资阳市疾控中心 发表于 2024-7-4 10:40

喝果汁进ICU!这一类人夏天要格外当心!

<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.jiuquhe.com/static/publish/css/style.css?v=1605251010513" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=1605251010513"><!--    付费贴-->    <div class="preview_article ">            <!---->    <section><section><p class="empty_paragraph" style="text-align: center;">&nbsp;</p><section><section><section><section><section><section><p style="text-align: center;"><span style="color: #000000; caret-color: red;">喝了一瓶果汁</span></p><p style="text-align: center; line-height: 1.75em;"><span style="color: #000000;">陷入昏迷</span></p><p style="text-align: center; line-height: 1.75em;"><span style="color: #000000;">被紧急送医抢救</span></p><p style="text-align: center; line-height: 1.75em;"><span style="color: #000000;">住进了ICU&hellip;&hellip;</span></p><p style="text-align: center; line-height: 1.75em;"><span style="color: #000000;">38岁的梁先生(化名)</span></p><p style="text-align: center; line-height: 1.75em;"><span style="color: #000000;">近日在&ldquo;鬼门关&rdquo;前走了一遭</span></p><p>&nbsp;</p><p style="text-align: center; line-height: 1.5em;"><img class="rich_pages wxw-img" style="vertical-align: baseline; width: 131px;" src="https://pic.app.jiuquhe.com/FuplMOemg0thKRGiKIfy8dDlZ23S" width="131" /></p><p style="text-align: center; line-height: 1.5em;"><span style="color: #888888; font-size: 14px;">图片来源:觅元素</span></p><section><section style="margin: 10px auto; display: flex; justify-content: center;"><section style="display: flex; flex-direction: column;"><section style="width: 40px; margin-bottom: -16px; margin-left: -10px; z-index: 5;"><img class="rich_pages wxw-img" style="width: 100%; display: block; vertical-align: baseline;" src="https://pic.app.jiuquhe.com/FlRBuevyr-BodBazQd-qe0qBhAPZ" /></section><section style="display: flex;"><section style="flex-shrink: 0;"><section style="width: 20.5px;"></section></section><section style="background-color: #95c353; padding-right: 20px; padding-left: 20px; display: flex; align-items: center; margin-right: -1px; margin-left: -1px;"><section style="font-size: 18px; letter-spacing: 1.5px; color: #ffffff;"><strong>一瓶果汁竟让他&ldquo;命悬一线&rdquo;</strong></section></section><section style="flex-shrink: 0;"><section style="width: 28.5px;"></section></section></section><section style="width: 22px; margin-left: 23%; margin-top: -5px;"></section></section></section></section><p style="text-align: justify; line-height: 1.75em;">&nbsp;</p><section><section style="margin: 10px auto;"><section style="display: flex; align-items: center;"><section style="flex-shrink: 0;"><section style="width: 9px; height: 9px; border-radius: 100%; overflow: hidden; border: 1px solid #72bc61;"></section></section><section style="width: 100%; border-top: 1px solid #72bc61; height: 1px; overflow: hidden;"></section></section><section style="background-color: #f8fff6; padding: 15px 10px;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background-color: transparent;"><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="color: #ff6827;"><strong>患有糖尿病多年</strong></span><span style="max-inline-size: 100%; cursor: text; color: #000000;">的梁先生在家里忍不住喝了一瓶含糖果汁,此前不久他刚因为血糖高在医院里住了一周&mdash;&mdash;当晚正是抱着&ldquo;反正血糖已经控制住了,稍微放纵一下没关系&rdquo;的心理,把一瓶果汁喝了个精光。</span></p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #000000;">没想到,喝完果汁后没多久,梁先生就出现了身体不适,家人发现后赶紧将他送到医院就诊。