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石家庄市十天59人“猝死” 天冷成诱因--亲稳舆论引导监测室
2013-01-11
从本月1日起至昨天(10日),市区发生“猝死”病例共59个,这个数字约是平时的两倍。记者昨天从市急救中心获悉,刚刚过去的十天,“猝死”病人明显扎堆儿。这其中有由外伤引起的“猝死”,也有慢性基础病诱发的“猝死”,也有因疲劳过度出现的“猝死”。急诊专家分析,除上述因素外,与省会近期气温偏低有一定关系。专家提醒公众,气温骤降时,一定要注意保暖,有慢性基础病的市民应按时服用药物,并备好速效救心丸、硝酸甘油等。
From this month 1 to yesterday(10),Urban happen"Sudden death"Total 59 cases,This figure is about twice as usual.Reporters yesterday from the city emergency center learn,The past ten days,"Sudden death"The patient ZaDuiEr obviously.Which have caused by trauma"Sudden death",Have basic chronic disease induced"Sudden death",Also have due to fatigue appear too"Sudden death".Emergency expert analysis,In addition to the outside factors,And capital in the near future there is certain relation between the low temperature.Experts remind the public,When air temperature pelter,Must pay attention to keep warm,Have basic chronic disease, people should take medicine on time,And ready for loading JiuXinWan/Nitroglycerin, etc.
一上午发生两起“猝死” One morning the two happened"Sudden death"
昨天9时许,市急救中心120电话骤然响起,报警人称,桥西某小区一名男子发生猝死。急救中心调度室紧急联系急救车赶赴现场。“我们到达时发现,病人已停止了呼吸和心跳。”市急救中心出诊的医生支雄飞说,发生“猝死”的是名老年男性。家属鉴于心脏呼吸停跳时间过长,遂放弃抢救。经了解,该男子今年65岁,此前患癌症,且属于晚期。
Yesterday at about 9,The city emergency center 120 telephone suddenly rang,Alarm said,A district southwest a man happened sudden death.First aid center control center emergency contact ambulance team to the scene."We arrived, we found,The patient has stopped breathing and heartbeat."The city emergency center home visit doctor a male fly said,happen"Sudden death"The is a old man.In view of the family heart stopped breathing for a long time,And give up the rescue.After understanding,The 65 - year - old man this year,After cancer,And belongs to late.
40分钟后,支雄飞和同事又接到调度室紧急任务:一名年龄为34岁的女性发生“猝死”,支雄飞和同事随即赶到现场对病人进行紧急抢救,并很快将患者送至附近一家医院做进一步抢救。“据患者家属介绍,患者患有糖尿病。”
Forty minutes,A male fly and colleagues to control center and urgent tasks:An age for women in 34"Sudden death",A male fly and his colleagues immediately rushed to the scene of a patient of emergency rescue,And soon will be sent to a nearby hospital patients to do further rescue."According to the patient family member is introduced,Patients with diabetes."
昨天18时,记者获悉,这名女性患者目前仍在紧急抢救中。
"Yesterday,The reporter learns,This woman is still in patients in the emergency rescue.
十天市区“猝死”59人 Ten days the"Sudden death"59 people
市急救中心统计显示,从本月1日起至昨天下午5时,在市区发生“猝死”的病例共有59人,这个数字约是平时的两倍。记者从市急救中心获悉,在发生“猝死”的病人中,其年龄大多在50岁以上,且患有诸如高血压、高血脂、糖尿病等慢性疾病。同时,这其中也有一部分是由外伤或疲劳过度而导致“猝死”的。
The city emergency center statistics show,From this month 1 to 5 yesterday afternoon,Happened in the city"Sudden death"Cases were 59 people,This figure is about twice as usual.Reporters from the city of emergency center,In case of"Sudden death"patients,Most of the age in fifty years old,And with such as high blood pressure/High blood fat/Chronic illnesses such as diabetes.At the same time,There is also a part of it is by trauma or too tired and cause"Sudden death"of.
