两肺全白了！一男子冬天确诊“热射病”，曾去过这地方
<div class="wx_rich_media_content" id="jsWxContainer"><p><br></p><section style='line-height: 1.75em;'><span style='font-size: 16px;'>“热射病”作为最严重的中暑类型，是夏季常见的健康隐患。但寒冷的冬季，居然也会发生“中暑”！</span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'><br></span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'>生活在杭州的韩大爷（化名）今年已经84岁，一到冬天，就喜欢到洗浴中心蒸个桑拿澡，一待就是一整天。<br style='-webkit-tap-highlight-color: rgba(0, 0, 0, 0);outline: 0px;font-size: 0.32rem;line-height: 0.56rem;visibility: visible;'></span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'><br></span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'>家人也曾劝阻过，毕竟<span style='color: rgb(0, 122, 170);'><strong>老人年逾八旬，还有高血压</strong></span>，但韩大爷怎么劝都不肯放弃这一大爱好。</span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'><br></span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.034em;'>去年12月底，韩大爷又如往常一样，<span style='letter-spacing: 0.034em; color: rgb(0, 122, 170);'><strong>在午后刚吃完饭就去了洗浴中心</strong></span>，刚进去没多久，<span style='letter-spacing: 0.034em; color: rgb(0, 122, 170);'><strong>整个人直接昏了过去，顿时口吐白沫</strong></span>，中午吃进去的食物全都吐了出去。旁人赶紧拨打120，把他送到了最近的医院。</span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.034em;'><br></span></section><section style='text-align: center;'><span class="wxart_image" wx-style='display:inline-block;visibility: visible !important;width: 661px !important;'></span></section><section data-role="outer" label="edit by 135editor"><section data-tools="135编辑器" data-id="92788"><section><section><section><section style='line-height: 1.75em;'><br></section></section><section style='line-height: 1.75em; text-align: center;'><span style='font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.034em;font-size: 16px;background-color: rgb(0, 122, 170);'><span style='color: rgb(255, 255, 255); font-family: PingFangSC-Medium, "PingFang SC"; font-weight: 700; letter-spacing: 0.578px;'>八旬大爷蒸桑拿</span><br style='color: rgb(255, 255, 255); font-family: PingFangSC-Medium, "PingFang SC"; font-weight: 700; letter-spacing: 0.578px; background-color: rgb(62, 107, 182);'><span style='color: rgb(255, 255, 255); font-family: PingFangSC-Medium, "PingFang SC"; font-weight: 700; letter-spacing: 0.578px;'>把肺蒸“白”了</span></span></section><section style='line-height: 1.75em;'><span style='color: rgb(255, 255, 255);font-family: PingFangSC-Medium, "PingFang SC";font-size: 16px;font-weight: 700;letter-spacing: 0.578px;text-align: center;background-color: rgb(62, 107, 182);'><br></span></section><section style='line-height: 1.75em;'><span style='font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.034em;font-size: 16px;'>接诊后，医生们<span style='letter-spacing: 0.034em; color: rgb(0, 122, 170);'><strong>一度怀疑韩大爷有肺栓塞或者脑梗</strong></span>，韩大爷意识不清，血压下降、<span style='letter-spacing: 0.034em; color: rgb(0, 122, 170);'><strong>心率也降到30次/分</strong></span>，氧饱和度只有80%到90%之间，急查血气显示pH仅有7.094，二氧化碳分压高达77.4mmHg，<span style='letter-spacing: 0.034em; color: rgb(0, 122, 170);'><strong>有明显的Ⅱ型呼吸衰竭和呼吸性酸中毒</strong></span>，于是立即启动抢救程序。</span></section><section style='line-height: 1.75em;'><span style='font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.034em;font-size: 16px;'><br></span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.034em;'>韩大爷插管后被立即送到CT室，进行了头颅和胸部CT和肺血管CTA检查。结果一出来，<strong><span style='letter-spacing: 0.034em; color: rgb(0, 122, 170);'>居然两肺全白了</span></strong>！</span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.034em;'><br></span></section></section></section></section></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'>经检查，医生排除了脑中风和肺栓塞的可能性。经过及时抢救，韩大爷各项检查指标也有了明显改善，但究竟为何会有这么严重的白肺出现？