春节假期即将到来，举杯畅饮成为不少人的欢聚仪式，但过量饮酒暗藏致命健康风险。前段时间，50岁 的程先生聚餐饮下3两白酒后，突发言语不清、肢体偏瘫，紧急送医确诊急性缺血性脑卒中，所幸医院 开通卒中绿色通道及时取栓，才转危为安。江苏省中医院神经内科主任医师袁军提醒，冬季本就是脑卒 中高发期，叠加节日聚餐、饮酒、作息紊乱等因素，中风风险会大幅攀升。 转自：南京晨报 （来源：南京晨报） 术后6小时，程先生意识完全恢复清醒；次日查房时，他已能自主用左手持勺进食。术前左侧肢体肌力 仅1级，仅能实现肌肉轻微收缩，术后恢复至4级，可对抗外界阻力活动，言语功能也基本恢复清晰，未 出现严重后遗症，后续康复治疗稳步推进。 医院供图 聚会饮酒后突发失语偏瘫 50岁的程先生在家庭聚餐中，与亲友举杯庆贺，一次性饮用约3两白酒。聚餐氛围热烈之时，程先生却 突然出现异常，舌头僵硬不听使唤，想要开口交谈，只能发出模糊不清的声音。 家人起初误以为他只是饮酒过量、意识不清，并未立刻警觉。可短短20分钟，危险症状持续加重，程先 生左侧肢体出现麻木感，握在手中的筷子径直掉落，起身时左腿完全无力支撑身体，同时伴随意识模 糊、嘴角歪斜的典型中风症状。家人 ...

Core Viewpoint - The incidence of acute pulmonary embolism (PE) is rising, necessitating increased awareness and preventive measures among high-risk populations [2][4]. Group 1: Incidence and Risk Factors - The global incidence of pulmonary embolism ranges from 11.7 to 131.9 per 100,000, with China's hospitalization rate increasing from 1.2 per 100,000 in 2007 to 14.2 per 100,000 in 2021, exceeding 200,000 cases [2]. - High-risk groups include the elderly, especially those over 80, who have a significantly higher risk compared to those under 50 [3]. - Other high-risk populations include pregnant women, patients undergoing surgery, those with malignancies, cardiovascular diseases, chronic obstructive pulmonary disease, kidney syndrome, obesity, smokers, and individuals who remain sedentary during long flights [4]. Group 2: Symptoms and Diagnosis - Symptoms of acute pulmonary embolism lack specificity, making it prone to misdiagnosis; common symptoms include activity-related shortness of breath, chest pain, and syncope [5]. - The classic triad of symptoms (chest pain, hemoptysis, and dyspnea) occurs in less than 20% of cases, highlighting the need for vigilance in recognizing atypical presentations [5]. - Diagnosis involves a two-step process: initial screening using ECG and echocardiography, followed by confirmatory imaging such as CT pulmonary angiography [6]. Group 3: Treatment and Management - Treatment strategies are tailored based on the severity of the condition, with high-risk patients requiring aggressive intervention and lower-risk patients primarily receiving anticoagulation therapy [7]. - Anticoagulation is the cornerstone of treatment, while thrombolysis is reserved for high-risk patients experiencing cardiac arrest or obstructive shock [7]. - Patients must adhere to prescribed medication regimens and undergo regular monitoring to prevent complications, including chronic thromboembolic pulmonary hypertension [8]. Group 4: Prevention and Prognosis - Prevention strategies include avoiding prolonged immobility, engaging in regular movement during long travels, and using compression stockings for high-risk individuals [8]. - The overall prognosis for pulmonary embolism patients is improving, but timely treatment and adherence to management plans are crucial to prevent severe outcomes [8].

Core Points - The article discusses the issue of blood viscosity, its causes, symptoms, and preventive measures against high blood viscosity, which can lead to serious health problems like heart attacks and strokes [3][8]. Group 1: Understanding Blood Viscosity - Blood viscosity refers to the "thickness" and "flowability" of blood, which increases due to a higher concentration of formed elements, leading to increased blood flow resistance and slower blood flow [3][5]. - Factors contributing to increased blood viscosity include the deformation and aggregation of red blood cells, increased platelet count, elevated levels of certain proteins in plasma, high blood lipids (especially cholesterol and triglycerides), and dehydration [5][7]. Group 2: Health Risks Associated with High Blood Viscosity - Increased blood viscosity primarily affects capillaries, obstructing oxygen and nutrient delivery, which can lead to ischemia and hypoxia in tissues [7]. - High viscosity can exacerbate friction against blood vessel walls, accelerating aging and damage to the vascular endothelium, potentially leading to atherosclerosis and thrombosis [7][8]. Group 3: Symptoms Indicating High Blood Viscosity - Five key symptoms that may indicate high blood viscosity include: 1. Dizziness upon waking, due to reduced blood flow and oxygen to the brain [10][11]. 2. Increased drowsiness after meals, particularly in individuals with vascular issues [13]. 3. Chest tightness when squatting, often seen in obese individuals [13]. 4. Cyanosis of lips after mild exertion, indicating potential hypoxia [13]. 5. Intermittent blurred vision, resulting from reduced blood flow to the retina [13][14]. Group 4: Preventive Measures - To prevent or reduce blood viscosity, the following measures are recommended: 1. Stay hydrated by drinking approximately 200 milliliters of warm water at key times throughout the day [16][17]. 2. Avoid smoking and excessive alcohol consumption, as these can damage blood vessels and increase blood viscosity [19]. 3. Maintain a balanced diet, reducing intake of cholesterol-rich foods and sugars while increasing vegetables, fruits, and whole grains [20]. 4. Engage in regular physical activity to promote circulation and manage weight [21]. 5. Manage stress and ensure adequate sleep to prevent emotional factors from contributing to high blood viscosity [22].