市一院急诊科主任王生池说,每年的冬季都是心脑血管疾病高发时,这是由于人体处在低温环境中时,血管会收缩,导致血压上升,心脏负荷增大,从而大大增加脑出血和心肌梗死的风险。如果遇到情绪激动或剧烈运动,则会进一步增加心脏负荷,全身血液循环超负荷运转,导致猝死发生。
In a city hospital emergency department director WangShengChi said,Every winter is the high incidence of disease of heart head blood-vessel,This is because the human body in low temperature environment where,Vascular shrinkable,Causing increased blood pressure,Cardiac load increase,So as to greatly increase the risk of myocardial infarction and cerebral hemorrhage.If meet the emotional or strenuous exercise,Will further increase cardiac load,The whole body blood circulation overload operation,Cause sudden death occurred.
“长期从事高强度工作的人士、老年人、有心脑血管病史、体重超重人士等都是猝死高发人群,这部分人群在冬季需要警惕猝死的发生。”王生池说。
"Long engaged in the high strength work people/Old people/Heart cerebrovascular history/Overweight people are sudden death high-risk groups,This part of the population in the winter needs to be aware of the occurrence of sudden death."WangShengChi said.
年轻人疲劳过度易“猝死” The young man too tired easily"Sudden death"
王生池说,猝死的内在原因是人的主要器官有潜在疾病、暴发疾病或异常体质和过敏体质,其中以心脏疾患最为多见,如冠心病、心肌炎、原发性心肌病、风湿性心脏病、原发性心室颤动、心窒停搏、先天性心脏病等,都可导致心脏突然停止有效收缩,造成全身供血严重不足。因突然发作,患者一般得不到及时的抢救而死亡。
WangShengChi said,The internal causes of sudden death is one of the major organs have potential disease/Outbreak of disease or abnormal physical and allergic constitution,Among them with heart disease, the most rare,Such as coronary heart disease/myocarditis/Primary cardiomyopathy/Rheumatic heart disease/Primary ventricular fibrillation/Quiet heart arrest/Congenital heart disease,Can lead to heart suddenly stop effective contraction,Cause a serious shortage of pump blood around the body.Because of sudden onset of,Patients generally not timely rescue and death.
在王生池眼里,如果年轻人发生“猝死”,其主要原因是过度疲劳。“流行病学调查结果显示,发生猝死的人们中,除了有心脑血管方面的疾病外,长期熬夜、作息不规律、长期精神紧张、压力过大、暴饮暴食等都是导致猝死的危险因素。”
In the eyes of WangShengChi,If young people happen"Sudden death",The main reason is the excessive fatigue."Epidemiological survey,Sudden death occurred in people,In addition to cerebrovascular diseases of the outside,Long-term stay up late/Routine irregular/Long-term mental stress/stress/Gluttony is lead to sudden death risk factors."
记者了解到,尽管事发突然,但有相当一部分人在猝死前是有征兆的,如胸痛、呼吸困难、憋气、胸闷、心悸、乏力、头晕眼花等症状。如果能提高警惕,可以从很大程度上预防猝死的发生。
The reporter understands,Although the sudden,But there are quite a few people in the sudden death of the former is a sign,Such as chest pain/Difficulty breathing/Labored breathing/Bosom frowsty/palpitation/weak/The symptom such as giddy.If you can alert,Can from largely to prevent the occurrence of sudden death.
“黄金抢救六分钟” "Golden rescue six minutes"
对于猝死病人,急救方面有“黄金抢救六分钟”一说。即如果患者出现猝死,其脑细胞最多能支撑6-8分钟。人们要是能把握住最初的6分钟予以积极抢救,或许患者会多些生还机会。
For patients with sudden death,First aid in"Golden rescue six minutes"said.If a patient is in sudden death,The most brain cells can support 6-8 minutes.If people can grasp the original 6 minutes to actively rescue,Perhaps with more chance to survive.