</span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'><br></span></section><p></p><section style='text-align: center;'><span style='color: rgb(136, 136, 136); font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.034em;'>医院供图</span></section><section style='text-align: center;'><span style='color: rgb(136, 136, 136); font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.034em;'></span><span style='font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: var(--articleFontsize);letter-spacing: 0.034em;text-align: justify;'></span></section><p data-mid="" mpa-is-content="t" style='text-align: center;'><span style='font-size: 16px;'><strong><span style='background-color: rgb(0, 122, 170);color: rgb(255, 255, 255);'><br></span></strong></span></p><p data-mid="" mpa-is-content="t" style='text-align: center;'><span style='font-size: 16px;'><strong><span style='background-color: rgb(0, 122, 170);color: rgb(255, 255, 255);'>大冬天竟得了“热射病”</span></strong></span></p><p data-mid="" mpa-is-content="t" style='text-align: center;'><span style='font-size: 16px;'><strong><span style='background-color: rgb(0, 122, 170);color: rgb(255, 255, 255);'>诱发肺水肿</span></strong></span><span style='font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: var(--articleFontsize);letter-spacing: 0.034em;text-align: justify;'></span></p><p data-mid="" mpa-is-content="t" style='text-align: center;'><span style='font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;font-size: var(--articleFontsize);letter-spacing: 0.034em;text-align: justify;'><br></span></p><section data-role="outer" label="edit by 135editor"><section data-tools="135编辑器" data-id="92788"><section><section><section style='line-height: 1.75em;'><span style='font-size: 16px;font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.034em;'>当地医院立即联系了杭州市第一人民医院呼吸内科主任医师沈凌进行会诊，最终韩大爷被确诊为<span style='letter-spacing: 0.034em; color: rgb(0, 122, 170);'><strong>热射病诱发的肺水肿</strong></span>。<br></span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.034em;'><br></span></section></section></section></section></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'>这可是冬天啊，怎么会得热射病呢？</span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'><br></span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'>沈凌分析，韩大爷入院时降钙素原有明显增高，而非感染性疾病能导致降钙素原升高的有十几种，没有一种能和患者的情况对得上号，反而与热射病症状相符。原来，<span style='color: rgb(0, 122, 170);'><strong>热射病会导致降钙素原（PCT）增高</strong></span>，主要与机体在热射病状态下出现的<span style='color: rgb(0, 122, 170);'><strong>应激反应、炎症反应以及器官功能损伤</strong></span>等因素相关。</span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'><br></span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'>在<span style='color: rgb(0, 122, 170);'><strong>桑拿房这种高温高湿</strong></span>的特殊环境，人体皮肤散热会变得极为困难，汗液无法正常排出，就像被“锁”在了体内。这种情况下也会导致<span style='color: rgb(0, 122, 170);'><strong>体内热量大量积聚</strong></span>，即便在冬天，也完全有可能出现类似夏天热射病的症状，尤其是有基础疾病的老年人。</span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'><br></span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'>热射病发生后，会出现脱水，进而导致患者血压下降，严重者会对心肌造成损害，心功能会受到极大影响。进而易出现心功能短暂的急性心衰。心脏的泵血功能一旦出现问题，<span style='color: rgb(0, 122, 170);'><strong>大量血液就会淤积在肺部血管，进而引发肺水肿。</strong></span></span></section><section style='line-height: 1.75em;'><br></section><section style='line-height: 1.75em; text-align: center;'><span style='color: rgb(255, 255, 255); font-family: PingFangSC-Medium, "PingFang SC"; font-size: 16px; font-weight: bold; letter-spacing: 0.578px; background-color: rgb(0, 122, 170);'>中暑并非夏季“专属疾病”</span></section><section data-role="outer" label="edit by 135editor"><section data-tools="135编辑器" data-id="92788"><section><section><p data-mid="" mpa-is-content="t" style='letter-spacing: 0.578px; text-align: center; font-size: 16px; font-family: PingFangSC-Medium, "PingFang SC"; font-weight: bold; color: rgb(255, 255, 255); line-height: 22px;'><span style='background-color: rgb(0, 122, 170);'>冬季泡澡预防热休克</span></p><section style='line-height: 1.75em; text-align: center;'><br></section><section style='line-height: 1.75em;'><span style='font-size: 16px;font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.034em;'>在寒冷的冬季，很多人选择进入温暖的浴缸泡一个热水澡，既可以放松身心，又能够驱散寒意。殊不知，这样一冷一热，很容易导致“热休克”。