Husband and wife eat 4 pounds crawfish: can both paralyzed walk-crayfish, physical science-IT information
May-August every year is to eat the Crawfish season, statistics from Nanjing to eat well every day dozens of tons of crayfish. Of course, unbounded, crayfish, also called a lot of things, few days ago, South-East University Hospital emergency department treated with a couple who eat crayfish cause rhabdomyolysis.
Eat 2 kg crawfish can't walk road
Ms King (a pseudonym) is 55 years old, two days ago suddenly want to eat crawfish, went to the market and bought 2 kg of home. Wang thought his Burns not only washed clean, and not adding stuff, safe and secure.
The flavor of the crawfish after firing, the couple with relish to taste, ate more than 20 Ms Wang, left by her husband. Just finished was a hoot, but by 2 o'clock in the afternoon, Wang doesn't feel right, general weakness, sore limbs and back muscles, sweat a lot, not long before her husband is also a similar discomfort, symptoms just a little tap. Couple watching the symptoms increased, not move road, to let the family drove to the hospital.
Crayfish muscle caused by dissolved
"When two patients came to the hospital, they thought it was bone and joint problems in General, later recalled that eat crayfish, combined with symptoms and findings, diagnosed as rhabdomyolysis. "According to Xu Chang sheng, hospital emergency department doctor introduction, Ms Wang higher Myoglobin, creatine kinase, especially creatine kinase than 18000umol/L (mmol per liter), the normal value cannot be higher than 145umol/L. By symptomatic treatment, the couple symptoms decreased.
Said Xu Changcheng, rhabdomyolysis, most afraid of Myoglobin in the muscle cells to slip into the bloodstream, and excreted through the kidneys, due to the large size cannot be successfully discharged through the tubules, causing kidney damage. Moreover, the damaged muscle cells also secrete large amounts of potassium, which enter the bloodstream can cause hyperkalemia, which can cause life-threatening cardiac arrest.
Rhabdomyolysis caused by eating crayfish, why would it? In this regard, the prosperity doctor Xu says, found on the clinical part of rhabdomyolysis in patients with eating crawfish experience, but a group of people eating crayfish may be only a few people there is a problem, and the current study did not find any evidence and eat much less heavy metal Super standard, are related.
Strenuous exercise can also dissolve muscle
In addition to eating crawfish, a number of other conditions can also cause rhabdomyolysis. Xu prosperity attending pointed out that, muscle by muscle cell composition, movement strength had big Shi, muscle will for excessive using and dissolved, especially dramatic movement Hou and occurred heatstroke, will further aggravated muscle cell injury; drunk of people if pour in cold of ground not turn, local by oppression and cold, blood pressure low cycle poor, also has muscle dissolved risk; carbon monoxide poisoning of people body was on hypoxia, if pour in ground lying has a night, body by oppression also is may caused muscle dissolved. In addition, the earthquake of crushing injury and lipid, antiviral drugs can also cause muscle dissolution, of course this varies.
Once a general muscle pain, lethargic, urine is darker and even sauce color, need to guard against is rhabdomyolysis, should go to hospital for treatment as soon as possible. If these symptoms appeared after eating crayfish, can on their own vomit, dissolved to drink plenty of water to prevent renal damage in patients with muscle, reduce activities.
Safe to eat lobster in 3 steps:
1, lobsters must be cleaned
Live lobster bought it, it is best to keep 24-36 hours in clean water, sediment and other impurities in its net body to kill bacteria. When the processed lobster, two gills of mess to clean, because Gill absorbed a lot of bacteria, shrimp is best to use a brush. Fine lobster-claw root most easily filth must be cut off. In addition to wash his body with a brush on the dirt, while hiding a large amount of sediment and bacteria sutures must be removed to clean, then rinse fully 2-3.
2, cooked shrimp to Cook
In polluted environments, crayfish, adsorption capacity particularly strong, its possible adsorption of heavy metals harmful to the human body, and when it is after the adsorption of heavy metals, the head will naturally produce a "capsule", wrap heavy metal. Similarly, the lobster is the accumulation of parasites in the most vulnerable parts of the head, so when you go to the head. If the head can be removed prior to cooking is best.
3, shrimp to be temperate
Be sober when you eat shrimp, don't eat too much at once, the best 10 or so, because the shrimp are high protein foods, some allergy eat crayfish produces allergic symptoms, such as body red, pimple, and so on, it is best not to eat crayfish. Crayfish are aquatic products with high purine gout patients not to eat.
