一口西瓜引发生命危机，七旬书法家化险为夷后送上墨宝
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics-app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section style="font-size: 15px; line-height: 2; letter-spacing: 2px; color: #6a6a6a; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify;"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><p class="" style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">原标题：浙一名家系列（十四）：一口西瓜引发生命危机，七旬书法家化险为夷后送上墨宝</p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: middle; align-self: center; flex: 0 0 auto; background-image: url('https://pics-app.cnyw.net/FksSxm-WHu_UkwB9_3ATuEkFgcAO'); background-repeat: no-repeat; background-attachment: scroll; background-size: 100% 100% !important; background-position: 50% 50% !important; box-sizing: border-box;"><section style="margin: 20px 0px; box-sizing: border-box;"><section style="text-align: center; color: #ed9e4a; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">“多情乃佛心 </strong><strong style="font-size: 14px; box-sizing: border-box;">不俗即仙骨”</strong></p></section></section><section style="text-align: center; margin: 0px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 80%; height: auto; border-radius: 24px; overflow: hidden; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FkkrSzUJmeApBiWFlVlsv6QTK81t" /></section></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="text-indent: 2.2667em; box-sizing: border-box;">铺开宣纸，一副对联苍劲有力：多情乃佛心，不俗即仙骨。</span></p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="text-indent: 2.2667em; box-sizing: border-box;">出院前，李爷爷特意让家人带来了这一幅亲自创作的书法作品，赠予义乌市中心医院肾内科医护团队，感谢他们的专业救治与暖心照护。这份特殊的礼物让整个医护团队倍感温暖与鼓舞。</span></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 100 100 0%; height: auto; padding: 0px 12px 0px 0px; box-sizing: border-box;"><section style="margin: 0.5em 0px; box-sizing: border-box;"><section style="background-color: #ed9e4a; height: 1px; box-sizing: border-box;"></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: center; margin: 0px; background-color: #fffefe; z-index: 1; padding: 0px 3px 0px 0px; box-sizing: border-box;"><section style="margin: 10px 0px 0px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 23px; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FmCGxFGe5HxgAyzHx9PFNh7pTyRb" /></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; border-radius: 99%; overflow: hidden; min-width: 5%; max-width: 100%; height: auto; padding: 11px 24px 6px; margin: 0px -10px; box-sizing: border-box; border: 1px solid #f3cb95;"><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 2; box-sizing: border-box;"><section style="color: #ed9e4a; line-height: 2; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">医患之间的信任与协作</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">是生命重生的土壤</strong></p></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; margin: 0px; background-color: #fffefe; align-self: center; padding: 0px 0px 0px 3px; box-sizing: border-box;"><section style="transform: perspective(0px); -webkit-transform: perspective(0px); -moz-transform: perspective(0px); -o-transform: perspective(0px); transform-style: flat; box-sizing: border-box;"><section style="margin: 10px 0px 0px; line-height: 0; transform: rotateY(180deg); -webkit-transform: rotateY(180deg); -moz-transform: rotateY(180deg); -o-transform: rotateY(180deg); box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 23px; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FmCGxFGe5HxgAyzHx9PFNh7pTyRb" /></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 99 99 0%; height: auto; padding: 0px 0px 0px 12px; box-sizing: border-box;"><section style="margin: 0.5em 0px; box-sizing: border-box;"><section style="background-color: #ed9e4a; height: 1px; box-sizing: border-box;"></section></section></section></section></section></section><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 95%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: #fff5e8; height: auto; padding: 23px; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">李爷爷今年76岁，是一位小有名气的书法家，平日素爱挥毫泼墨，修身养性。谁也没想到，一场看似普通的“呛咳”，竟让他的健康急转直下。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">一年前，李爷爷在体检时发现血肌酐升高至136μmol/L，并伴有双下肢浮肿，被确诊为糖尿病肾病。一年以来持续用药控制，病情一直很稳定。八月中下旬，李爷爷双下肢再次浮肿，家人赶紧带他来了医院。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">检查显示李爷爷体内血肌酐含量239.8μmol/L；钾含量6.75mmol/L，炎症指标升高，医护人员第一时间为他采取降钾、抗感染等对症措施。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="color: #ed9e4a; box-sizing: border-box;"><strong style="box-sizing: border-box;">怎么会突发肾功能不全？</strong></span></p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">入院不久，李爷爷又出现了高烧、呼吸急促、胸闷气促等症状，紧急CT检查显示胸腔积液，肺部有感染！</p></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FgT9CS0rVKb-r2d6bvJVhOznKidF" /></section></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">医生再次询问家属得知，李爷爷不久前吃西瓜解暑时不慎发生过呛咳。看来就是这么小小的一次呛咳，导致西瓜汁误吸入肺部，引发了吸入性肺炎。</p></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FrhIBvHvQfBdlhGTMwZZvSoLjRp7" /></section></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“由于患者本身有高血压、糖尿病、脑梗死等慢性病史，更在18年前接受过肝移植手术，肾脏负担本就比常人更重，感染导致体内炎症因子风暴，有效血容量不足，肾脏缺血，肌酐急速上升，如不及时治疗随时可能进入尿毒症期，需要终身透析。”</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">浙大一院肾内科专家、义乌市中心医院肾内科主任瞿立辉（常驻中心医院）表示，年轻人呛咳或许无大碍，但对高龄且有多重基础病的李爷爷来说如同推倒了第一张多米诺骨牌，感染迅速加重了身体的炎症反应，让本就脆弱的肾脏再受重创。