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較真丨“一桶冷水毀了一個家”?夏天洗冷水澡真的會猝死嗎?





生活中,有一些疾病可能會導致洗冷水澡時猝死。比如,變異性心絞痛的病人,在寒冷刺激下會誘發冠狀動脈痙攣,造成心肌供血突然中斷,就可能引發惡性心律失常或心肌梗死,從而導致猝死。臨床上曾採用冷水加壓試驗來誘發心絞痛,實驗目的是為了證明“這種心絞痛是由冠狀動脈痙攣所致(常見於凌晨眠中),而不同於一般的心絞痛多由運動或情緒激動誘發” ,實驗方法就是把患者的雙臂浸泡在冰水中,觀察有無症狀及心電圖的特異性變化。試驗的原理是用冷水刺激誘發冠脈痙攣。可想而知,這類病人如果參與“冰桶挑戰”,那很有可能會引發猝死。

臨床上還有些心律失常與交感興奮有關,在寒冷刺激,交感神經過度興奮時,發生高危的室性早搏,甚至誘發惡性室性心律失常,也會導致猝死。