29岁的巴南市民刘先生，就因为连续聚餐、暴饮暴食，遭遇了一场危及生命的急症。大年初三当晚，他 先是在家吃了年夜饭，随后又和朋友相约吃火锅，麻辣鲜香的菜品、推杯换盏的气氛，让他彻底放开了 胃口。可到了深夜，剧烈的腹痛突然袭来，紧接着出现呼吸困难，家人紧急拨打120，将他送往医院抢 救。 检查结果让医生都大吃一惊：CT显示胰腺增大伴周围渗出，血脂检查中甘油三酯高达30.46mmol/L，远 超1.7mmol/L的正常上限，超标十多倍。从他体内抽出的血液呈乳白色，也就是俗称的"牛奶血"，医学 上称为乳糜血。最终，刘先生被确诊为急性胰腺炎，并诱发糖尿病酮症酸中毒，至今仍在住院治疗，原 本欢乐的春节，变成了在病床上度过。 据医生介绍，像刘先生这样的病例并非个例。假期期间，市急救医疗中心就收治了7例急性胰腺炎患 者，以中青年患者为主。发病原因几乎都和暴饮暴食、过量饮酒、高脂饮食密切相关。火锅、烧烤、年 夜饭，再加上频繁饮酒，让本应休息的肠胃超负荷运转，最终诱发急症。医生提醒，急性胰腺炎绝非普 通肚子疼，重症胰腺炎死亡率超过30%，70%到80%的重症病例都由高脂、暴饮暴食、酗酒引发。一时 的口腹之欲，很可能换来危及生命的 ...

大家体重有增加吗？ 春节假期接近尾声 虽然假期里美食不断 但也别让身体器官超负荷！ 上海这几天 一些医院急诊科的胰腺炎病人 多了起来 春节胰腺炎高发 上海交通大学医学院附属瑞金医院急诊科主任 毛恩强 春节期间，胰腺炎每天接诊量是平时的1.5到2倍，这个数据与节假日的饮食肯定密切相关。 其实早在春节前 中青年最容易被"盯上" 在上海瑞金医院急诊重症监护室，34岁的曹先生，前几天晚上喝了不少酒，第二天早上肚子突然疼得直 不起腰。到医院一查，得了重症急性胰腺炎，所幸就医及时，转危为安。 专家告诉记者，急性胰腺炎有"良性病死亡之王"的称号。胰腺是人体内十分重要的消化腺，如果一次吃 进过多的脂肪和蛋白质食物及大量饮酒，就会引起胆汁、胰腺大量分泌胰液用以消化食物。如果十二指 肠乳头堵住或通而不畅，则胆汁即可进入胰管而引起急性胰腺炎。 有些重症胰腺炎会引起呼吸衰竭、胸腔积液、腹腔积液，严重时会危及生命。 记者了解到，春节期间急性胰腺炎排在急诊接诊病例人数的前几位，仅次于外伤和酒精中毒，而且多以 30岁到50岁的中青年病人为主。 如何第一时间识别急性胰腺炎？ 医生提醒，若在饱餐或饮酒后突然出现以下症状，应高度警惕，立即就医。 ...

Core Viewpoint - The article highlights the increase in acute pancreatitis cases during the Spring Festival in Shanghai, particularly among middle-aged individuals, due to excessive eating and drinking during the holiday season [1][5]. Group 1: Health Impact - Acute pancreatitis is referred to as the "king of benign disease deaths," emphasizing the seriousness of the condition [3]. - The pancreas is a crucial digestive gland, and excessive intake of fats, proteins, and alcohol can lead to its inflammation [3]. - Severe cases of pancreatitis can result in respiratory failure, pleural effusion, and abdominal fluid accumulation, posing life-threatening risks [3]. Group 2: Statistics and Trends - During the Spring Festival, acute pancreatitis ranks among the top cases in emergency departments, following trauma and alcohol poisoning, predominantly affecting individuals aged 30 to 50 [5]. - The daily number of pancreatitis cases during the holiday is reported to be 1.5 to 2 times higher than normal, correlating with holiday eating habits [5]. Group 3: Prevention and Symptoms - Symptoms to watch for include sudden severe abdominal pain, nausea, vomiting, abdominal distension, and fever, with severe cases potentially leading to jaundice and shock [11]. - Preventive measures include maintaining a balanced diet, eating until 70-80% full, moderating alcohol consumption, and keeping a regular sleep schedule [11].

