近日，杭州一醫(yī)院接診一名高甘油三酯癥男子就診時(shí)，該患者肚子脹成“鉛球”，醫(yī)生抽血后發(fā)現(xiàn)他的血液竟分層呈乳白色，像兌了草莓糖漿的奶油。

A man with severe hypertriglyceridemia was recently admitted to a hospital in Hangzhou, Zhejiang province with a bloated, "lead ball-like" abdomen. When doctors drew his blood, they found it had separated into layers, taking on a milky white appearance — like "cream mixed with strawberry syrup".

醫(yī)院供圖

連吃多頓燒烤啤酒，“開始以為消化不良”

據(jù)報(bào)道，患者王先生進(jìn)入診室表示：肚子脹了幾天，像揣了鉛球一樣，一點(diǎn)胃口都沒(méi)有。

杭州西湖區(qū)文新街道社區(qū)衛(wèi)生服務(wù)中心全科副主任醫(yī)師胡鳴宇問(wèn)診后得知，王先生平時(shí)應(yīng)酬較多，近幾天連續(xù)吃了好多頓燒烤，還配了冰啤酒。起初他以為只是消化不良，自行吃了些健胃消食的藥，可癥狀不僅沒(méi)有緩解，反而出現(xiàn)了隱隱作痛。

The patient, surnamed Wang, told physicians at the Community Health Service Center of Wenxin Subdistrict, Xihu district in Hangzhou, that he had felt bloated for several days. "It felt like a lead ball in my belly, and I had no appetite at all," he said.

According to Hu Mingyu, a deputy chief physician at the center, Wang had been attending frequent social gatherings and had consumed multiple heavy meals of barbecue paired with iced beer over several consecutive days. Initially believing it to be simple indigestion, he took over-the-counter digestive aids. However, his symptoms worsened and developed into a dull, persistent pain.

抽血化驗(yàn)結(jié)果顯示，王先生的血樣靜置后明顯分層，上層浮著厚厚一層渾濁的乳白色液體，化驗(yàn)結(jié)果顯示，甘油三酯高達(dá)19.5mmol/L，而正常值應(yīng)低于1.7mmol/L，超標(biāo)了十倍有余。

Blood tests revealed that after standing, Wang's blood sample separated into distinct layers, with a thick, cloudy, milky-white fluid floating on top. His triglyceride level was measured at 19.5 mmol/L — more than ten times the normal upper limit of 1.7 mmol/L.

資料圖

胡鳴宇解釋，像王先生這樣的“乳糜血”，是由于短時(shí)間內(nèi)攝入了大量高脂肪食物，脂肪經(jīng)小腸吸收進(jìn)入血液后，未能被及時(shí)代謝利用，便以脂肪顆粒的形式大量堆積，使原本鮮紅的血液呈現(xiàn)出乳白色的混濁外觀。

Hu explained that such "chylomicronemia" occurs when large amounts of high-fat foods are consumed in a short period. Fat is absorbed by the intestines and enters the bloodstream, but if not metabolized and used promptly, it accumulates as fat particles, turning the normally red blood into a milky white appearance.

相關(guān)報(bào)道顯示，類似高血脂癥也有年輕化趨勢(shì)，此前，有小伙因長(zhǎng)期吃炸雞肥肉，被抽出同樣“牛奶血”。

腹脹、上腹隱痛要注意！

“從短期來(lái)看，大量脂肪顆粒可能堵塞胰腺毛細(xì)血管，造成胰腺缺血、壞死，進(jìn)而引發(fā)全身性炎癥反應(yīng)?！焙Q宇表示，很多患者早期僅表現(xiàn)為腹脹、上腹隱痛，容易誤當(dāng)作普通胃病處理，一旦病情急劇惡化，重癥胰腺炎的死亡率極高。

"In the short term, a large number of fat particles can block the tiny blood vessels in the pancreas, leading to pancreatic ischemia and necrosis, and triggering systemic inflammation," Hu said. Many patients in the early stage only experience bloating and mild upper abdominal pain, which can be easily mistaken for a common stomach ailment. However, if the condition worsens suddenly, severe acute pancreatitis carries a very high mortality rate.

血脂長(zhǎng)期偏高，脂質(zhì)逐漸在血管壁沉積，形成動(dòng)脈粥樣硬化斑塊。一旦斑塊破裂，堵塞在心臟血管還會(huì)導(dǎo)致心肌梗死，堵塞在腦部血管則引發(fā)腦梗死。

Long-term elevated blood lipids gradually deposit fat on blood vessel walls, forming atherosclerotic plaques. If a plaque ruptures, it can block heart vessels, causing a heart attack, or cerebral vessels, leading to a stroke.

預(yù)防高血脂，胡鳴宇建議：

首先要合理膳食。避免暴飲暴食，嚴(yán)格戒酒。減少肥肉、動(dòng)物內(nèi)臟、油炸食品、燒烤以及含糖飲料的攝入。飲食以清淡為主，多選用綠葉蔬菜、粗糧等富含膳食纖維的食材，肉類優(yōu)先選擇去皮的禽肉和深海魚類。

其次要規(guī)律運(yùn)動(dòng)。每周堅(jiān)持3至5次、每次30分鐘以上的中等強(qiáng)度有氧運(yùn)動(dòng)，如快走、慢跑、游泳等，有助于機(jī)體有效代謝血液中的甘油三酯，維持血脂穩(wěn)定。

來(lái)源：中國(guó)青年報(bào)綜合潮新聞、生命時(shí)報(bào)、后浪視頻

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