</span></p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #000000;">&ldquo;这位患者被送到医院时,已经陷入昏迷,并且在大口地透气。&rdquo;医生回忆道,当时医护人员给梁先生测了血糖,数值竟高达56.8mmol/L,超出正常值八九倍。飙升到如此高的血糖,导致梁先生出现了</span><span style="max-inline-size: 100%; cursor: text; color: #ff6827;"><strong>糖尿病酮症酸中毒、乳酸酸中毒并发ARDS(急性呼吸窘迫综合征)</strong></span><span style="max-inline-size: 100%; cursor: text; color: #000000;">,情况非常不容乐观。</span></p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><p style="text-align: center; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><img class="rich_pages wxw-img" style="cursor: pointer; vertical-align: baseline; width: 160px; max-inline-size: 100%;" src="https://pic.app.jiuquhe.com/FtrMT6lhBmMuXyYtCIpEJfH7OZvi" width="160" /></p><p style="text-align: center; max-inline-size: 100%; cursor: text; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="color: #888888;">图片来源:千库网</span></p><p style="text-align: center; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #000000;">最终,经过治疗,梁先生终于度过了危险期,生命体征趋于平稳,并成功撤离ECMO治疗。撤机后,梁先生又继续在ICU内经过6天的对症支持治疗,随后才顺利转出ICU,到普通病房继续接受治疗。</span></p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #000000;">在梁先生病情稳定后,医生从他本人那了解到,</span><strong><span style="max-inline-size: 100%; cursor: text; color: #ff6827;">他虽然知道自己有糖尿病,但从来不使用降糖药物,而且平时生活习惯差,血糖控制得很不好。</span></strong></p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #000000;">医生认为,梁先生此次渡过的&ldquo;生死劫&rdquo;,对于广大糖尿病患者也具有重要的警示意义:</span><span style="color: #ff6827;"><strong>糖尿病不可怕,可怕的是不懂得控制。</strong></span></p></section></section><section style="display: flex; align-items: center;"><section style="width: 100%; border-top: 1px solid #fad3c9; height: 1px; overflow: hidden;"></section><section style="flex-shrink: 0;"><section style="width: 9px; height: 9px; border-radius: 100%; overflow: hidden; border: 1px solid #fad3c9;"></section></section></section></section></section><p style="text-align: justify; line-height: 1.75em;">&nbsp;</p><section><section style="margin: 10px auto; display: flex; justify-content: center;"><section style="display: flex; flex-direction: column;"><section style="width: 40px; margin-bottom: -16px; margin-left: -10px; z-index: 5;"><img class="rich_pages wxw-img" style="width: 100%; display: block; vertical-align: baseline;" src="https://pic.app.jiuquhe.com/FlRBuevyr-BodBazQd-qe0qBhAPZ" /></section><section style="display: flex;"><section style="flex-shrink: 0;"><section style="width: 20.5px;"></section></section><section style="background-color: #95c353; padding-right: 20px; padding-left: 20px; display: flex; align-items: center; margin-right: -1px; margin-left: -1px;"><section style="font-size: 18px; letter-spacing: 1.5px; color: #ffffff;"><strong>糖尿病患者,夏季格外当心!</strong></section></section><section style="flex-shrink: 0;"><section style="width: 28.5px;"></section></section></section><section style="width: 22px; margin-left: 23%; margin-top: -5px;"></section></section></section></section><p style="text-align: justify; line-height: 1.75em;">&nbsp;</p><section><section style="margin: 10px auto;"><section style="display: flex; flex-direction: column;"><section style="padding-right: 11px; padding-left: 11px; margin-bottom: -1px; z-index: 9;"><section style="background-color: #f8fff6; border-radius: 10px 10px 0px 0px; height: 11px; border-left: 1px solid #72bc61; border-top: 1px solid #72bc61; border-right: 1px solid #72bc61; display: flex; justify-content: space-between; align-items: flex-end;"><section style="width: 