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头孢停药3天饮酒休克!医生:致命误区,很多人不知道
Xin Lang Cai Jing· 2025-12-23 13:54
静脉滴注头孢类抗生素72小时后 不料却倒在一场酒局后 命悬一线 紧急送医抢救 ↓↓↓ 男子注射头孢3天后 饮酒突发休克 前几天,李先生因感冒在社区医院连续静脉滴注了几天头孢类抗生素。病情好转后,他严格计算了时间:停药整整72小时后,自觉药物应已代谢干净,在 一次晚宴中饮用了白酒。 酒局结束后不久,危险悄然而至:剧烈的头晕、心悸、全身皮肤潮红、眼前发黑、胸闷憋气……李先生被紧急送至湖南省第二人民医院急诊。 本以为过了"安全期" 而乙醛脱氢酶是酒精(乙醇)代谢的关键。正常情况下,乙醇先转化为乙醛,再被此酶迅速转化为无害的乙酸。一旦酶被抑制,乙醛便会在体内大量蓄 积,引发中毒反应,这就是"双硫仑反应"。 专家给出的安全建议是:在使用头孢类药物(包括静脉和口服)期间及停药后至少7天内,都应严格避免饮酒或摄入任何含酒精的制品(包括酒心巧克 力、醉虾、藿香正气水等)。对于肝肾功能不全的患者或老年人,这个"警戒期"可能需要延长至10天甚至更久。 这三种信号 入院时,李先生血压已骤降至80/40毫米汞柱(休克血压),心电图显示心脏正拼命地加速跳动(窦性心动过速)以试图维持供血——他发生了因双硫仑 反应导致的分布性休克,命悬一 ...
停用头孢3天后饮酒,男子休克急送医
Xin Lang Cai Jing· 2025-12-22 19:20
李俊因感冒在社区医院连续几天静脉滴注了头孢类抗生素。病情好转后,他严格计算了时间:停药整整 72小时后,自觉药物应该已代谢干净,于是在一次晚宴中饮用了白酒。 酒局结束后不久,危险悄然而至:剧烈的头晕、心悸、全身皮肤潮红、眼前发黑、胸闷憋气……李俊被 紧急送至湖南省第二人民医院急诊医学科。 入院时,李俊的血压已骤降至80/40毫米汞柱(休克血压),心电图显示心脏正拼命地加速跳动(窦性 心动过速)以试图维持供血——他发生了因双硫仑反应导致的分布性休克,命悬一线。 静脉滴注头孢类抗生素72小时后,本以为过了"安全期",不料却倒在了一场酒局后。12月22日,记者从 湖南省第二人民医院急诊医学科了解到,49岁的危重患者李俊(化名)经过救治,目前病情已经基本控 制。 该院医生强调,使用头孢类药物(包括静脉和口服)期间及停药后至少7天内,都应严格避免饮酒或摄 入任何含酒精的制品。 ■文/视频 三湘都市报全媒体记者 高煜棋 通讯员 乔木 万路 惊险:男子注射头孢3天后饮酒突发休克 万幸,经过紧急抢救,李俊已转危为安。 释疑:停药超过72小时,真的就安全了吗 停药72小时后是"安全期"?这是致命、也最普遍的误区。医生提醒,许多 ...
儿童不是“小”大人 呼吸道疾病如何更好对症下药?
Yang Shi Wang· 2025-10-25 01:41
Core Insights - The recent monitoring report from the National Center for Disease Control and Prevention indicates a rising positive detection rate of respiratory syncytial virus (RSV) in southern provinces, particularly among children aged 0-4 years [1][2] Group 1: Current Situation of Respiratory Syncytial Virus - Experts state that RSV has entered an epidemic phase in southern China, occurring earlier than in previous years [2] - In hospitalized pneumonia cases, RSV accounts for approximately 30% of nucleic acid tests, indicating a significant prevalence [2] Group 2: Other Respiratory Pathogens - Alongside RSV, other common respiratory pathogens include Mycoplasma pneumoniae and Streptococcus pneumoniae, each presenting different symptoms and requiring careful differentiation for effective treatment [3] - RSV poses a high risk of severe respiratory illness in infants, particularly those under two years old, with symptoms that may progress rapidly [3] Group 3: Treatment Approaches - There are no specific antiviral medications for viral pneumonia caused by RSV; management focuses on monitoring for complications and organ function [4] - Antibiotics are not a universal solution; inappropriate use can lead to antibiotic resistance and delay proper treatment [3][4] Group 4: Pediatric Medication Guidelines - Experts emphasize that children are not "small adults," and medication should be used cautiously to avoid potential liver and kidney damage [5] - It is advised to avoid using cough suppressants, as coughing serves a vital role in clearing respiratory secretions [7] Group 5: Misconceptions in Respiratory Disease Prevention - Common misconceptions include the effectiveness of vitamin C and home remedies like vinegar fumigation, which may not provide the intended protective effects and could harm sensitive respiratory systems in infants [8][9]
兰州新区化工园区:打造千亿级产业集群“新标杆”
Zhong Guo Hua Gong Bao· 2025-06-20 02:02
Core Viewpoint - The Lanzhou New Area Chemical Park aims to establish itself as a leading green chemical industry park in Northwest China, focusing on safety, environmental protection, and high-quality industrial development, with a target of creating a trillion-level industrial cluster and becoming a new engine for industrial transformation in Gansu Province [1][3][9]. Group 1: Development Strategy - The park emphasizes a development strategy centered on "strengthening the foundation chain, solidifying the project chain, enhancing the technology chain, improving the service chain, and reinforcing the safety chain" [1]. - It has adopted a "dual carbon" strategy, targeting fine chemicals and new materials as its leading industries [1][3]. - The park has attracted over 200 enterprises and implemented more than 240 projects with a total investment exceeding 600 billion yuan [1][3]. Group 2: Infrastructure and Facilities - The park has invested 2.9 billion yuan in constructing a wastewater treatment plant and has established a comprehensive infrastructure including a 50-kilometer road network and various emergency response facilities [2]. - Key facilities include a 330 kV substation, a 110 kV substation, and a 450 tons/hour thermal power plant, ensuring all necessary elements for enterprise establishment and production are met [2]. Group 3: Safety and Environmental Management - The park maintains a 100% compliance rate for safety risk self-assessment and online monitoring of wastewater and waste gas [6]. - It has implemented a three-tier regulatory system and