夫妻狂吃4斤小龙虾：双双身体瘫痪无法走路 - 小龙虾,生理科学 - IT资讯
每年的5-8月是食用小龙虾的旺季，有统计南京人每天要吃掉好几十吨的小龙虾。当然，集万千宠爱于一身的小龙虾也招来不少事，前两天，东南大学附属中大医院急诊科就收治了一对因为吃小龙虾导致横纹肌溶解的夫妻。
吃完2公斤小龙虾走不动路
王女士(化名)今年55岁，前两天突然想吃小龙虾了，就去菜场买了2公斤回家做。王女士心想着自己烧，不仅洗得干净，还不会添加乱七八糟的东西，安全有保障。
香喷喷的小龙虾烧好后，夫妻俩津津有味地品尝起来，王女士吃了有二十几只，剩下的都被丈夫包了。刚吃完那会儿还意犹未尽，可是到了下午2点，王女士就感觉不对劲了，全身无力，四肢和背部肌肉酸痛，还出了很多汗，没过多久丈夫也出现了类似的不适，只不过症状稍微轻点。夫妻俩眼看着症状越来越重，路也走不动了，赶紧让家里人开车送到中大医院就诊。
竟是小龙虾致肌溶解
“两名患者刚来医院时，还以为是一般的骨关节问题，后来回忆起中午吃了小龙虾，再结合症状和检查结果，诊断为横纹肌溶解。”据中大医院急诊科徐昌盛主治医师介绍，王女士的肌红蛋白、肌酸激酶都高，特别是肌酸激酶超过18000umol/L(毫摩尔每升)，正常值不能高于145umol/L。经对症治疗后，夫妻俩症状明显减轻。
徐昌盛说，发生横纹肌溶解，最怕肌肉细胞里的肌红蛋白溜到血液里去，并通过肾脏排出体外，由于个头大不能顺利排出就会堵住肾小管，从而引起肾损伤。而且，被破坏的肌肉细胞还会分泌出大量的钾，进入血液中会引起高钾血症，严重时可致心脏骤停危及生命。
吃小龙虾为什么会引起横纹肌溶解呢？对此，徐昌盛主治医师说，临床上发现横纹肌溶解的患者部分有吃小龙虾的经历，但一群人吃小龙虾可能只有个别人出现问题，而且目前的研究也没有发现任何证据表明与吃的量多量少、重金属超不超标等有关系。
剧烈运动等也会溶解肌肉
除了吃小龙虾，其他一些情况也会引起横纹肌溶解。徐昌盛主治医师指出，肌肉由肌肉细胞组成，运动强度过大时，肌肉会因过度使用而溶解，特别是剧烈运动后又发生中暑，会进一步加重肌肉细胞损伤；醉酒的人如果倒在冰冷的地上不翻身，局部受到压迫又挨冻，血压低循环差，也有肌溶解风险；一氧化碳中毒的人机体本来就缺氧，如果倒在地上躺了一夜，身体受到压迫也很可能引起肌溶解。此外，地震中的挤压伤和一些降血脂、抗病毒的药物也会导致肌溶解，当然这是因人而异的。
一旦发现全身肌肉酸痛、浑身乏力、小便颜色变深甚至呈酱油色，要警惕是横纹肌溶解，应尽快到医院就诊。如果是吃完小龙虾后出现以上症状，可以先自行催吐，肌溶解患者还要大量喝水以防肾损伤，减少活动。
安全吃龙虾3步骤：
1、龙虾一定要清洗干净
活龙虾在买来后，最好放在清水里养24—36小时，使其吐净体内的泥沙等杂质，杀死细菌。在加工龙虾时，两鳃里的脏东西要清除，因为鳃毛里面吸附了很多细菌，虾壳最好用刷子刷洗。龙虾细爪的根部最容易藏污纳垢，一定要剪掉。另外要用刷子洗净其身体上的脏物，同时隐藏了大量泥沙和细菌的肠线也必须剔除干净，再用清水充分地清洗2-3次。
2、煮虾前去头要煮透
在被污染的环境中，小龙虾吸附的能力特别强，它有可能把对人体有害的重金属吸附进去，当它吸附重金属元素后，头部会自然产生一个“囊”，把重金属包裹起来。同样，龙虾头部是最易积聚寄生虫的部位，所以吃的时候要去头。要是煮之前能将头去掉最好。
3、吃虾要有节制
吃虾时要有节制，不要一次食用过多，最好10个左右，因为虾是高蛋白食物，部分过敏体质者食用小龙虾会产生过敏症状，如身上起红点、起疙瘩等等，最好不要食用小龙虾。小龙虾是含嘌呤较高的水产品，痛风患者也不要食用。