記者沈能元、廖靜清/台北報導 許多人將腦中風與寒流聯想,但酷夏也是腦中風危險季節, 腦中風學會理事長、新光醫院腦中風主任連立明表示,最近收到多名腦中風、心肌梗塞等高齡重症患者, 擠爆加護病床,【致病原因都是飲水量不足 ,以致血液黏稠,增加腦中風機率】。 連立明指出,腦中風病人多好發於冬季,但在【夏天心血管疾病患者也不少,原因為高溫炎熱,如果喝水不夠 ,體內水分容易快速蒸發,導致脫水 ,一旦血液黏稠,腦中風機率就會大增】
水喝不夠 酷夏腦中風、心梗不少
國泰醫院心臟加護病房主任張釗監一起指出,夏天高溫,必須多補充水分, 否則血液容易變得黏稠,進而產生血栓,形成心肌梗塞,或脫水,造成律不整或心臟衰竭。三高和肥胖是誘擠爆發心血管疾病危險因子,建議這類高風險族群務必多補充水分或電解質飲品,【發現尿液顏色為深黃色,盡快補水。】。 吳介任指出,高血壓病史者應每天測量血壓,按時服藥,控制血壓,一旦胸部瞬間劇列悶痛,有如「胸口壓大石、 心臟被撕裂」感覺,甚至腹痛或中風時 ,都可能是主動脈剝離,必須盡速就醫
至於主動脈剝離,高雄榮總心臟血管外科主任吳介任表示,主動脈剝離最常發生在秋冬季節,但酷夏也常見案例,病人常在早上出現心臟不適症狀,但遲遲不願就醫,等到晚上睡覺前 症狀加劇,才緊急送醫. 急性主動脈剝離為複雜且致死率高的心血管疾病,病人發病後,如未獲得適當處置,每小時增加百分之一死亡率, 約百分之五十的病人在送達醫院的廿四小時內死亡,百分之七十一在二個月內死亡,如能及早手術治療,才能提高活命的機會 Reporter Shen Nengyuan, Liao Jingqing/Taipei report Many people associate stroke with cold current, but it is also the risk season of stroke, Lian Liming, chairman of the Wind Society and director of stroke at Xinguang Hospital, said that he has recently received a number of elderly and seriously ill patients with stroke, myocardial infarction, etc., crowding the intensive care beds, [the cause of the disease is insufficient water intake, resulting in blood viscosity and increasing the chance of cerebral stroke]. Lian Liming pointed out that stroke patients are more likely to occur in winter, but in summer, there are many patients with cardiovascular disease, the reason is high temperature and heat, if you drink not enough water, the water in the body is easy to evaporate quickly, resulting in dehydration, once the blood is viscous, the chance of brain stroke will increase greatly]
I don't drink enough water, and I have a lot of strokes and heart attacks in the cool summer
Zhang Zhaojian, director of the cardiac intensive care unit of Cathay Pacific Hospital, pointed out that in the high temperature in summer, it is necessary to replenish more water, otherwise the blood is easy to become viscous, and then thrombosis, myocardial infarction, or dehydration, resulting in arrhythmia or heart failure. The three highs and obesity are the risk factors that induce the outbreak of cardiovascular disease, and it is recommended that such high-risk groups must replenish more water or electrolyte drinks, [If the urine is found to be dark yellow, hydrate as soon as possible.] 】。 Wu Jieren pointed out that people with a history of hypertension should measure their blood pressure every day, take medication on time, control blood pressure, and once the chest is instantly sullen, such as "chest pressure on a big stone, the heart is torn", or even abdominal pain or stroke, it may be aortic detachment, and you must seek medical attention as soon as possible
As for aortic dissection, Wu Jieren, director of the Department of Cardiac and Vascular Surgery of Kaohsiung Rong, said that aortic dissection most often occurs in autumn and winter, but it is also common in hot summer, patients often have symptoms of heart discomfort in the morning, but they are reluctant to seek medical attention, and wait until the symptoms worsen before going to bed at night before they are urgently sent to the hospital. Acute aortic dissection is a complex and fatal cardiovascular disease, after the onset of the disease, if the patient is not properly treated, the mortality rate will increase by 1% per hour, about 50% of the patients die within 24 hours of arrival at the hospital, and 71% die within 2 months