HYPONATREMIA IN RECREATIONAL HIKERS IN GRAND-CANYON-NATIONAL-PARK

被引:40
作者
BACKER, HD
SHOPES, E
COLLINS, SL
机构
[1] Emergency and Sports Medicine, Kaiser Permanente Medical Group, Hayward and Walnut Creek, California
[2] Veterans Administration Medical Center, Phoenix, Arizona
[3] Emergency Services, Grand Canyon National Park
来源
JOURNAL OF WILDERNESS MEDICINE | 1993年 / 4卷 / 04期
关键词
HYPONATREMIA; ELECTROLYTES; FLUIDS; HEAT ILLNESS;
D O I
10.1580/0953-9859-4.4.391
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Symptomatic hyponatremia has been reported in athletes participating in marathon and ultra-marathon events. We report four cases of symptomatic hyponatremia in hikers in the Grand Canyon. These are the first cases reported in recreational hikers in a wilderness setting. The overall fluid status of these patients is not well defined. In most instances this probably represents dilutional hyponatremia from sweat loss replaced with plain water. Recreational wilderness participants may require electrolyte replacement similar to endurance athletes.
引用
收藏
页码:391 / 406
页数:16
相关论文
共 46 条
[1]  
Backer H., Heat disorders, Tropical Medicine and Parasitology, pp. 632-638, (1989)
[2]  
Knochel J.P., Heat stroke and related heat stress disorders, Disease-a-Month, 35, 5, pp. 302-378, (1989)
[3]  
Hiller W.D.B., Dehydration and hyponatremia during triathlons, Med Sci Sports Exerc, 21, (1989)
[4]  
Frizzell R.T., Lang G.H., Lowance D.C., Et al., Hyponatremia and ultramarathon running, JAMA, 255, pp. 772-774, (1986)
[5]  
Young M., Sciurba F., Rinaldo J., Delirium and pulmonary edema after completing a marathon, Am Rev Respir Dis, 136, pp. 737-739, (1987)
[6]  
Noakes T.D., Goodwin N., Rayner B.L., Branken T., Taylor R.K.N., Water intoxication: a possible complication during endurance exercise, Med Sci Sports Exerc, 17, pp. 370-375, (1985)
[7]  
Nelson P.B., Robinson A.G., Kapoor W., Rinaldo J., Hyponatremia in a marathoner, Physician Sports Med, 16, pp. 78-87, (1988)
[8]  
Noakes T.D., Norman R.J., Buck R.H., Godlonton J., Stevenson K., Pittaway D., The incidence of hyponatremia during prolonged ultraendurance exercise, Med Sci Sports Exerc, 22, pp. 165-170, (1990)
[9]  
Hiller W.D.B., O'Toole M.L., Fortess E.E., Laird R.H., Imbert P.C., Sisk T.D., Medical and physiological considerations in triathlons, Am J Sports Med, 15, pp. 164-167, (1987)
[10]  
O'Toole M.L., Prevention and treatment of electrolyte abnormalities, Report of the Ross Symposium on Medical Coverage of Endurance Athletic Events, pp. 93-95, (1988)