转自：中国反邪教 【#中青年过节容易被急性胰腺炎盯上#：#吃多了喝高了第二天直不起腰了#】在上海瑞金医院急诊重症 监护室，34岁的曹先生前几天晚上喝了不少酒，第二天早上吃早点时，肚子突然疼得直不起腰。到医院 一查，得了重症急性胰腺炎，情况十分凶险，所幸手术及时，转危为安。记者了解到，春节期间急性胰 腺炎仅次于外伤和酒精中毒，排在急诊接诊病例人数的前几位，而且多以30到50岁的中青年病人为主。 亲友聚会，大鱼大肉、烟酒不断，饮食一放纵，胰腺就容易"闹情绪"……（央视网） （来源：中国反邪教） ...

Core Viewpoint - The article discusses the health risks associated with overeating and drinking during the Chinese New Year, highlighting various conditions that can arise from indulgent eating habits and providing health tips to mitigate these risks [1][3]. Group 1: Acute Pancreatitis - Overeating high-fat and high-protein foods, along with excessive alcohol consumption, can lead to acute pancreatitis, as the pancreas becomes overwhelmed and begins to digest itself [3][5]. - Symptoms include severe abdominal pain, nausea, vomiting, and in severe cases, low blood pressure and shock [5]. - To prevent this condition, it is advised to eat in moderation, avoid excessive drinking, and for those with gallbladder issues, to steer clear of high-fat foods [5][7]. Group 2: Acute Gastroenteritis - Disrupted eating patterns during the holiday can lead to acute gastroenteritis, caused by consuming raw or hard-to-digest foods and potentially spoiled items [7]. - Symptoms include frequent diarrhea, abdominal cramps, nausea, and weakness, which can lead to dehydration [7][9]. - Maintaining regular eating habits, avoiding raw and irritating foods, and ensuring food safety are recommended to prevent this condition [7][9]. Group 3: Upper Gastrointestinal Bleeding - The combination of alcohol and spicy foods can irritate the stomach lining, leading to acute upper gastrointestinal bleeding, especially in individuals with pre-existing digestive conditions [11][12]. - Symptoms may include vomiting blood and black stools, along with dizziness and weakness [11][12]. - Individuals with digestive diseases should avoid alcohol and spicy foods, opting for milder, easily digestible options [11][12]. Group 4: Gout - The consumption of high-purine foods during the holiday can lead to gout, as excess uric acid accumulates in the body [12][14]. - Symptoms include sudden, severe joint pain, swelling, and restricted movement [12][14]. - It is advised to limit high-purine foods, stay hydrated, and manage stress to prevent gout attacks [14][15]. Group 5: Airway Foreign Bodies - Young children are at risk of choking on food during festive gatherings, particularly on hard-to-chew items [16][18]. - Symptoms of airway obstruction include severe coughing, difficulty breathing, and cyanosis [18][20]. - Parents should supervise young children while eating and avoid giving them hard foods that could pose a choking hazard [20].

