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一名海军后备役钻井人员出现神秘的血压升高。

A mysterious blood pressure increase in a drilling Naval reservist.

作者信息

Wettach George E, Falvey Shelley G

机构信息

Medical Department, Naval Marine Corps Reserve Center, 995 East Mission Street, San Jose, CA 95112, USA.

出版信息

Mil Med. 2002 Jun;167(6):521-3.

PMID:12099092
Abstract

This is a case report of a reservist who presented for a physical examination with hypertension. It was discovered that the reservist was unknowingly taking large doses of Ephedra sinica, or ma huang, a Chinese herbal supplement, for body-building. One of the ingredients in ma huang is ephedrine, an active alpha- and beta-adrenergic stimulant that produces increases in heart rate, blood pressure, and cardiac output. Ma huang has been reported to cause hypertension, hepatitis, nephrolithiasis, and sudden death in healthy, normotensive people. Ma huang will produce a positive urinary drug screen for stimulants and can be a drug of abuse. A recommendation is made to screen for dangerous supplement use before physical readiness training and to stop the supplement for 1 month before beginning any exercise program.

摘要

这是一份关于一名预备役军人的病例报告,该军人因高血压前来进行体检。经发现,这名预备役军人在不知情的情况下大量服用麻黄(一种中国草药补充剂)以进行健身。麻黄中的一种成分是麻黄碱,它是一种活性α和β肾上腺素能兴奋剂,会导致心率、血压和心输出量增加。据报道,麻黄会在健康的血压正常人群中引发高血压、肝炎、肾结石和猝死。麻黄会导致兴奋剂类药物尿检呈阳性,且可能被滥用。建议在体能准备训练前筛查是否使用危险补充剂,并在开始任何运动计划前停用该补充剂1个月。

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