strict project admission standards to prevent high-risk projects from entering the park [6]. - The park's safety accident rate has decreased by 40% since the implementation of a smart management platform [5][6]. Group 4: Innovation and Technology - The park promotes innovation-driven development, establishing a comprehensive development model that integrates research, pilot testing, and industrial incubation [7]. - It has formed partnerships with over 30 universities and research institutions to tackle critical technological challenges and enhance product development [8][9]. - The park has produced 120 products that break monopolies and replace imports, with 208 products reaching domestic leading and international advanced levels [8]. Group 5: Future Plans - The park plans to continue enhancing safety and environmental protection measures while increasing investment attraction and improving service support for enterprises [9]. - Future initiatives include further developing infrastructure, accelerating industrial growth, and enhancing regional environmental quality [9].
警惕!这种传染病进入高发季:传染性强、尚无疫苗,怎么防?
21世纪经济报道· 2025-04-22 12:43
Core Viewpoint - The article discusses the rising trend of scarlet fever cases in China, particularly in Guangdong province, highlighting the need for increased awareness and preventive measures among parents and the public [3][5][6]. Summary by Sections Scarlet Fever Incidence - In March 2025, Guangdong province reported 1,542 cases of scarlet fever, an increase of 641 cases from February, and a notable rise from 2,328 cases in January [3][5]. - The incidence of scarlet fever has been increasing in China, with data from the 2022 China Health Statistics Yearbook indicating a continuous upward trend from 2014 to 2019 [5][6]. Seasonal Trends and Demographics - Scarlet fever typically sees higher incidence rates during the winter and spring seasons, with a potential decrease as temperatures rise [4][6]. - Children and adolescents, particularly those aged 3 to 15, are the most affected demographic, with experts suggesting that previous strict pandemic measures may have led to a decline in immunity among this group [6][7]. Clinical Features and Diagnosis - Common symptoms of scarlet fever include fever, pharyngitis, rash, and changes in tongue appearance, with fever often reaching around 39°C [7][10]. - Early symptoms can be misdiagnosed as common colds or other illnesses, emphasizing the importance of careful observation by parents [9][10]. Prevention and Treatment - Currently, there is no vaccine for scarlet fever, and prevention relies on early identification, isolation, and basic hygiene measures [10][11]. - Treatment primarily involves antibiotics such as penicillin and amoxicillin, with a low rate of antibiotic resistance reported [11]. Public Health Recommendations - The Guangzhou Disease Control Center has issued health alerts urging parents to be vigilant during the high incidence season and to implement preventive measures such as hand hygiene and proper ventilation [5][10].
猩红热进入高发季节:传染性强、尚无疫苗,如何防
Core Insights - The incidence of scarlet fever is on the rise, particularly in Guangdong Province, where reported cases increased from 2328 in January to 1542 in March, marking a growth of 641 cases in February [1] - The disease is primarily affecting children aged 3-15, with a noted decline in immunity due to previous strict pandemic control measures, leading to an expected rebound in cases in 2024-2025 [3] - Scarlet fever is classified as a Class B infectious disease in China, caused by Group A Beta-Hemolytic Streptococcus, and is transmitted through respiratory droplets and contaminated surfaces [2] Summary by Sections Incidence and Trends - In March 2025, Guangdong Province reported 1542 cases of scarlet fever, a significant increase from previous months, indicating a concerning upward trend in infections [1] - The World Health Organization reported outbreaks in multiple countries, with the UK alone recording 235 deaths in 2022, highlighting a global increase in scarlet fever cases [2] Clinical Characteristics - Scarlet fever presents with symptoms such as persistent fever, pharyngitis, and distinctive rashes, with "strawberry tongue" and "raspberry tongue" being key clinical features [4] - The disease typically peaks between April and June, with environmental factors playing a significant role in its transmission [3] Early Detection and Treatment - Early symptoms can be misdiagnosed as common colds, emphasizing the need for careful observation of throat changes and rash characteristics [6][7] - Treatment primarily involves antibiotics like penicillin and amoxicillin, with a low resistance rate, and requires adherence to a full course of treatment to prevent recurrence [8]