</p></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FjEe4DOiw8a3-6eBeWl7_mZYwBn6" /></section></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">面对这样一位高龄、多病史、肝移植术后、又出现急性肾功能不全的复杂患者，任何一个用药决策都需极为谨慎。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">瞿立辉立即组织科室进行病例讨论，并启动多学科协作诊疗模式（MDT） ，肾内科、感染科、呼吸内科、重症医学科等专家共同研判。</p></section><section style="text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“治疗上存在几个难点，一是抗感染药物的选择必须兼顾肝肾功能；二是患者容量状态评估要非常精准，补液过多可能心衰，过少则肾脏灌注不足；三是如何阻断炎症对肾脏的持续损伤。”瞿立辉分析道。</p></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fixnpewlh7ZRlNL6eJegavIizxtz" /></section></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">经过反复讨论，MDT团队为李爷爷制定了精准抗感染、精细容量管理、兼顾肾脏支持与保护的个体化治疗方案。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">主管医生翁子平及护理团队每天多次查房，密切监测李爷爷的尿量、电解质及肌酐变化，随时微调治疗细节。在医护团队的精心治疗与护理下，李爷爷的肺部感染逐渐控制，体温恢复正常，胸腔积液吸收。更令人欣慰的是，他的尿量开始增加，血肌酐水平出现回落。</p></section><section style="text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“肾功能有可逆窗口期，如果能及时控制住急性损伤因素，是有希望恢复一部分功能的。我们的目标就是抓住这个窗口期，避免患者走向长期透析。”</p></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FsSOj16mB9iEkfhcoTqEbG_QwekU" /></section></section><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="text-indent: 2.2667em; box-sizing: border-box;">治疗期间，李爷爷和家属展现出极大的信任与配合。“老人家很乐观，即使不舒服也尽量配合治疗，家属沟通非常顺畅，这对治疗效果至关重要。”</span></p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">经过数周的系统治疗与康复，李爷爷的身体状况好转，肾功能指标稳定在可接受范围，不需要进行血液透析治疗。目前李爷爷已经康复出院回家休养。</p></section></section></section><section style="margin: 0.5em 0px; box-sizing: border-box;"><section style="background-color: #ed9e4a; height: 1px; box-sizing: border-box;"></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="color: #ed9e4a; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">瞿立辉提醒，对于有糖尿病、高血压等基础病的老年人，预防感染至关重要。一旦发生感冒、肺炎或肠道感染，都可能引起全身性连锁反应。平时要注意保暖、均衡营养、适当锻炼，出现不适早诊早治。</p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="text-align: right; justify-content: flex-end; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: bottom; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: flex-end; margin: 0px -8px 0px 0px; z-index: 1; background-color: #fffefe; padding: 0px 4px 0px 0px; box-sizing: border-box;"><section style="text-align: center; margin: 0px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 23px; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FmCGxFGe5HxgAyzHx9PFNh7pTyRb" /></section></section></section><section style="display: inline-block; vertical-align: bottom; width: auto; align-self: flex-end; flex: 0 0 auto; border-radius: 12px; min-width: 5%; max-width: 100%; height: auto; padding: 5px 9px 5px 14px; background-color: #fffefe; overflow: hidden; box-sizing: border-box; border: 1px solid #f3cb95;"><section style="color: #ed9e4a; line-height: 1.3; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">肾内科专家</strong></p></section></section></section></section></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: -20px 0px 10px; box-sizing: border-box;"><section style="display: inline-block; width: 94%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; border-radius: 18px; height: auto; overflow: hidden; padding: 24px; box-sizing: border-box; border: 1px solid #f3cb95;"><section style="text-align: center; margin: 0px 0px 14px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 100%; height: auto; border-radius: 24px; overflow: hidden; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fuf0_-5Z_aWMV-T-17rCsPUQrQKz" /></section></section><section style="text-align: center; margin: 0px 0px 14px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 100%; height: auto; border-radius: 24px; overflow: hidden; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FlsYDdFFUQj2qCCIaoAtdOzP9CTu" /></section></section><section style="text-align: center; margin: 0px 0px 14px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 100%; height: auto; border-radius: 24px; overflow: hidden; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FmeURI7aDnva8xg9I0-9EUDv1NeW" /></section></section><section style="text-align: center; margin: 0px 0px 14px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 100%; height: auto; border-radius: 24px; overflow: hidden; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FnHfD2UuDEuGwyNrjhCB71YbjEQF" /></section></section><section style="text-align: center; margin: 0px 0px 14px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 100%; height: auto; border-radius: 24px; overflow: hidden; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Flc5Ks7qUlO9sRshMXnWfvgLki-d" /></section></section><section style="text-align: center; margin: 0px 0px 14px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 100%; height: auto; border-radius: 24px; overflow: hidden; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FusbNDWP_fx2_BnUp4l0oX5Ltshq" /></section></section><section style="text-align: center; margin: 0px 0px 14px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 100%; height: auto; border-radius: 24px; overflow: hidden; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FgFQkMN2hC1pBFEwBvdAfPjXL44m" /></section></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section></section><p style="display: none;"> </p> <!----></div> 晚上好 晚上好 这字也称书家？ 好好好 :(:( 平平安安就好 :):) 书法家？:D:D:D 路过看看
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