壯男負重19公斤登山 6天就腎衰竭被抬下山=http://udn.com/NEWS/=http://udn.com/NEWS/聯合新聞網 20.9k 人追蹤追蹤 記者邱宜君／台北即時報導2019年10月28日 上午 06:15=https://lineit.line.me/share/ui?url=https%3A%2F%2Ftw.news.yahoo.com%2F%25E5%25A3%25AF%25E7%2594%25B7%25E8%25B2%25A0%25E9%2587%258D19%25E5%2585%25AC%25E6%2596%25A4%25E7%2599%25BB%25E5%25B1%25B1-6%25E5%25A4%25A9%25E5%25B0%25B1%25E8%2585%258E%25E8%25A1%25B0%25E7%25AB%25AD%25E8%25A2%25AB%25E6%258A%25AC%25E4%25B8%258B%25E5%25B1%25B1-221558122.html%3Fsoc_src%3Dsocial-sh%26soc_trk%3Dli=https://lineit.line.me/share/ui?url=https%3A%2F%2Ftw.news.yahoo.com%2F%25E5%25A3%25AF%25E7%2594%25B7%25E8%25B2%25A0%25E9%2587%258D19%25E5%2585%25AC%25E6%2596%25A4%25E7%2599%25BB%25E5%25B1%25B1-6%25E5%25A4%25A9%25E5%25B0%25B1%25E8%2585%258E%25E8%25A1%25B0%25E7%25AB%25AD%25E8%25A2%25AB%25E6%258A%25AC%25E4%25B8%258B%25E5%25B1%25B1-221558122.html%3Fsoc_src%3Dsocial-sh%26soc_trk%3DliLine It=https://www.facebook.com/dialog/feed?app_id=458584288257241&lixnk=https%3A%2F%2Ftw.news.yahoo.com%2F%25E5%25A3%25AF%25E7%2594%25B7%25E8%25B2%25A0%25E9%2587%258D19%25E5%2585%25AC%25E6%2596%25A4%25E7%2599%25BB%25E5%25B1%25B1-6%25E5%25A4%25A9%25E5%25B0%25B1%25E8%2585%258E%25E8%25A1%25B0%25E7%25AB%25AD%25E8%25A2%25AB%25E6%258A%25AC%25E4%25B8%258B%25E5%25B1%25B1-221558122.html%3Fsoc_src%3Dsocial-sh%26soc_trk%3Dfb&name=%E5%A3%AF%E7%94%B7%E8%B2%A0%E9%87%8D19%E5%85%AC%E6%96%A4%E7%99%BB%E5%B1%B1%206%E5%A4%A9%E5%B0%B1%E8%85%8E%E8%A1%B0%E7%AB%AD%E8%A2%AB%E6%8A%AC%E4%B8%8B%E5%B1%B1&descxription=%E4%B8%80%E5%90%8D%E4%B8%AD%E5%B9%B4%E7%94%B7%E6%80%A7%E7%99%BB%E5%B1%B1%E6%84%9B%E5%A5%BD%E8%80%85%EF%BC%8C%E5%B9%B3%E5%B8%B8%E8%A3%9D%E5%82%99%E9%83%BD%E6%9C%83%E8%81%98%E8%AB%8B%E7%99%BB%E5%B1%B1%E5%9A%AE%E5%B0%8E%E5%B9%AB%E5%BF%99%E6%8F%B9%EF%BC%8C%E5%89%8D%E9%99%A3%E5%AD%90%E6%89%8D%E5%87%BA%E5%9C%8B%E6%8C%91%E6%88%B0%E7%99%BD%E6%9C%97%E5%B3%B0%E3%80%82%E6%97%A5%E5%89%8D%E4%BB%96%E5%92%8C%E5%B1%B1%E5%8F%8B%E7%9B%B8%E7%B4%84%E7%99%BB%E8%83%BD%E9%AB%98%E8%B6%8A%E5%B6%BA%EF%BC%8C%E7%AC%AC%E4%B8%80%E6%AC%A1%E8%A6%AA%E8%87%AA%E6%8F%B9...