Wuhan Evening News (correspondent Liu Shan, reporter Yan Yan) The man ate five oranges in one breath, and soon fainted to the ground, and his heart might stop at any time? Don’t doubt, it seems incredible, but it has something to do with the common disease of hypertension.
Mr. Jiang, a 44-year-old from Houhu, opened a small shop by himself. Because he kept the shop every day, he seldom had any activities. More than ten years ago, he was diagnosed with high blood pressure, but he felt that he was young and strong. He didn’t take medicine at all. He only took it once in a while when he felt unwell. When he was well, he stopped taking medicine and never went to the hospital for a physical examination.
Some time ago, Mr. Jiang always felt bored, and sometimes his calves were swollen, but he didn’t care too much. Before lunch the day before yesterday, he ate oranges while looking at the shop and ate five at a time. Not long after, Mr. Jiang lost consciousness and fainted on the ground. His family quickly called 120 ambulances to take him to the nearby Houhu Campus in central hospital of wuhan.
After examination, his creatinine was as high as 1700umol/L, and his blood potassium was as high as 7.2mmol/l, while the normal concentration of blood potassium was 3.5-5.5 mmol/L. The doctor diagnosed it as uremia and hyperkalemia!
The situation is critical and cardiac arrest may occur at any time. The rescue was carried out against time. After emergency hemodialysis, hypokalemia and other symptomatic treatments, Mr. Jiang finally turned the corner. Xiao Wei, Deputy Chief Physician of Nephrology, inquired about the medical history and found that Mr. Jiang himself suffered from hypertension, but there was no standardized treatment, and the result was uremia. And oranges are the "fuse" of the disease: rich in potassium. For uremia patients, oranges are delicious but deadly poison. Normal people can excrete excess potassium in their bodies through urine, but patients with chronic renal insufficiency have reduced potassium excretion ability because of renal function decline. If you eat a lot of high-potassium food, it may lead to the accumulation of potassium in the body and hyperkalemia, which may lead to cardiac arrest and life-threatening.
Chen Wenli, director of the Department of Nephrology, said that in recent years, the increasing of hypertension and diabetes is an important reason for the increase of uremia patients. Long-term poor control of hypertension and hyperglycemia will lead to serious damage to renal function and eventually lead to uremia. Therefore, it is suggested that people with high-risk factors should treat and control diseases in a standardized way. In addition to regular monitoring of blood pressure and blood sugar, urine routine and renal function should also be checked regularly.
As the Spring Festival is approaching, people with renal insufficiency such as uremia must keep their mouths shut and eat less or no foods with high potassium content, such as grapes, bananas, oranges, oranges, pomegranates, kelp, leeks and spinach, so as not to cause hyperkalemia. Potassium intake can be reduced by blanching vegetables. In addition, low sodium salt also contains a large amount of potassium salt, which can not be used for patients with chronic renal insufficiency.