受访专家：武汉市第一医院神经内科 陈国华主任

Experts questioned：The first hospital in wuhan neurological in-patients ChenGuoHua director

　　 武汉市中心医院心血管内科主任 陈曼华教授

Wuhan city center hospital medical director of cardiovascular ChenManHua professor

　　

新闻回访 News pays a return visit

　　

24岁淘宝皇冠级店主猝死 24 the crown taobao level sudden death

　　 18日，微博上的一则新闻备受关注，浙江一名年轻漂亮的女孩经营一家皇冠级的淘宝店，因为忙于进货上架，连续通宵熬夜而去世。其朋友发微博说：“昨夜在睡梦中去世，年仅24岁，留给她的亲人与朋友无限哀伤。淘宝店主这行也有很多外人不知道的辛苦，每次新货上架前，晚上通宵，白天进货，几乎没有时间睡觉吃饭。”

18，The blog of concern about the news，Zhejiang a beautiful young girl running a crown of level taobao shop，For busy stock shelves，Continuous staying up and died。The friend FaWei bo said：“Last night, died in his sleep，Just 24 years old，Left to her relatives and friends infinite grief。Taobao shop owner this line also have many strangers don't know of hard work，Every time a new goods shelves before，Night all night，The day stock，Almost no time to sleep for dinner。”

　　 在一片扼腕叹息声中，不少网友都把24岁年轻女孩的猝死与开网店疲劳过度联系在一起。对于习惯了夜猫子生活的年轻人来说，这个极端例子无疑敲响了警钟。长期大量的加班加点，也让职场黑色词汇“过劳死”再度被热议。

In a sighing sound)，Not a few net friend to 24 years old young girls of sudden cardiac death and open shop too tired linked together。For those used to the night owl life young people，This no doubt extreme example was a wake-up call。Long-term a lot of overtime，Also let work black vocabulary“karoshi”Hot debate again。

　　

A 年轻人熬夜成常态 A young man to stay up late to be normal

　　 微博上，很多上班族纷纷表示自己有长期熬夜的习惯。记者对40余名25岁至40岁的年轻人做过简单调查，超过七成人表示经常熬夜，每晚能在11点之前睡觉的只有少数。网络编辑程先生介绍，他每周至少有4天都是凌晨才睡觉，或看球或工作，至少凌晨两三点才睡，白天偶尔会有胸闷的症状，看到淘宝店主熬夜猝死这条新闻时，他很担心自己的状况。

Micro blog，Many workers have said he has a long stay up habits。The reporter of more than 40, aged 25 to 40 young people do simple survey，More than 7 adults said often stay up late，In every night to sleep before 11 o 'clock of only a few。Network editor Mr Cheng is introduced，He at least four days a week is go to bed until morning，Or watching or work，At least the silent before going to bed，The day occasionally a chest tightness of symptoms，See taobao shop owner to stay up late sudden death this news，He is worried about his condition。

　　 现在很多年轻人都不太注重早睡早起，白天工作繁忙，晚上不是继续工作就是在家玩电脑游戏，哪怕是身体想休息，可是大脑还强迫自己晚睡一会，看看电影，玩玩游戏，常常一晃就12点后了，似乎不熬夜就不习惯。

Now many young people don't pay attention to early to bed and early to rise，The job is busy by day，Night is not continue to work at home playing computer games，Even if it is the body want to have a rest，But the brain also force yourself to stay up late，Look at the movie，Playing games，Flash is often at 12，Don't seem to stay up late is not used to。

　　 专家介绍，凌晨两点左右是阴阳交替之时，人的交感神经薄弱，而副交感神经很活跃，如果熬夜睡得晚，植物神经就会紊乱，人容易出现心律失常，或是心梗的发生。由于长期的熬夜而导致过度疲劳，机体处于衰弱状态，这也是引发急性心肌梗死的诱因。长期熬夜的人群，由于休息不好、生物钟被打乱，患冠心病、血压高的几率会有所增加，人也易脾气暴躁，情绪激动。

experts，Two o 'clock in the morning is around the turn of the Yin and Yang，The sympathetic weak，And parasympathetic nerve is very active，If staying up late sleep late，Plant nerve will disorder，People prone to arrhythmia，Or the occurrence of myocardial infarction。The result is a long stay up late and lead to excessive fatigue，The body in a weak state，This is also cause the cause of acute myocardial infarction。Long-term stay up late crowd，Due to rest bad、Biological clock is upset，CHD、High blood pressure risk increases，People also easily grumpy，emotional。

