據(jù)《長(zhǎng)江日?qǐng)?bào)》4月6日?qǐng)?bào)道，21歲女大學(xué)生曉晴（化名）在鍛煉時(shí)突然倒地，心跳呼吸全無(wú)。經(jīng)15天全力救治后脫離生命危險(xiǎn)，目前仍在武漢大學(xué)中南醫(yī)院接受治療。

A 21-year-old university student in Wuhan, Hubei province, is recovering after collapsing while exercising and showing no vital signs for several minutes, according to a report by the Yangtze River Daily on Monday.

2月26日，曉晴跑步時(shí)猝倒，8分鐘后被同學(xué)發(fā)現(xiàn)并實(shí)施胸外按壓，同時(shí)撥打120。急救人員到場(chǎng)后持續(xù)心肺復(fù)蘇并轉(zhuǎn)運(yùn)至醫(yī)院。到院時(shí)，她瞳孔接近散大，仍無(wú)呼吸心跳，已錯(cuò)過(guò)“黃金4分鐘”搶救時(shí)間窗。

The woman, identified by her nickname Xiaoqing, lost consciousness while running on Feb 26. She was found by classmates about eight minutes later, who immediately began chest compressions and called emergency services. Paramedics continued cardiopulmonary resuscitation (CPR) on the way to Zhongnan Hospital of Wuhan University.

Upon arrival, her pupils were nearly fully dilated, and she still had no detectable heartbeat or spontaneous breathing, with the critical "golden minutes" for resuscitation already having passed.

pupils /'pjuplz/ 瞳孔

spontaneous /spɑ?n?te?.ni.?s/ 自發(fā)的，自主的

醫(yī)院急救團(tuán)隊(duì)立即啟動(dòng)ECMO，從倒地到ECMO運(yùn)轉(zhuǎn)共55分鐘。上機(jī)后心跳逐漸恢復(fù)，但腦灌注不足，醫(yī)護(hù)隨即實(shí)施亞低溫腦保護(hù)治療。當(dāng)晚，曉晴突發(fā)嚴(yán)重左心衰、肺水腫，血壓驟降。醫(yī)院組織多學(xué)科會(huì)診，確診為暴發(fā)性心肌炎，且曉晴還合并多臟器損傷，救治難度極高。

專家團(tuán)隊(duì)連夜手術(shù)改善心臟負(fù)荷和肺水腫，術(shù)后轉(zhuǎn)入重癥監(jiān)護(hù)室。深度鎮(zhèn)靜治療3天后評(píng)估發(fā)現(xiàn)，雖有心跳但腦電活動(dòng)嚴(yán)重受抑，存在成為植物人的風(fēng)險(xiǎn)。2月28日嘗試停用鎮(zhèn)靜藥物喚醒，曉晴恢復(fù)意識(shí)。3月1日成功撤離ECMO。3月12日，經(jīng)過(guò)15天治療，其心臟和大腦功能恢復(fù)正常，脫離生命危險(xiǎn)。但因多臟器受損，仍需繼續(xù)治療。

That night, she developed acute left-sided heart failure and pulmonary edema, accompanied by a sharp drop in blood pressure. A multidisciplinary team diagnosed her with fulminant myocarditis complicated by multiple organ damage, making treatment highly challenging.

fulminant /'fulm?n?nt/ （疾?。┍┌l(fā)性的

After 15 days of intensive care, her cardiac and neurological functions returned to normal, and she was no longer in immediate danger. However, she continues to receive treatment for residual organ damage.

醫(yī)生分析，此次意外由多重因素疊加所致。曉晴為準(zhǔn)備論文長(zhǎng)期熬夜，每天僅睡四五小時(shí)，依賴咖啡提神，身體已明顯疲憊。事發(fā)前5天，她確診流感，但仍堅(jiān)持鍛煉。

醫(yī)生指出，熬夜會(huì)降低免疫力，病毒更易侵襲心肌，若在感染期間進(jìn)行劇烈運(yùn)動(dòng)，會(huì)加重心臟負(fù)擔(dān)，誘發(fā)暴發(fā)性心肌炎。此次事件正是“熬夜+流感+劇烈運(yùn)動(dòng)”三重因素疊加導(dǎo)致心跳呼吸驟停。

疾控中心提醒：運(yùn)動(dòng)時(shí)這幾件事要注意！

針對(duì)此類事件，中國(guó)疾控中心曾發(fā)文科普：心肌炎，就是心臟肌肉的炎癥。它可能由病毒感染、自身免疫等問(wèn)題引起。

而不當(dāng)?shù)膭×疫\(yùn)動(dòng)，尤其是身體已經(jīng)存在病毒感染（比如感冒、流感）時(shí)還強(qiáng)行“擼鐵”，可能加重心臟負(fù)擔(dān)，誘發(fā)或惡化心肌炎，甚至導(dǎo)致猝死。

In light of such cases, the Chinese Center for Disease Control and Prevention has warned that myocarditis, an inflammation of the heart muscle, can be triggered or worsened by strenuous exercise, especially when the body is already fighting a viral infection such as a cold or influenza.

strenuous /?stren.ju.?s/ 費(fèi)力的，繁重的，耗費(fèi)精力的

Intense physical exertion under such conditions can place excessive strain on the heart and, in severe cases, lead to sudden death.

三種危險(xiǎn)的運(yùn)動(dòng)方式

? 已經(jīng)感冒、發(fā)燒、拉肚子，還堅(jiān)持高強(qiáng)度訓(xùn)練。

?長(zhǎng)期熬夜、極度疲勞，仍沖擊個(gè)人極限。

? 運(yùn)動(dòng)時(shí)或運(yùn)動(dòng)后，存在持續(xù)的心慌、胸悶、呼吸困難、前所未有的乏力。

醫(yī)生提醒，熬夜后想靠鍛煉“補(bǔ)償”身體，這種做法很危險(xiǎn)！熬夜后第一要?jiǎng)?wù)是補(bǔ)覺，休息好后再運(yùn)動(dòng)；少吃高鹽高脂食物，多吃蘋果、胡蘿卜；多喝礦泉水和淡茶，盡量不喝含糖飲料和酒。

Doctors also caution against using intense exercise to "make up for" sleep deprivation. Rest should be the priority after a lack of sleep, with exercise resumed only after full recovery. They advise reducing intake of salty and fatty foods, consuming more fruits and vegetables, and staying hydrated with water or light tea, while avoiding sugary drinks and alcohol.

天氣回暖，科學(xué)運(yùn)動(dòng)，關(guān)注身體健康！

來(lái)源：中國(guó)青年報(bào)綜合九派新聞、長(zhǎng)江日?qǐng)?bào)、央視新聞、中國(guó)疾控中心

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