警惕！一周接诊10多例......起因竟是？
<section style="margin-bottom: 0px;"><strong style="outline: 0px;letter-spacing: 0.544px;text-indent: 0em;text-align: right;font-family: monospace;font-size: 20px;caret-color: rgb(34, 34, 34);color: rgb(239, 10, 10);visibility: visible;"><a class="weapp_image_link" data-miniprogram-appid="wx59108e780bac5b1d" data-miniprogram-path="pages/form/info/info?id=6144043a75a03c7f03bcaa95" data-miniprogram-nickname="表单大师" data-miniprogram-type="image" data-miniprogram-servicetype="" style="outline: 0px;color: var(--weui-LINK);cursor: pointer;user-select: none;line-height: 0;visibility: visible;" href></a></strong></section><section style="outline: 0px;letter-spacing: 0.544px;text-indent: 0em;line-height: 1.75em;text-align: center;visibility: visible;margin-bottom: 0px;"><span style="outline: 0px;letter-spacing: normal;visibility: visible;"></span></section><section data-mpa-powered-by="yiban.io" style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">40多岁的郑先生（化名）</span></section><section style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">晚上忙完工作汗淋淋回到家后，</span></section><section style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;"><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">喝下一碗冰镇绿豆汤，</span></strong></span></section><section style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;"><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">然后昏昏睡去。</span></strong></span></section><section style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">他怎么也想不到，</span></section><section style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;letter-spacing: 0.578px;"><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);font-size: 16px;">一觉醒来身体一侧不灵活，</span></strong></section><section style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;letter-spacing: 0.578px;"><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);font-size: 16px;">说话也不利索，</span></strong></section><section style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;letter-spacing: 0.578px;"><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);font-size: 16px;">送到医院一查竟是脑梗死！</span></strong></section><section style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;letter-spacing: 0.578px;"><br style="outline: 0px;"/></section><section data-role="title" data-tools="135编辑器" data-id="92788" style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);"><section style="margin-top: 15px;margin-bottom: 15px;outline: 0px;text-align: center;"><section style="outline: 0px;display: inline-block;vertical-align: top;"><section style="margin-top: -3px;margin-bottom: -3px;padding-right: 8px;padding-left: 8px;outline: 0px;border-width: 1px;border-style: solid;border-color: rgb(0, 0, 0);color: rgb(62, 62, 62);letter-spacing: 0px;line-height: 1.75;transform: rotate(0deg);"><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong data-brushtype="text" style="outline: 0px;">绿豆汤喝下</strong></span><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong data-brushtype="text" style="outline: 0px;">一觉醒来不好了</strong></span>
