as Xiao Su Da, it can be effectively relieved by accelerating urination and resting in bed. "However, ordinary people can hardly judge this level." He suggested that there are exceptions or medical treatment.
The Second Provincial Department of Emergency Medicine Dr. Zeng Jun, deputy chief physician, further explained that the incidence of rhabdomyolysis is low. The cases received in recent years are all single digits. Symptomatic treatment is generally OK, rarely life-threatening, and symptoms appear. Don't panic too much."
Crawfish is really the culprit?
The common factor in the incidence of two people is crayfish
It can be said that rhabdomyolysis is because crayfish is widely known. In recent years, cases of rhabdomyolysis after eating crayfish have been reported in media reports every year in recent years, causing widespread concern in the society.
However, emergency specialist Zeng Zheng pointed out that rhabdomyolysis is actually caused by muscle compression injury, excessive exertion, excessive exercise, abuse of alcohol or certain drugs, etc., in comparison, after eating crayfish suffering from rhabdomyolysis Patients with symptoms are rare. In fact, from the current scientific investigation, “There is no direct evidence that rhabdomyolysis occurs after eating crayfish,†Zeng said.
From the perspective of three days and two cases, is the crayfish not the "back pot"? The two patients said that the common cause of the disease was crayfish.
A Wen and Ms. Wang said that the companions who had eaten crayfish were not uncomfortable. The two men recalled everything on the day in detail. Before the onset of illness, they did not exercise, did not take medicine, and did not drink too much wine. “In addition to crayfish I couldn't find any reason. I had nothing to eat before. It was incredible." Awen was helpless and depressed.
Crayfish delicious
Experts provide five reminders of shrimp
Experts remind that eating crayfish safely is the most important thing for fresh and clean food. The following five aspects should be noted:
1. It is best to buy farmed crayfish. Don't buy crayfish at street stalls, don't go fishing on the riverside or in the river to catch wild lobsters, or buy non-breed lobsters.
2. Can be changed repeatedly with clean water. Wash crayfish before cooking. The purchased crayfish can be cultured in a clean water body and constantly washed until the water is clear.
3. Make sure it is fully cooked. Do not eat raw or eat unripe crayfish. Make sure it is fully cooked. Can be fried and then fried, boiled should also be guaranteed more than 10 minutes to reach the effect of high temperature disinfection.
4. Do not eat the head, do not eat dead shrimp. According to media reports, cooked crawfish are likely to be dead shrimp if they have a strong smell, the body of the shrimp develops straight, the body is soft and inelastic, the color is darkened, and the shell has more viscous material.
5. Eat well. A large number of crayfish may have the risk of inducing rhabdomyolysis syndrome. Crayfish are high-protein, low-fat foods, rich in purine nucleotides, eat more will induce gout, if you then with beer will lead to increased uric acid faster . Allergic people try not to eat crayfish.
Wen/Cantonese Full Media Reporter He Xuehua Correspondent Gao Long
Blood Bank Refrigerator,Laboratory Blood Bank Refrigerators,Forced Air Refrigeration System,Refrigerator For Medical
Guangdong Widinlsa International Co.Ltd , https://www.gdwidinlsa.com