7px; height: 7px; background-color: #ffffff; border-radius: 100%; overflow: hidden; transform: translate(-1px, 6px); border: 1px solid #72bc61;"></section><section style="width: 7px; height: 7px; background-color: #ffffff; border-radius: 100%; overflow: hidden; transform: translate(1px, 6px); border: 1px solid #72bc61;"></section></section></section><section style="background-color: #f8fff6; padding: 5px 23px; z-index: 6; border-radius: 10px; border: 1px solid #72bc61;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background-color: transparent;"><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="color: #ff6827;"><strong>糖尿病酮症酸中毒是糖尿病最常见的急性并发症之一</strong></span><span style="max-inline-size: 100%; cursor: text; color: #000000;">,常被&ldquo;糖友&rdquo;戏称为糖尿病的&ldquo;刺客&rdquo;,它主要是由于胰岛素不足和升糖激素不适当升高引起的糖、脂肪和蛋白质代谢严重紊乱综合征,临床以</span><span style="color: #000000;">高血糖、高血酮和代谢性酸中毒为主要特征,</span><span style="max-inline-size: 100%; cursor: text; color: #000000;">无论是1型糖尿病还是2型糖尿病均可发生。</span></p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #000000;">糖尿病酮症酸中毒的发生常有诱因,包括</span><span style="color: #ff6827;"><strong>急性感染、胰岛素不适当减量或突然中断治疗、饮食不当、运动不当、精神刺激等。</strong></span></p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #000000;">不少糖尿病患者在夏季时擅自停用胰岛素,想通过节食和大量运动降血糖,结果发现不仅血糖没有控制好反而发生了糖尿病酮症酸中毒。</span></p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #ff6827;"><strong>首先</strong></span><span style="max-inline-size: 100%; cursor: text; color: #000000;">,糖尿病患者擅自停用胰岛素,容易使体内的胰岛素供应不足,从而导致血糖升高;</span><span style="max-inline-size: 100%; cursor: text; color: #ff6827;"><strong>其次</strong></span><span style="max-inline-size: 100%; cursor: text; color: #000000;">,节食和大量运动容易导致较长时间能量摄入不足,此时体内的脂肪就被迫分解提供能量,脂肪分解会产生酮体,而酮体是酸性产物,当它不断蓄积就会引发酸中毒。</span></p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #000000;">所以,</span><span style="max-inline-size: 100%; cursor: text; color: #ff6827;"><strong>&ldquo;</strong></span><span style="color: #ff6827;"><strong>糖友们&rdquo;切记不可擅自停用胰岛素,盲目靠节食及运动的方法降血糖也并不可取。</strong></span></p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><p style="text-align: center; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="color: #ff6827;"><strong><img class="rich_pages wxw-img" style="vertical-align: baseline; width: 153px;" src="https://pic.app.jiuquhe.com/FqmSjrjl9nZhjF-RHEml8hLWdXb9" width="153" /></strong></span></p><p style="text-align: center; max-inline-size: 100%; cursor: text; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #888888;">图片来源:千库网</span></p></section></section><section style="padding-right: 11px; padding-left: 11px; margin-top: -1px; z-index: 9;"><section style="background-color: #f8fff6; border-radius: 0px 0px 10px 10px; height: 11px; border-left: 1px solid #72bc61; border-bottom: 1px solid #72bc61; border-right: 1px solid #72bc61; display: flex; justify-content: space-between; align-items: flex-start;"><section style="width: 7px; height: 7px; background-color: #ffffff; border-radius: 100%; overflow: hidden; transform: translate(-1px, -6px); border: 1px solid #72bc61;"></section><section style="width: 7px; height: 7px; background-color: #ffffff; border-radius: 100%; overflow: hidden; transform: translate(1px, -6px); border: 1px solid #72bc61;"></section></section></section></section></section></section><p style="text-align: justify; line-height: 1.75em;">&nbsp;</p><section><section style="margin: 10px auto;"><section style="width: 