抢救方法如下:第一、将患者仰面放在硬板床或平地上,赶紧打120急救电话;第二、把患者口中的异物清理干净;第三、如患者无呼吸,即刻进行口对口吹气两次;第四、检查颈动脉,如无搏动,进行心脏按压。按压时双手掌根贴在病人胸骨下段,另一手叠在这只手背上,两臂肘关节伸直,靠上身重量做快速按压,使胸骨下陷约5厘米,按压频率为每分钟100次左右。
Rescue the method is as follows:The first/Patients will be back on a card or on the ground,Hurriedly call 120 emergency phone;The second/The patients with mouth clean foreign body;The third/If patients without breathing,Immediate to the mouth-to-mouth twice;The fourth/Check the carotid artery,If no beat,Cardiac press.When pressure double palms root posted on patient sternum lower segment,On the other hand fold in this only on the back,Two elbow joint stretched,On the upper part of the body weight do fast press,Make sternum subsidence about 5 cm,Press the frequency for 100 beats per minute or so.
防“猝死”五攻略 prevent"Sudden death"Five strategy
王生池说,由于猝死发生大都突然,往往没有时间进行救治,因此预防重于治疗。
WangShengChi said,Due to sudden death mostly happened suddenly,Often do not have time for treatment,So prevention is better than cure.
——严冬注意保暖。这一点对省会市民而言尤为重要,冬季室内外温差较大,人们外出时一定要做好防寒保暖工作。同时,从室内出来可先开门在楼道里适应一会儿,没有不适再往外走。
Winter, pay attention to keep warm.This is particularly important for capital for citizens,Winter large difference in temperature of inside and outside,People go out must do warm warm work.At the same time,From indoor out first open the door in the corridor to the for a while,No discomfort to go outside.
——坚持服用药物。有心脑血管病的人们应在医生的指导下坚持服药、规律服药。同时,保持血压、血糖、血脂稳定在达标的水平。
- adhere to the drug.Heart cerebrovascular disease of people should be under the guidance of a doctor to take medicine/Medicine law.At the same time,To maintain blood pressure/Blood sugar/The level of blood lipid in the stable.
——戒烟酒,合理膳食。人们应多吃蔬菜与瓜果,少食含脂肪高的食物。同时,不要暴饮暴食,这样也容易引发心律失常。此外,人们还应保持大便通畅。大便秘结时用力排便会增加腹压,容易诱发冠心病急性发作而致心律失常,进而导致猝死的发生。
Wine - to give up smoking,Rational diet.People should eat more vegetables and fruits,Eat less fat high food.At the same time,Don't eat and drink too much,So also easy to cause arrhythmia.In addition,People should also maintain defecate unobstructed.Constipation defecate when force will increase abdominal pressure,Easy to induce acute onset coronary heart disease and cause arrhythmia,And then lead to the occurrence of sudden death.
——保持心理平衡,心情舒畅,豁达大度,情绪稳定。
- keep the psychological balance,mood,generous,Emotional stability.
——适当锻炼,运动不能太剧烈,运动量也不能太大。剧烈运动时通过降低副交感神经张力,增加交感神经张力,会使心率增快,诱发心律失常,所以上岁数的老年人最好选择一些舒缓的运动方式,如散步、打太极拳。
- exercising,Sports can't be too severe,Carry momentum is too big.Violent motion by reducing the parasympathetic nervous tension,Increased sympathetic nervous tension,Can make the heart rate increase fast,Induced arrhythmia,Therefore be getting on in years old people had better choose some slow mode of motion,If take a walk/taijiquan.
需特别提醒的是,心脑血管患者应备些诸如硝酸甘油、速效救心丸等急救药。一旦出现紧急情况,立即往舌下含服一颗这类药物,往往能在很大程度上保住自己一命。记者王凤伟实习生史贺
Need special remind is,Cerebrovascular patients should prepare some such as nitroglycerin/This JiuXinWan available, etc.In case of an emergency,Immediately went to sublingual including suit a this kind of drugs,Often can largely save his life.Reporter WangFengWei ShiHe interns
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