</section><section style="outline: 0px;width: 45px;height: 5px;line-height: 5px;background-color: rgb(182, 228, 253);color: rgb(5, 115, 175);overflow: hidden;"><br style="outline: 0px;"/></section></section></section></section><p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">“患者到医院时口齿含糊不清，左侧手脚不听使唤，根据症状与病史当时就明白八九分。”浙江省人民医院神经内科主治医师邵燕琪介绍说。</span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">郑先生干销售，争取有好的业绩，大热天还东奔西走，十分忙碌。几天前的晚上，<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">他回到家马上从冰箱取出早上所煮冰镇过的绿豆汤，咕噜咕噜喝下一碗，非常爽。</span></strong>可没过多久，不知怎地闹起了肚子，一连水泻好几次，感觉都要虚脱了。<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">一天疲惫加上腹泻所致身子虚弱，他开启空调睡下。</span></strong></span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">“拉稀太伤身体了吧！”次日醒来，郑先生觉得整个人不好了，<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">手脚没力气、走路也不稳。渐渐地，手腿抬不起来，连讲话也口齿含糊不清，不对啊，手脚不便怎么都发生在左侧……</span></strong>家人赶紧把郑先生送到浙江省人民医院。</span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">头颅CT、验血等检查，判断其得了<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">脑梗死，俗称“中风”</span></strong>。“ 一般来说，<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">发病4.5小时内有机会进行静脉溶栓治疗，是脑梗死急性期治疗最有效的方法。可他是睡着状态下发病的，无法知道准确的发病时间，但可以肯定已超过了4.5小时，也就是说错失了常规溶栓的机会</span></strong>。”邵燕琪医生说。</span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">有一线希望决不放弃。医生又安排郑先生做了磁共振，通过不同序列信号的对比，发现他缺血的脑组织还未完全坏死，仍有机会溶栓。医生经沟通获得同意后，果断进行溶栓，目前郑先生病况逐渐好转，在进一步治疗中。</span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);text-align: center;letter-spacing: 0.578px;"><span style="outline: 0px;letter-spacing: 0.578px;caret-color: red;font-size: 14px;color: rgb(136, 136, 136);">张圣等在查房</span>
<section data-role="title" data-tools="135编辑器" data-id="92788" style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);"><section style="margin-top: 15px;margin-bottom: 15px;outline: 0px;text-align: center;"><section style="outline: 0px;display: inline-block;vertical-align: top;"><section style="margin-left: auto;outline: 0px;width: 45px;height: 5px;line-height: 5px;background-color: rgb(182, 228, 253);color: rgb(5, 115, 175);overflow: hidden;"><br style="outline: 0px;"/></section><section style="margin-top: -3px;margin-bottom: -3px;padding-right: 8px;padding-left: 8px;outline: 0px;border-width: 1px;border-style: solid;border-color: rgb(0, 0, 0);color: rgb(62, 62, 62);letter-spacing: 0px;line-height: 1.75;transform: rotate(0deg);"><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong data-brushtype="text" style="outline: 0px;">有人跑步后冲个凉水澡</strong></span>
<p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong data-brushtype="text" style="outline: 0px;">脑梗了</strong></span>
</section><section style="outline: 0px;width: 45px;height: 5px;line-height: 5px;background-color: rgb(182, 228, 253);color: rgb(5, 115, 175);overflow: hidden;"><br style="outline: 0px;"/></section></section></section></section>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">一碗冰镇绿豆汤致脑梗？</span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">“大多数情况下，<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">脑中风是内因与外因共同所致，也就是‘内外夹攻’</span></strong>。” 该院神经内科副主任张圣分析认为，郑先生大汗淋漓身体水分丢失、而腹泻又加重程度使血液黏稠，一碗冰镇绿豆汤及空调房睡觉则致血管收缩。病史了解到，他有高血压及抽烟几十年，多因素叠加，脑梗就发生了。不过，冰镇绿豆汤“重要”作用显而易见，致腹泻继而加剧血液粘稠，也因冰凉使血管收缩。以前也曾接诊过跑步后马上冲凉的病人，也是这种情况。</span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">50多岁的王先生（化名），大热天呆在家里觉得闷闷的，想运动一下出出汗，选择去附近的公园跑步。几圈下来，全身都湿透，<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">回到家，他打开空调，痛痛快快洗个冷水澡，往沙发上一躺很快进入梦乡。没想到，醒来后，一侧身体突然不利索了，送医院后被诊断为脑梗死……</span></strong>立即进行静脉溶栓治疗，同时完善检查明确脑梗死的原因。</span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">溶栓后，王先生手脚基本恢复正常，讲话也利索了。回想自己发病的过程，王先生迷惑不解，<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">我既没高血压，又没有糖尿病，年纪也才五十出头，怎么就中风了呢？