#每日一健康小贴士# 【#鼻梁两侧长黄色颗粒或是胆固醇升高#】#春节聚餐当心吃出急性胰腺炎# 专家 提醒，有些人上眼睑靠近鼻梁的部位皮肤不太光滑，上面有类似皮肤颜色或者暗黄色的小颗粒，这很有 可能是胆固醇升高，甚至高得比较严重的表现。血脂升高会引发哪些危重症疾病呢？如果甘油三酯持续 升高，尤其是大于11毫摩尔每升的时候，会导致急性胰腺炎的发生。如果甘油三酯持续反复升高，还会 导致急性胰腺炎的反复发作，一旦出现重症胰腺炎，则会严重危害我们的生命健康。春节欢聚时刻，要 警惕高糖、高热量食物导致血脂升高，诱发急性胰腺炎和心脑血管疾病。 转自：中国食品报 （来源：中国食品报） ...

Core Viewpoint - The article emphasizes the health risks associated with certain medications and alcohol consumption during the festive season, particularly highlighting the dangers of disulfiram-like reactions and other medical emergencies that can arise from holiday indulgences [4][8]. Group 1: Health Risks from Medication and Alcohol - Patients taking antibiotics such as cephalosporins, metronidazole, and others should avoid alcohol for at least seven days after stopping the medication to prevent severe disulfiram-like reactions [4][8]. - A case is presented where a 30-year-old patient experienced a disulfiram-like reaction after consuming alcohol three days post-antibiotic treatment, leading to a medical emergency [4][6]. Group 2: Emergency Cases During the Festive Season - A 50-year-old patient suffered an acute myocardial infarction after excessive drinking and late-night activities, highlighting the risks of overindulgence during celebrations [6]. - An 80-year-old man faced choking during a family dinner, requiring immediate emergency response to clear the obstruction and save his life [7]. - A 38-year-old man developed acute necrotizing pancreatitis after consuming a mix of alcohol and fatty foods, illustrating the dangers of heavy eating and drinking [8]. Group 3: Recommendations for Health Safety - Individuals with pre-existing conditions such as hypertension or coronary heart disease should adhere to medical advice, avoid excessive stress, and maintain a balanced diet during the festive season [8]. - It is advised that older adults and children chew food thoroughly to prevent choking, especially on sticky or large pieces of food [8]. - The article stresses the importance of avoiding binge eating and drinking, particularly high-fat and high-protein foods, to prevent acute pancreatitis [8].

转自：贵州日报 近期，贵州医科大学附属白云医院肝胆外科收治了多例急性胰腺炎患者。贵州医科大学附属白云医院肝 胆外科副主任高光剑提醒，急性胰腺炎是胰腺因消化酶被异常激活而"自身消化"导致的炎症，不及时治 疗可能危及生命。特别是春节临近，亲朋好友聚会增多，是急性胰腺炎爆发的高峰期，市民一旦出现突 发性、持续性、剧烈的上腹部或左上腹疼痛，并向腰背部放射，伴恶心、呕吐等症状，应立即禁食禁 水，并尽快就医。 被低估的"代谢调节器" 其他诱发因素还包括某些药物、内镜逆行胰胆管造影（ERCP）术后、胰腺外伤、感染、自身免疫性疾 病及遗传因素等。 胰腺炎重在预防 "有胆囊结石、高脂血症等高危因素人群首先要做到戒酒限酒，戒酒是预防酒精性胰腺炎最根本、最有 效的措施。另外，需要均衡饮食，忌暴食，低脂饮食，减少动物内脏、肥肉、油炸食品、奶油制品摄 入。其次，要规律进食，三餐定时定量，避免过饥过饱，特别是晚餐不宜过晚、过饱。可多食用新鲜蔬 菜、水果、全谷物及优质蛋白，如鱼、瘦肉、豆制品等。"高医生说。 正常情况下，胰液在肠道内激活并发挥作用，但当某些因素打破平衡，胰液在胰腺内部就提前"暴走"， 这些消化酶会像一把把"消化剪刀"，开始 ...