　　 此外，长期熬夜的人常用抽烟来提神，殊不知熬夜者常久坐少动，可能导致肺梗塞，而体内血液循环处于缓滞状态，吸烟会增加血液黏稠度。国外有研究发现，熬夜时吸烟会使血液的黏稠度比正常时增加8倍以上。因此，熬夜时吸烟非常容易诱发急性心脑血管疾病，尤其对患有高血压、冠心病、血管病变的人，危险性更大，突发急性心肌梗塞、脑出血、脑梗塞、主动脉夹层破裂的几率增加。

In addition，The long-term stay up smoking used to wake up，Little imagine staying up late, which had long been the sit less move，May cause pulmonary infarction，And the body the blood circulation in HuanZhi state，Smoking can increase blood thick。Foreign research has found，Stay up late and smoking can make blood than normal when the thick increased more than 8 times。so，Stay up late and smoking very likely to cause acute disease of heart head blood-vessel，Especially for people with high blood pressure、Coronary heart disease、Vascular lesions，More at risk，Sudden acute myocardial infarction、Cerebral hemorrhage、Cerebral infarction、Ruptured aortic dissection increased risk。

　　 专家说，虽然熬夜猝死是比较极端的情况，熬夜确实会带来很多健康问题。首先是免疫力下降，熬夜过后人体容易虚弱、免疫力下降，病毒便有机可乘。最常见的问题便是引发呼吸道感染，这也是为什么熬夜后容易感冒的原因，严重时还可能导致肺炎、心肌炎。其次是亚健康，出现容易疲倦、经常性腰酸背痛的亚健康状态，还有肠胃功能紊乱和心脑血管疾病。

Experts say，Although stay up is the sudden death are extreme，Stay up late does have a lot of health problems。First is the immune system，After staying up late to weak body、Loss of immunity，The virus then takes advantage。The most common problem is cause respiratory infections，This is why after staying up late to catch a cold reason，Serious when still can lead to pneumonia、myocarditis。Second is the health，Appear easy tired、Regular back-breaking sub-health state，And stomach disorders with disease of heart head blood-vessel。

　　

B 心梗、中风的年轻人增多 B myocardial infarction、Stroke increased young people

　　 冠心病、心梗、脑梗、脑出血等问题越来越多见于年轻人，经常连续熬夜的人群更容易出现心脑血管疾病，这正是导致猝死的直接诱因。

Coronary heart disease、Myocardial infarction、Cerebral infarction、Cerebral hemorrhage, more and more problems in young people，Often the crowd of continuous stay up late more likely to have disease of heart head blood-vessel，This is the direct cause cause sudden death。

　　 33岁的陈先生是汉口一家公司的项目经理，因年轻有为深受老总的重用，经常被派出洽淡业务，应酬也较多。由于工作压力比较大，陈先生常常上网聊天玩游戏减压，到凌晨一两点才上床睡觉。妻子提醒他注意休息，陈先生不以为意，觉得自己身体底子挺扎实，偶有头昏，他也认为是疲劳过度，休息休息就能恢复。

33 years old Mr. Chen is hankou a company project manager，Because by the reuse of promising young manager，Often were sent to co-operate with the business，Dinner party more also。Because working pressure，Mr. Chen often chat online play games the reduced pressure，Until the wee hours of the morning at 2:00 p.m. didn't go to sleep。His wife call his attention to rest，Mr. Chen yawn，Feel the body is the solid foundation，I have dizziness，He also thought that is too tired，Have a rest recovery。

　　 16日，陈先生请同学到家里来玩，突然觉得左边的手脚麻木，活动有点不听使唤，正准备告诉妻子，却发现说话也吐词不清了。幸好同学中有一位是医生，认为可能是脑梗塞的症状，建议他赶快到医院检查。经检查确诊为脑梗塞，陈先生不相信自己这么年轻怎么可能中风。

16，Mr. Chen please classmates to the house to play，Suddenly feel numb to the left of the hands and feet，Activity is a little wouldn't work，Is going to tell his wife，But found that speak also vomit word not pure。Fortunately classmates is a is a doctor，That may be the symptoms of cerebral infarction，Suggested that he get to the hospital the examination。Through the check diagnosed as cerebral infarction，Mr. Chen don't believe in yourself, how can so young stroke。

　　 专家介绍说，生活节奏太快，工作压力太大，年轻人患心肌梗塞、脑梗塞这样的老年病呈现出明显增多趋势。医院每年会接诊一些猝死的病例，近几年中青年人发病率较以往有所增加。从急诊情况来看，约有七成猝死者因心脏病引起，约两成因脑血管疾病，约15%的患者根本不知道自己患有心脑血管疾病，尤其是年轻人。医生从询问患者病史的过程中了解到，确实有部分人有长期熬夜的习惯，大多数是因为本身有某些基础性疾病引发的猝死。