</span></strong></span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">医生分析，王先生的中风，<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">与运动后大量出汗，没及时补充水分，</span></strong><strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">吹空调，洗冷水澡有关。</span></strong>出汗后，身体大量缺水，血容量下降，血液浓缩，血液变得粘稠，容易形成血栓；加之王先生<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">平时抽烟，血脂高，血管本就有些轻度狭窄。</span></strong>这样多危险因素导致颅内血管堵塞，血流通过不了，脑细胞就会缺血坏死。</span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">“不少中青年平时不太在意体检，觉得年轻，没有明显这里疼哪儿痛的，就是健康的。殊不知，熬夜，高油饮食、撸串点外卖、甜饮不离手，还吸烟喝酒等，让年纪不大的七零后八零后，甚至九零后，不知不觉被‘三高’盯上，血管出现问题，比如逐渐狭窄，一旦受到外因的刺激，像上述患者那样，就可能诱发脑血管意外。”张圣说。</span>
<section data-role="title" data-tools="135编辑器" data-id="92788" style="margin-bottom: 0px;outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);"><section style="margin-top: 15px;margin-bottom: 15px;outline: 0px;text-align: center;"><section style="outline: 0px;display: inline-block;vertical-align: top;"><section style="margin-left: auto;outline: 0px;width: 45px;height: 5px;line-height: 5px;background-color: rgb(182, 228, 253);color: rgb(5, 115, 175);overflow: hidden;"><br style="outline: 0px;"/></section><section style="margin-top: -3px;margin-bottom: -3px;padding-right: 8px;padding-left: 8px;outline: 0px;border-width: 1px;border-style: solid;border-color: rgb(0, 0, 0);color: rgb(62, 62, 62);letter-spacing: 0px;line-height: 1.75;transform: rotate(0deg);"><p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong data-brushtype="text" style="outline: 0px;">有医院一周接诊</strong></span>
<p style="outline: 0px;"><span style="outline: 0px;font-size: 16px;"><strong data-brushtype="text" style="outline: 0px;">10多例中风病人</strong></span>
</section><section style="outline: 0px;width: 45px;height: 5px;line-height: 5px;background-color: rgb(182, 228, 253);color: rgb(5, 115, 175);overflow: hidden;"><br style="outline: 0px;"/></section></section></section></section>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">张圣主任介绍，<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">脑中风冬季高发，其实夏季高温天也会出现一个小高潮，</span></strong>我们科近<strong style="outline: 0px;"><span style="outline: 0px;color: rgb(0, 122, 170);">一周已接诊10多例中风病人，</span></strong>因此做好防范十分重要。夏季出汗多，要保证每天足量水分的摄入，可避免血液黏稠度增加。与此同时，要防止受“凉”，不要在空调打得较低的室内长时间呆着，尤其是睡觉时，头部空调一直吹，或受到室内外温差过大刺激，特别是有脑血管基础疾病患者，血管调节能力差，就可能诱发脑血管病。还有，应避免大汗淋漓时大量吃冷饮，运动后马上洗凉水澡等。盛夏酷暑，还需保证睡眠充足，运动量适度 ，尽量在清晨或傍晚进行。</span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">高血脂、糖尿病、动脉硬化、冠心病等是引起中风的根源。据临床医学统计，70%～80%的中风病人患有高血压。家庭中若有上述病史者，应提高警惕，积极预防，确诊后要按时服药，定时检查。</span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">脑梗死急救重要一点就是“快”。患者需要尽早开通阻塞血管，所以发现病人中风，尽快在第一时间送医。“一旦发生言语不清，有一侧肢体麻木、无力，突发视力下降、失明，突发头痛、眩晕等情况者，应及时就医，早发现早治疗。”</span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;"><span style="outline: 0px;font-size: 16px;">张圣主任表示，以前受技术原因限制，对于发病时间不明的情况，如睡眠中发病、无目击者等，只能追溯其最后正常的时间，从那时候开始算发病时间，很多人因此错失了溶栓机会。现在我们通过磁共振、CT灌注等先进的影像学技术，能更准确判断脑组织缺血的状态，从而帮助这部分病人重获溶栓机会，改善预后。</span>
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;">
<p style="outline: 0px;font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;white-space: normal;background-color: rgb(255, 255, 255);letter-spacing: 0.578px;">来源：掌上十堰
<p style="display: none;"><mp-style-type data-value="3"></mp-style-type>
<link rel="stylesheet" href="//www.hbrdcm.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_Uo5" id="wcn_editor_css"/>
页:
[1]