&picture=https%3A%2F%2Fs.yimg.com%2Fcv%2Fapiv2%2Fsocial%2Fimages%2Fyahoo_default_logo.png&redirect_uri=https%3A%2F%2Fwww.yahoo.com%2Fnews%2Fmediacontentsharebuttons%2Fpostshare%2F&display=popup&show_error=yes=https://www.facebook.com/dialog/feed?app_id=458584288257241&lixnk=https%3A%2F%2Ftw.news.yahoo.com%2F%25E5%25A3%25AF%25E7%2594%25B7%25E8%25B2%25A0%25E9%2587%258D19%25E5%2585%25AC%25E6%2596%25A4%25E7%2599%25BB%25E5%25B1%25B1-6%25E5%25A4%25A9%25E5%25B0%25B1%25E8%2585%258E%25E8%25A1%25B0%25E7%25AB%25AD%25E8%25A2%25AB%25E6%258A%25AC%25E4%25B8%258B%25E5%25B1%25B1-221558122.html%3Fsoc_src%3Dsocial-sh%26soc_trk%3Dfb&name=%E5%A3%AF%E7%94%B7%E8%B2%A0%E9%87%8D19%E5%85%AC%E6%96%A4%E7%99%BB%E5%B1%B1%206%E5%A4%A9%E5%B0%B1%E8%85%8E%E8%A1%B0%E7%AB%AD%E8%A2%AB%E6%8A%AC%E4%B8%8B%E5%B1%B1&descxription=%E4%B8%80%E5%90%8D%E4%B8%AD%E5%B9%B4%E7%94%B7%E6%80%A7%E7%99%BB%E5%B1%B1%E6%84%9B%E5%A5%BD%E8%80%85%EF%BC%8C%E5%B9%B3%E5%B8%B8%E8%A3%9D%E5%82%99%E9%83%BD%E6%9C%83%E8%81%98%E8%AB%8B%E7%99%BB%E5%B1%B1%E5%9A%AE%E5%B0%8E%E5%B9%AB%E5%BF%99%E6%8F%B9%EF%BC%8C%E5%89%8D%E9%99%A3%E5%AD%90%E6%89%8D%E5%87%BA%E5%9C%8B%E6%8C%91%E6%88%B0%E7%99%BD%E6%9C%97%E5%B3%B0%E3%80%82%E6%97%A5%E5%89%8D%E4%BB%96%E5%92%8C%E5%B1%B1%E5%8F%8B%E7%9B%B8%E7%B4%84%E7%99%BB%E8%83%BD%E9%AB%98%E8%B6%8A%E5%B6%BA%EF%BC%8C%E7%AC%AC%E4%B8%80%E6%AC%A1%E8%A6%AA%E8%87%AA%E6%8F%B9...&picture=https%3A%2F%2Fs.yimg.com%2Fcv%2Fapiv2%2Fsocial%2Fimages%2Fyahoo_default_logo.png&redirect_uri=https%3A%2F%2Fwww.yahoo.com%2Fnews%2Fmediacontentsharebuttons%2Fpostshare%2F&display=popup&show_error=yes分享分享留言一名中年男性登山愛好者，平常裝備都會聘請登山嚮導幫忙揹，前陣子才出國挑戰白朗峰。日前他和山友相約登能高越嶺，第一次親自揹19公斤裝備，沒想到第五天已經累到走不動，第六天是被救護人員用擔架抬下山送醫急救，原來是橫紋肌溶解合併急性腎衰竭。醫師提醒，這名個案差點就要洗腎，再晚送醫甚至可能送命，提醒民眾從事體能活動時，提高負荷量要漸進，切莫貿然超過個人體力負荷。收治這名個案的三軍總醫院腎臟科主治醫師朱柏齡表示，這名個案被轉院至三總時，肌肉酵素已高達三萬多，正常數值是兩百多，顯示有嚴重的橫紋肌溶解症，可預期壞死肌肉釋放大量肌球蛋白，將造成腎毒性和腎衰竭。果然，代表腎功能的肌酐酸在兩、三天內飆高，原本體重才68公斤也因腎衰竭而水腫到82公斤，醫療團隊都已經預備要給他洗腎，腎臟指數忽然自行好轉，整體狀況持續順利改善，幸運免於洗腎，並於住院11天後出院。朱柏齡表示，橫紋肌溶解的症狀依輕微至嚴重包括肌肉無力，肌肉疼痛，肌肉腫脹、肌肉壓痛，噁心吃不下飯，小便可樂濃茶，上述症狀可逐漸進展，到第三天才達到高峰。如果等到嚴重才就醫，常常要緊急洗腎，有些人恐撐不過腎衰竭這關而死亡，提醒民眾運動過程中與運動後，都要對這些症狀提高警覺，一旦懷疑有橫紋肌溶解的可能，就要儘速就醫。朱柏齡說，相較於一般人來說，這名登山愛好者的肌肉量是很不錯的，因此這次的問題在於負重忽然大增，超過了他身體的負荷量，而且逞強撐太多天，若第五天走不動時就下山就醫，或許不會這麼嚴重。朱柏齡特別提醒，無論是新手或老手，都要清楚自己的負荷量在哪裡，調整負荷循序漸進，不要貿然加重負重或拉長時間，以免發生橫紋肌溶解症。