Core Viewpoint - GLP-1 drugs (such as semaglutide and tirzepatide) are recognized for their efficacy in regulating blood sugar and appetite, but they carry serious risks such as thyroid C-cell tumors and acute pancreatitis, necessitating comprehensive pre-treatment evaluations and contraindication screenings [2]. Group 1: Thyroid Function and Imaging Tests - GLP-1 drugs may increase the risk of medullary thyroid carcinoma (MTC), requiring thyroid function tests (including serum calcitonin and thyroid hormone levels) and thyroid ultrasound for assessment [3]. - If serum calcitonin exceeds 100 pg/mL, MTC risk should be considered, but imaging tests are needed for comprehensive evaluation [3]. - Patients with a history of MTC or multiple endocrine neoplasia syndrome type 2 (MEN 2) should not use these drugs, while those with benign thyroid nodules can use them with regular monitoring [5][6]. Group 2: Pancreatitis Risk Assessment - The likelihood of developing pancreatitis is 9.1 times higher in patients using semaglutide, although the actual incidence remains low [7]. - Patients with a history of pancreatitis should avoid these drugs, and if symptoms like persistent abdominal pain or elevated amylase/lipase occur, immediate medical attention is required [9]. Group 3: Renal Function Assessment - Semaglutide is eliminated 70% through the kidneys, while tirzepatide is about 30%, allowing for more lenient restrictions in patients with renal impairment [10]. - Renal function must be assessed through blood creatinine, urea nitrogen, and creatinine clearance (Ccr), with semaglutide contraindicated for Ccr <30 mL/min [10]. Group 4: Cardiac Function Evaluation - Semaglutide may cause a slight increase in heart rate (average increase of 3-5 beats per minute), necessitating cardiac function assessments [11]. - Evaluations should include electrocardiograms (ECG) and echocardiograms to check for arrhythmias and left ventricular ejection fraction (LVEF) [11]. Group 5: Routine Physical and Laboratory Examinations - Routine checks are required for patients using semaglutide and tirzepatide, including weight and body composition assessments [12]. - Metabolic indicators such as fasting blood glucose, HbA1c, liver function (ALT, AST), and lipid profiles (total cholesterol, HDL-C, LDL-C) should be monitored [14]. Group 6: Contraindications - Patients with a history of MTC or MEN 2 are explicitly prohibited from using these drugs due to potential tumor progression risks [15]. - Individuals with a history of pancreatitis must avoid these medications, ensuring triglyceride levels are below 11.3 mmol/L before treatment [15]. - Other contraindications include severe liver and kidney dysfunction, acute gallbladder disease, and severe gastrointestinal disorders [17][18].

Core Viewpoint - The article emphasizes the health risks associated with overeating during holiday gatherings, highlighting the potential for acute gastrointestinal and cardiovascular issues. Group 1: Health Risks - Overeating during holidays can lead to acute gastrointestinal diseases such as acute gastroenteritis and acute pancreatitis, primarily due to the excessive intake of rich and spicy foods combined with alcohol [1][2] - Acute gastroenteritis is characterized by symptoms like abdominal pain, diarrhea, nausea, and vomiting, with severe cases potentially leading to fever, dehydration, and electrolyte imbalances, particularly affecting the elderly and children [1] - Acute pancreatitis can occur from consuming high-fat and high-protein foods in large quantities, leading to severe abdominal pain and possible complications like shock and multiple organ failure [1] Group 2: Cardiovascular Concerns - Overeating can also trigger cardiovascular diseases, especially in individuals with pre-existing conditions such as hypertension and coronary heart disease, increasing the risk of heart-related emergencies [2] - Symptoms indicating a need for immediate medical attention include persistent abdominal pain, frequent vomiting, dizziness, chest tightness, and cold sweats [2] Group 3: Preventive Measures - To avoid health issues during holidays, it is recommended to control food intake, adhere to a "70% full" principle, and maintain a balanced diet with more vegetables and whole grains while reducing high-fat, high-sugar, and high-salt foods [2] - Regular sleep patterns should be maintained to allow the digestive system adequate rest [2]