Core Points - Thrombosis is a special structure of blood clots formed when blood coagulates in a flowing state within blood vessels [3] - Thrombotic diseases are systemic and can affect multiple organ systems, categorized mainly by the site of formation [3] Group 1 - The three main factors for thrombosis formation include damage to blood vessel walls, slow blood flow due to prolonged sitting or lying down, and a hypercoagulable state of blood caused by medications, hormones, cancer, smoking, and obesity [5] - Thrombotic diseases can be life-threatening, and immediate medical attention is necessary if thrombosis is suspected [7] Group 2 - If not treated properly, thrombosis can worsen and spread, potentially leading to serious conditions such as deep vein thrombosis or pulmonary embolism, which can result in disability or death [9] - Prevention of thrombosis is crucial, with recommendations to consume fresh fruits and vegetables, limit meat and fat intake, and maintain regular exercise and hydration [9] Group 3 - The key to preventing thrombosis is to stay active, especially during prolonged periods of sitting or standing, with suggestions to move every 30 to 60 minutes and engage in lower limb exercises to promote blood flow [11] - Daily water intake is recommended to be between 1500 to 2000 milliliters [11]

Core Viewpoint - The articles highlight the significance of thrombosis, its formation, types, and the importance of prevention and early detection, especially in high-risk populations [1][3][9]. Group 1: Types of Thrombosis - Thrombosis is categorized into three main types: venous thrombosis, arterial thrombosis, and capillary thrombosis [1]. - Venous thrombosis includes deep vein thrombosis (DVT) and pulmonary embolism (PE), while arterial thrombosis encompasses acute coronary syndrome, atrial fibrillation, arterial ischemia, and stroke [1][6]. - DVT accounts for approximately 80% of venous thrombosis cases, making it the most prevalent form [6]. Group 2: Risk Factors and Formation - The formation of thrombosis is influenced by three key factors: damage to blood vessel walls, slow blood flow, and a hypercoagulable state of blood [3][4]. - High-risk groups include individuals over 60 years old, those with hypertension, diabetes, obesity, and those who experience prolonged immobility [6][10]. - Specific conditions such as prolonged sitting, especially in activities like playing mahjong or long flights, significantly increase the risk of DVT [6][10]. Group 3: Symptoms and Detection - Symptoms of DVT include swelling, pain, tenderness, redness, and skin changes in the affected limb [6][8]. - Two simple methods for self-assessment of DVT risk include measuring leg circumference and checking for tenderness in the calf [8]. Group 4: Prevention and Treatment - Preventive measures include regular movement, hydration, and a diet rich in fruits and vegetables while limiting meat and fats [4][11]. - Treatment options for PE include the placement of an interception device to prevent blood clots from reaching the lungs and minimally invasive techniques to dissolve clots [11].

Group 1 - Excessive salt and sugar intake can lead to high blood pressure and arterial damage, increasing the risk of heart failure and cardiovascular diseases [1][2] - High-fat, high-cholesterol, and trans fat foods also pose significant risks to vascular health and should be minimized [2] - Sedentary lifestyles, characterized by prolonged sitting, can lead to heart strain, increased blood viscosity, and a higher risk of heart disease, with an increased risk of 47% for those sitting over 8 hours a day [3] Group 2 - Lack of physical activity can cause blood flow stagnation, leading to potential blood clots and increased risk of pulmonary embolism [3] - Chronic stress and sleep deprivation can result in elevated heart rates and blood pressure, contributing to cardiovascular issues, with studies indicating that three consecutive nights of poor sleep can age blood vessels by 10 years [4][5] - The accumulation of cholesterol and triglycerides due to stress and lack of sleep can lead to arterial hardening, increasing the risk of heart disease [4][5]