Experts say，The pace of life too fast，Too much stress on the job，Young people suffering from myocardial infarction、Cerebral infarction such presents the obvious increase gien trend。The hospital sees some sudden death each year of the cases，In recent years increased incidence of young people than ever before。From the emergency situation，About seventy percent of the sudden death from heart disease is caused，About two cause cerebrovascular disease，About 15% of the patients don't know they have disease of heart head blood-vessel，Especially young people。The doctor ask the patient from the process of history to know，Do have some people have the habit of long-term stay up late，Most have some basic diseases because itself cause sudden death。

　　

C “过劳死”大多因为身体已病 C “karoshi”Mostly because the body already disease

　　 专家介绍，“过劳死”是因为工作时间过长、劳动强度过重、心理压力太大，正常工作规律和生活规律遭到破坏，体内疲劳蓄积并向过劳状态转移，使血压升高、动脉硬化加剧，进而出现致命的状态。“过劳死”一词是近15年来才被医学界正式命名。据报道，日本每年约有1万人因过劳而猝死。

experts，“karoshi”Because long working hours、Labor intensity is overweight、The psychological pressure is too great，Normal work rules and life law destroyed，Fatigue accumulated inside body and worked to transfer to the state，Elevated blood pressure、Atherosclerosis aggravate，Appear then fatal condition。“karoshi”A word is nearly 15 years to be officially name the medical profession。According to the report，Each year, about 10000 people in Japan by overfatigue and sudden death。

　　 据了解，在导致“过劳死”的基础疾病中，大多数是由心脑血管疾病引起的，占三分之二以上。除此以外，消化系统疾病、肾衰竭、感染性疾病也会导致“过劳死”。很多“过劳死”年轻人本身就有基础疾病，平时疏于检查没有被发现，过度劳累导致疾病恶化。30多岁的人往往是单位里的骨干，他们将自己大部分精力都投入在工作中，忽视疾病和劳累。而过度劳累和长期精神紧张，会使身体的自主神经系统功能紊乱，引起体内主要器官和系统失衡，从而引发疾病甚至死亡。

According to understand，In the lead to“karoshi”In the foundation of the disease，Most is caused by the disease of heart head blood-vessel，More than two-thirds。In addition，Digestive system disease、Kidney failure、Infectious disease can also lead to“karoshi”。many“karoshi”Young people itself to have basic diseases，Usually neglect inspection is not found，Overwork lead to disease progression。More than 30 years old are often is the backbone of the units，They will be most energies in the work，Neglected diseases and tired。And overwork and long-term mental tension，The body of the autonomic nervous system disorders，Cause major organs in the body and system imbalance，And cause disease and even death。

　　 另外，中青年人忽视健康的生活方式也是导致过劳死的主要因素。这部分人群大多工作压力大、应酬多、饮食没有规律，其实有些人平时有高血压的症状，比如头昏、脑胀等，但从未想过被老年病提前缠上，没有引起重视。还有，长期通宵达旦地工作，会使体内产生许多毒素，而且有些毒素会随着血液进入大脑，能迅速引起中枢系统的“中毒”症状。他们不仅休息不好，还经常饥一顿饱一顿，还可能导致消化系统产生病变，如溃疡、肝硬化等。

In addition，People of neglect of health way of life is the leading cause of karoshi main factors。This part of most people work pressure、Dinner party more、Diet didn't rule，In fact, some have symptoms of high blood pressure range，Such as dizziness、Brain expand, etc，But never think be gien wrapped in advance，No attention。and，Long-term working all night，Can make the body produces many toxins，And some toxin as blood into the brain，Can quickly cause central system“poisoning”symptoms。They not only rest bad，Also often for a hunger for a full，It may also cause digestive system to produce lesions，Such as ulcer、Cirrhosis of。

　　

D 非熬夜不可，必须注意调整 D not stay up late not，Must pay attention to adjust

　　 如果非熬夜不可，应注意自我调整。比如晚上熬夜久了，白天需要适时补觉，好好休息，让自己身体进入深睡眠。常常熬夜的人，建议定期检查身体，及时发现潜在的疾病。此外，心梗发作前常常会有早期征兆，特别是具有心血管病高危因素的人群。

If the not stay up late，Should pay attention to adjusting itself。For example to stay up at night for a long time，To timely sleep during the day，Have a good rest，Let your body into a deep sleep。Often stay up late，Suggest regular inspection body，Identifying potential disease。In addition，Before a heart attack often had early warning signs，Especially with cardiovascular disease risk factors of the population。