8px; height: 8px; border-radius: 100%; background-color: #fad3c9; margin-bottom: -5px; overflow: hidden;"></section><section style="background-color: #f8fff6; padding: 15px 20px; border-radius: 25px 0px 0px; border: 1px solid #d2eabe;"><section style="line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: #333333; background-color: transparent;"><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #000000;">此外,夏季炎热高温,人体处于较高的代谢状态,出汗多,食欲减少,&ldquo;糖友&rdquo;容易缺水,</span><span style="max-inline-size: 100%; cursor: text; color: #ff6827;"><strong>脱水也有可能引发酮症酸中毒。</strong></span></p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><section style="text-align: center; line-height: 2em;"><img class="rich_pages wxw-img" style="width: 143px; height: 143px; vertical-align: baseline;" src="https://pic.app.jiuquhe.com/FiIQTzEo_lHjG-u2ltZBGvJQa3Y1" /></section><section style="text-align: center; max-inline-size: 100%; cursor: text; caret-color: #ff0000; line-height: 2em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #888888;">图片来源:千库网</span></section><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;">&nbsp;</p><p style="text-align: justify; max-inline-size: 100%; cursor: text; font-size: 17px; caret-color: #ff0000; line-height: 1.75em; font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;"><span style="max-inline-size: 100%; cursor: text; color: #000000;">因此,</span><span style="color: #ff6827;"><strong>夏天&ldquo;糖友们&rdquo;应保证充足的水分摄入,合理的控制饮食,不暴饮暴食、不过度节食和过量运动、定期监测血糖,合理用药,不随意增减胰岛素</strong></span><span style="max-inline-size: 100%; cursor: text; color: #000000;">,把糖尿病酮症酸中毒这个&ldquo;刺客&rdquo;挡在门外,当出现不适症状时应尽快就医,配合医务人员积极治疗。</span></p></section></section><section style="width: 50px; margin-left: auto; margin-top: -40px;"><img style="width: 100%; display: block; vertical-align: baseline;" src="https://pic.app.jiuquhe.com/luh4ZlUZnuDOPAns0YBXNhpb_dYw" /></section></section></section></section><section style="margin-bottom: 0px; text-wrap: wrap; outline: 0px; font-size: 16px; letter-spacing: 0.544px; text-align: center; background-color: #ffffff; color: #222222; visibility: visible;"><section style="outline: 0px; text-align: left;"><span style="outline: 0px; color: #888888; letter-spacing: 0.544px; caret-color: red; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 12px;">来源&nbsp; &nbsp;|&nbsp;<span style="outline: 0px; caret-color: red; 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; text-align: center;"><span style="color: #888888; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif; font-size: 12px; letter-spacing: 0.544px; text-wrap: wrap; background-color: #ffffff;">人民网科普、宁波晚报</span>、广西疾控</span></span></section><section style="outline: 0px; text-align: left;"><span style="outline: 0px; font-size: 12px; letter-spacing: 0.544px; caret-color: red; color: #888888; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif;">声明&nbsp; &nbsp;|&nbsp; 资料图片来源网络,且仅用于科普公益宣传,如侵删</span></section></section></section></section></section></section></section></section></section><p style="display: none;">&nbsp;</p>    <!----></div>            

霸道[SHEN.X.S) 发表于 2024-7-4 19:24

夏季来临注意点

如约而至 发表于 2024-7-5 09:20

注意一点哦

吴素先 发表于 2024-7-6 10:50

知道啦!

风雪夜归人 发表于 2024-7-6 16:06

谢谢告知

封狼居胥 发表于 2024-7-6 16:19

谢谢提醒

封狼居胥 发表于 2024-7-6 16:19

一定要注意

血雨腥风 发表于 2024-7-6 17:25

谢谢提醒

斩魄 发表于 2024-7-6 17:46

谢谢提醒

斩魄 发表于 2024-7-6 17:46

夏季来临注意点
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