R*****s
发帖数: 41236 | 1 为了评估ultra比赛对身体的损伤， 这次比赛后都会拉去抽血， 然后runner
可以自己在网上查自己的情况， 俺的数据如下， 希望对跑ultra有兴趣
人有些帮助。。。
总体来说对肌肉和肾的压力比较大，一路要注意补水和电解质， 这次我
基本做的还比较好， 所以最后虽然肌肉非常疲劳，但是没有抽筋迹象，
一直到最后冲线都可以跑。。。
------BUN: 27------
BUN stands for "blood urea nitrogen". It measures kidney function but also
can be elevated in other conditions such as dehydration or internal bleeding.
Normal values vary slightly by lab but a normal BUN is generally from 5 to
25. A mildly elevated BUN (associated with a normal creatinine) usually
means some measure of dehydration which would self correct within 24 hours
with fluid replacement only.
A markedly elevated BUN (over 40) especially with an elevated creatinine
suggests some impairment of kidney function and should be evaluated by your
family physician or in an ER as soon as possible.
------Creatinine: 1.34------
Creatinine is a much more sensitive and specific measure of kidney function.
A normal creatinine is between 0.5 and a bit over 1.0, but not much higher
than 1.2.
An elevated creatinine (especially if associated with an elevated BUN)
strongly suggests impaired kidney function and should be evaluated by a
physician as soon as possible.
------CPK: 63100------
CPK stands for creatine phosphokinase and is a measure of muscle protein
breakdown. A normal CPK ranges from around 50 to almost 200.
Vigorous exercise such as a hard run or a long hike or a strenuous football
practice will elevate CPK's to 500-1000 or more with no side effects other
than achy muscles. However, in prolonged extremely strenuous exercise (such
as running the WSER 100), CPK's will be elevated anywhere from a few
thousand to several hundred thousand units!
The higher CPK's will be associated with severe muscle pain, nausea,
weakness, "flu-like symptoms", dark urine (Coca Cola colored) and other
unpleasant symptoms. Rest and vigorous rehydration with a variety of fluids
such as water, electrolyte drinks, juice, soda, etc. generally will clear
the markedly elevated CPK's within a few days.
The higher the CPK, the more likely the kidneys will become plugged up and
impair kidney function. Anyone with a CPK above 40,000 should follow up with
a physician within a day or two for repeat blood work. However, if the
urine output is diminished or the color is not clearing or you are gaining
weight or you are feeling worse as time passes instead of feeling better,
you should see a physician promptly.
------Sodium: 141------
Sodium is an important electrolyte in your bloodstream. It is normally
between 135 and 145, but occasionally can drop dangerously low during stress
such as a 100 mile race. This condition is referred to as EAH or exercise
associated hyponatremia.
A sodium level between 130 and 135 is mild and asymptomatic and will usually
self correct with rest and normal food and fluid intake.
A sodium level of 125-130 is moderate and may or may not be associated with
some symptoms such as nausea, weakness, bloating, weight gain, puffy fingers
. This level is of concern and the runner should see a physician promptly
for evaluation and treatment.
Severe hyponatremia is associated with a level of 120-125. Symptoms are more
pronounced and may include lethargy, agitation, or confusion. This level is
a medical emergency and the runner should be treated medically immediately.
Levels below 120 are associated with marked alteration of consciousness,
seizures, coma, and even death.
Markedly elevated levels of sodium can also be dangerous but are generally
not seen in the setting of ultra running.
------Potassium: 3.5------
Potassium is an essential electrolyte located primarily inside the body's
cells. It is important for muscle function and proper heart rhythm. Normal
potassium values are about 3.5 to 5.0. Potassium levels below 3.0 may cause
muscle weakness and/or muscle cramps. If levels drop below 2.0, paralysis
and respiratory depression may result, but these levels are very rarely seen
. High potassium level (above 6.0) may affect the heart rhythm and very high
levels (above 7.0) are associated with serious heart rhythm disturbances
and may be fatal if not treated. Such high levels are rare in the setting of
normal kidney function. | w***n
发帖数: 9040 | | g*2
发帖数: 658 | 3 尿素氮／肌酐 BUN/Cr 27/1.34> 20 表明有些脱水
磷酸激酶 CPK 63100, 表明有rhabdomyolysis 横纹肌溶解，肌球蛋白经过肾脏，会影
响它的功能。所以Cr大于1.34。 建议大量饮水，另外不要再做剧烈运动。
K在正常的低值，可以喝桔子汁，吃香蕉等含钾多的食物
其实钠和钾虽然在正常范围内，但考虑有hemocentration血液浓缩,实际的值可能还是
有些偏低的。
看了比赛的照片，赞一个 | r*****p
发帖数: 531 | | t*********t
发帖数: 4766 | 5 班医好久不见。头像也换了。有木搞错，怎么才零分啊？
【在 g*2 的大作中提到】
: 尿素氮／肌酐 BUN/Cr 27/1.34> 20 表明有些脱水
: 磷酸激酶 CPK 63100, 表明有rhabdomyolysis 横纹肌溶解，肌球蛋白经过肾脏，会影
: 响它的功能。所以Cr大于1.34。 建议大量饮水，另外不要再做剧烈运动。
: K在正常的低值，可以喝桔子汁，吃香蕉等含钾多的食物
: 其实钠和钾虽然在正常范围内，但考虑有hemocentration血液浓缩,实际的值可能还是
: 有些偏低的。
: 看了比赛的照片，赞一个
| u*********s
发帖数: 2077 | 6 多谢版医， 这几天是在使劲喝水， 吃水果， 赛前clinic说多吃鱼油也有用，
应该一周内就能恢复了....
