男子抽出“草莓奶油血”！医生紧急提醒

近日，杭州一医院接诊一名高甘油三酯症男子就诊时，该患者肚子胀成“铅球”，医生抽血后发现他的血液竟分层呈乳白色，像兑了草莓糖浆的奶油。

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".

医院供图

连吃多顿烧烤啤酒，“开始以为消化不良”

据报道，患者王先生进入诊室表示：肚子胀了几天，像揣了铅球一样，一点胃口都没有。

杭州西湖区文新街道社区卫生服务中心全科副主任医师胡鸣宇问诊后得知，王先生平时应酬较多，近几天连续吃了好多顿烧烤，还配了冰啤酒。起初他以为只是消化不良，自行吃了些健胃消食的药，可症状不仅没有缓解，反而出现了隐隐作痛。

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.

抽血化验结果显示，王先生的血样静置后明显分层，上层浮着厚厚一层浑浊的乳白色液体，化验结果显示，甘油三酯高达19.5mmol/L，而正常值应低于1.7mmol/L，超标了十倍有余。

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.

资料图

胡鸣宇解释，像王先生这样的“乳糜血”，是由于短时间内摄入了大量高脂肪食物，脂肪经小肠吸收进入血液后，未能被及时代谢利用，便以脂肪颗粒的形式大量堆积，使原本鲜红的血液呈现出乳白色的混浊外观。

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.

相关报道显示，类似高血脂症也有年轻化趋势，此前，有小伙因长期吃炸鸡肥肉，被抽出同样“牛奶血”。

腹胀、上腹隐痛要注意！

“从短期来看，大量脂肪颗粒可能堵塞胰腺毛细血管，造成胰腺缺血、坏死，进而引发全身性炎症反应。”胡鸣宇表示，很多患者早期仅表现为腹胀、上腹隐痛，容易误当作普通胃病处理，一旦病情急剧恶化，重症胰腺炎的死亡率极高。

"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.

血脂长期偏高，脂质逐渐在血管壁沉积，形成动脉粥样硬化斑块。一旦斑块破裂，堵塞在心脏血管还会导致心肌梗死，堵塞在脑部血管则引发脑梗死。

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.

预防高血脂，胡鸣宇建议：

首先要合理膳食。避免暴饮暴食，严格戒酒。减少肥肉、动物内脏、油炸食品、烧烤以及含糖饮料的摄入。饮食以清淡为主，多选用绿叶蔬菜、粗粮等富含膳食纤维的食材，肉类优先选择去皮的禽肉和深海鱼类。

其次要规律运动。每周坚持3至5次、每次30分钟以上的中等强度有氧运动，如快走、慢跑、游泳等，有助于机体有效代谢血液中的甘油三酯，维持血脂稳定。

来源：中国青年报综合潮新闻、生命时报、后浪视频

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