　　 必须熬夜的上班族，当感到胸闷、胸痛、无力、心慌、记忆力减退的时候，一定要及时去医院进行检查。绝大多数患者如突发心梗都会感到短暂的心绞痛，还有人会伴有出汗，胸闷的症状，此时应提高警惕、立即就医。一旦发生心梗，最关键的是及时救治，由于最佳急救时机一般在发病4小时到6个小时内，所以患者家属应把握时机，尽快送患者到正规医院进行急救。

Must stay up office workers，When feel tightness in the chest、Chest pain、Unable to、flustered、Memory loss，Must go to a hospital in time for inspection。Most patients such as sudden heart attack will feel short of angina，And people are accompanied by sweating，Tightness in the chest symptoms，At this time, should alert、Immediate medical attention。Once a heart attack，The key is timely treatment，Because the best time of general in the first aid 4 hours to six hours，So the patient family members should seize the opportunity，Send as soon as possible to normal hospital patients first aid。

　　

E 别因为年轻透支身体 E don't overdraft because young body

　　 专家建议，年轻白领们自恃年轻，加班熬夜、不注重饮食的不良生活习惯，应该引起重视并及时纠正。

Experts suggest，Young white-collars full of young，Work overtime to stay up late、Don't pay attention to diet lifestyle，Should be taken seriously and timely correcting。

　　 休息第一：预防“过劳死”，必须保证充足的睡眠。比如，适当利用午餐时间散步或者逛超市，晚上不玩游戏上网，早点睡觉等。保证充足的睡眠，可以降低心血管疾病风险。困了累了喝咖啡之类的提神饮品，没有必要。疲劳、困顿是身体的警示信号，需要做的是休息，不要用咖啡、烟酒一味刺激疲惫的身体。同时，要善于自我心理疏导，转移工作压力。

Rest first：prevention“karoshi”，Must assure enough sleep。For example，Appropriate use of lunch time for a walk or supermarket，Evening don't play games online，Go to bed early, etc。Assure enough sleep，Can reduce the risk of cardiovascular disease。Sleepy tired of refreshing drinks such as coffee，There is no need to。fatigue、Is the body exhaustedly warning signs，Need to do is have a rest，Don't use coffee、Cigarettes, alcohol and blindly stimulate exhausted body。At the same time，Be good at self psychological counseling，Transfer work pressure。

　　 偷闲第二：如何让自己忙里偷闲也是一种重要的职场调节方式。工作中感觉有疲劳症状时，可以采取一些小动作让自己适当放松。同时，还可以为自己设定阶段性目标，完成后可以有一段舒适的休息期，给自己放假。

Engaged the second：How to keep yourself to enjoy also is a kind of important duty field adjustment way。Feel the fatigue symptoms in work，Can take some little tricks to appropriate relax。At the same time，Can the periodic goal set for themselves，After the completion of the can have a comfortable rest period，Give yourself off。

　　 健康生活第三：定时定点吃饭，规律饮食，是职场人士精力充沛的保障。早晨想多睡一会儿，早餐便成了职场人士最容易忽略的饮食。早晨起来后，身体营养贮备已降至最低点，是弥补营养、储备能量的好机遇。平时趁着周末休息的时候，要有规律地锻炼身体，增加有氧训练。在饮食上，要注意少食胆固醇含量及热量高的食物，但每天都要保证蛋白质摄入，比如牛奶、鸡蛋等。工作生活都要劳逸结合，最好一年做一次全身体检，防患于未然。另外，戒烟戒酒，减少职场应酬也是防止“过劳死”的必要手段。((楚天金报 记者肖清清 通讯员喻锎 钱顺妮 实习生徐陟))

Health life third：Timing fixed-point eat，Eating regularly，Are people energetic ensure workplace。Morning want to get more sleep，Breakfast became the most easy to overlook the workplace who diet。After I get up in the morning，Body nutrition supply has fallen to its lowest point，Is make up for nutrition、The energy stores good opportunity。While the rest of the weekend at ordinary times，To have regular exercise，Increase aerobic training。On food，To pay attention to eat less cholesterol content and high heat of food，But every day to ensure that protein intake，Such as milk、Eggs, etc。Work and life are to a dull boy，The best year for a systemic check-up，To nip in the bud。In addition，To give up smoking and drinking，Reduce workplace dinner party is also prevent“karoshi”Necessary means。((Chutian 27 reporter shaw Kai QianShunNi interns clearly correspondent metaphor Zhi xu))