【在 g*2 的大作中提到】
: 尿素氮／肌酐 BUN/Cr 27/1.34> 20 表明有些脱水
: 磷酸激酶 CPK 63100, 表明有rhabdomyolysis 横纹肌溶解，肌球蛋白经过肾脏，会影
: 响它的功能。所以Cr大于1.34。 建议大量饮水，另外不要再做剧烈运动。
: K在正常的低值，可以喝桔子汁，吃香蕉等含钾多的食物
: 其实钠和钾虽然在正常范围内，但考虑有hemocentration血液浓缩,实际的值可能还是
: 有些偏低的。
: 看了比赛的照片，赞一个
| g*2
发帖数: 658 | 7 年纪轻应该恢复得快。
吃鱼油大概是利用omega 3 的抗氧化剂，心血管保护作用吧。但其实OTC的鱼油很良莠
不齐。 上次一个病人吃OTC的鱼油，血脂反而高了，心脏科attending说，其实只有
Lovaza是FDA认证的，对降甘油三酯有用， 但是需要医生处方。
也许赛前吃些vit C, vit E, 抗氧化剂,保护细胞膜， 可能也有些用
【在 u*********s 的大作中提到】
: 多谢版医， 这几天是在使劲喝水， 吃水果， 赛前clinic说多吃鱼油也有用，
: 应该一周内就能恢复了....
| J*******1
发帖数: 1215 | 8 赞版医专业！
btw, 裙子很漂亮～
【在 g*2 的大作中提到】
: 年纪轻应该恢复得快。
: 吃鱼油大概是利用omega 3 的抗氧化剂，心血管保护作用吧。但其实OTC的鱼油很良莠
: 不齐。 上次一个病人吃OTC的鱼油，血脂反而高了，心脏科attending说，其实只有
: Lovaza是FDA认证的，对降甘油三酯有用， 但是需要医生处方。
: 也许赛前吃些vit C, vit E, 抗氧化剂,保护细胞膜， 可能也有些用
| J*******1
发帖数: 1215 | 9 赞变叔分享！
bleeding.
【在 R*****s 的大作中提到】
: 为了评估ultra比赛对身体的损伤， 这次比赛后都会拉去抽血， 然后runner
: 可以自己在网上查自己的情况， 俺的数据如下， 希望对跑ultra有兴趣
: 人有些帮助。。。
: 总体来说对肌肉和肾的压力比较大，一路要注意补水和电解质， 这次我
: 基本做的还比较好， 所以最后虽然肌肉非常疲劳，但是没有抽筋迹象，
: 一直到最后冲线都可以跑。。。
: ------BUN: 27------
: BUN stands for "blood urea nitrogen". It measures kidney function but also
: can be elevated in other conditions such as dehydration or internal bleeding.
: Normal values vary slightly by lab but a normal BUN is generally from 5 to
| R*****s
发帖数: 41236 | 10 呵呵， 谢豹MM， 应该的 ：）
【在 J*******1 的大作中提到】
: 赞变叔分享！
:
: bleeding.
| R*****s
发帖数: 41236 | 11 不是， 是说赛后多吃omega 3, 可以让CPK下降的比较快，
说以前测过一组数据， 一组人赛后吃omega 3, 一组不吃，
然后吃的那组明显CPK下降的快很多....这回还发了一瓶油，
让吃饭的时候伴一些...
嗯，GU的GEL里面， 每个都有100%的维C/维E...
【在 g*2 的大作中提到】
: 年纪轻应该恢复得快。
: 吃鱼油大概是利用omega 3 的抗氧化剂，心血管保护作用吧。但其实OTC的鱼油很良莠
: 不齐。 上次一个病人吃OTC的鱼油，血脂反而高了，心脏科attending说，其实只有
: Lovaza是FDA认证的，对降甘油三酯有用， 但是需要医生处方。
: 也许赛前吃些vit C, vit E, 抗氧化剂,保护细胞膜， 可能也有些用
| a******o
发帖数: 7982 | 12 好专业！
【在 g*2 的大作中提到】
: 尿素氮／肌酐 BUN/Cr 27/1.34> 20 表明有些脱水
: 磷酸激酶 CPK 63100, 表明有rhabdomyolysis 横纹肌溶解，肌球蛋白经过肾脏，会影
: 响它的功能。所以Cr大于1.34。 建议大量饮水，另外不要再做剧烈运动。
: K在正常的低值，可以喝桔子汁，吃香蕉等含钾多的食物
: 其实钠和钾虽然在正常范围内，但考虑有hemocentration血液浓缩,实际的值可能还是
: 有些偏低的。
: 看了比赛的照片，赞一个
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