<br></span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;font-family: mp-quote, "PingFang SC", system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif;letter-spacing: 0.034em;'><br></span></section></section></section></section></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'>沈凌表示，<span style='color: rgb(0, 122, 170);'><strong>温度变化过于剧烈，会造成循环系统负担增加</strong></span>，不仅会诱发脑中风或心血管疾病，严重者会引发突然休克。尤其是患有动脉硬化、糖尿病、高血压、肥胖症、高脂血症、高尿酸血症的人，以及高龄老人等。</span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'><br></span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'>沈凌提醒，冬季洗澡牢记三点，预防热休克：</span></section><section style='line-height: 1.75em;'><span style='color: rgb(2, 30, 170); font-size: 16px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-weight: bold; letter-spacing: 0.544px; widows: 1;'><br></span></section><ul class="list-paddingleft-1"><li><section style='line-height: 1.75em;'><span style='font-size: 16px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-weight: bold; letter-spacing: 0.544px; widows: 1; color: rgb(0, 122, 170);'>消除环境间的温差</span></section></li></ul><section data-role="outer" label="edit by 135editor"><section data-tools="135编辑器" data-id="87424"><section><section><section data-autoskip="1"><section style='line-height: 1.75em;'><br></section><section style='line-height: 1.75em;'><span style='font-size: 16px;'>在更衣室（脱衣服的地方）、走廊、厕所等感觉很冷的地方，安装小型取暖器，进入浴室前提前预热身体。</span></section><section style='line-height: 1.75em;'><span style='color: rgb(2, 30, 170); font-size: 16px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-weight: bold; letter-spacing: 0.544px; widows: 1;'><br></span></section><ul class="list-paddingleft-1"><li><section style='line-height: 1.75em;'><span style='font-size: 16px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-weight: bold; letter-spacing: 0.544px; widows: 1; color: rgb(0, 122, 170);'>饭后、酒后不要立即洗澡</span></section></li></ul><section style='line-height: 1.75em;'><br><span style='font-size: 16px;'>饭后血液会聚集到消化器官以消化食物，血压会稍稍降低；酒精具有扩张血管的作用，在喝酒过程中和酒后的血压会有所下降。此时在超过42℃比较烫的热水中泡澡，可能会出现一时性的血压大幅上升，剧烈波动，导致热休克。因此建议饭后一小时或酒后稍事休息再沐浴。</span></section><section style='line-height: 1.75em;'><span style='color: rgb(0, 122, 170); font-size: 16px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-weight: bold; letter-spacing: 0.544px; widows: 1;'><br></span></section><ul class="list-paddingleft-1"><li><section style='line-height: 1.75em;'><span style='color: rgb(0, 122, 170); font-size: 16px; font-family: -apple-system-font, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-weight: bold; letter-spacing: 0.544px; widows: 1;'>寒冬洗澡前尽可能告知身边人</span></section></li></ul><section style='line-height: 1.75em;'><br><span style='font-size: 16px;'>发生热休克的早期患者可能有头晕、胸闷、胸痛等表现，此时如果身边人能及时发现，可以最大程度减少不良预后的发生。</span></section></section></section></section></section></section><p><br></p><section xmlns="http://www.w3.org/1999/xhtml" style='-webkit-tap-highlight-color: transparent; outline: 0px; font-family: "PingFang SC", system-ui, -apple-system, "system-ui", "Helvetica Neue", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 0.578px;'><section data-author="Wxeditor" style='-webkit-tap-highlight-color: transparent;outline: 0px;'><section data-from="local" author="wxeditor" style='-webkit-tap-highlight-color: transparent;outline: 0px;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;'><span style='-webkit-tap-highlight-color: transparent; outline: 0px; color: rgb(136, 136, 136);'>来源：潮新闻、钱江晚报</span></section><section style='-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;'><img src="https://www.yewn.cn/data/attachment/forum/202501/14/091554i5c91554w655v5s5.png"></section></section></section></section><p style='display: none;'><mp-style-type data-value="10000"></mp-style-type></p></div> 桑拿需谨慎。 嗯！！！！！！ 这个要注意。 注意自身防范 加强防范意识！ 做好安全防范 加强防范意识！ 新冠肺炎不是也是白肺吗？ 做好防范！！
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