女子服药时同吃一物眩晕入院！很多人忽略，医生：严重可致死！
<div class="wx_rich_media_content" id="jsWxContainer"><section data-role="paragraph"><section style='text-align: center;line-height: 1.75em;'><span style='caret-color: red;font-size: 16px;letter-spacing: 2px;'>近来</span></section></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>50岁的林女士遇到</span></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>一件怪事</span></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'><strong style='letter-spacing: normal;line-height: 1.59em;'><span style='color: rgb(0, 112, 192);'>她每到下午就犯晕</span></strong></span></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>只能躺在床上</span></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>但白天和晚上都是好好的</span></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>这究竟是怎么回事？</span></section><section style='text-align: center;line-height: 1.75em;'><br></section><section style='line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>林女士带着这样的疑惑来到医院，医生通过动态血压检查发现她的情况属于<strong style='letter-spacing: normal;line-height: 1.59em;'><span style='color: rgb(0, 112, 192);'>低血压</span></strong>。经医生问诊，林女士透露自己<strong style='letter-spacing: normal;line-height: 1.59em;'><span style='color: rgb(0, 112, 192);'>每天吃地平类降压药</span></strong>，并于<strong style='letter-spacing: normal;line-height: 1.59em;'><span style='color: rgb(0, 112, 192);'>近一周每天下午吃一个柚子</span></strong>。医生判断林女士的<strong style='letter-spacing: normal;line-height: 1.59em;'><span style='color: rgb(0, 112, 192);'>问题正是出在她吃的柚子上</span></strong>。因为柚子中含有钾元素，钾是天然的降压药。如果<strong style='letter-spacing: normal;line-height: 1.59em;'><span style='color: rgb(0, 112, 192);'>两者同吃，好比用药过量</span></strong>，便使血压骤降。</span></section><section style='line-height: 1.75em;'><br></section><section style='line-height: 1.75em;'><span class="wxart_image" wx-style='display:inline-block;vertical-align: baseline;visibility: visible !important;width: 661px !important;'></span></section><section style='line-height: 1.75em;'><br></section><section style='line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>柚子作为“柑橘家族”中的明星产品，广受人们喜爱，尤其是一些有“三高”基础疾病的中老年人，因它含糖量不高，常将它视为自己的首选水果，但殊不知却因此引发危险。</span></section><section style='line-height: 1.75em;'><br></section><section data-tools="135编辑器" data-id="100789"><section style='margin: 10px 5px;text-align: center;line-height: 1.75em;'><section style='display: inline-block;'><section style='display: flex;justify-content: center;align-items: flex-start;'><section><section style='border-width: 1px;border-style: solid;border-color: rgb(28, 113, 190);padding-top: 4px;padding-right: 7px;padding-left: 2px;'><section data-brushtype="text" style='letter-spacing: 1.5px;padding: 5px 1.3em;color: rgb(28, 113, 190);background: rgb(246, 249, 253);'><span style='font-size: 16px;letter-spacing: 2px;'><strong style='line-height: 1.59em;'><span style='color: rgb(192, 0, 0);'>柚子为何会成为“药物杀手”？</span></strong></span></section></section><section style='width: 93.3%;height: 4px;background: rgb(246, 249, 253);margin-left: 3px;max-width: 93.3% !important;' data-width="93.3%"><br></section></section><section style='background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding-bottom: 4px; margin-left: -8px;'><section style='width: 8px;height: 8px;background: rgb(24, 112, 190);'><br></section></section></section></section></section></section><section style='line-height: 1.75em;'><br></section><section style='line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>一些品种的柚子（如西柚）中含有呋喃香豆素，<strong style='letter-spacing: normal;line-height: 1.59em;'><span style='color: rgb(0, 112, 192);'>能显著抑制肠道CYP3A4代谢酶和P-糖蛋白</span></strong>。CYP3A4是身体中的一种重要的酶，几乎参与了现今使用的近半数药物的代谢，主要存在于肝脏和小肠。</span></section><section style='line-height: 1.75em;'><br></section><section style='line-height: 1.75em;'><span class="wxart_image" wx-style='display:inline-block;vertical-align: baseline;visibility: visible !important;width: 664px !important;'></span></section><section style='line-height: 1.75em;'><br></section><section style='line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>当CYP3A4活性受抑制后，药物在肠道的代谢和外排就减少了。这使药物以平常数倍乃至几十倍的量进入血液，造成药物在体内大量蓄积，<strong style='letter-spacing: normal;line-height: 1.59em;'><span style='color: rgb(0, 112, 192);'>导致药效过强，加重不良反应，严重将造成中毒甚至死亡。</span></strong></span></section><section style='line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'><strong style='letter-spacing: normal;line-height: 1.59em;'><span style='color: rgb(0, 112, 192);'><br></span></strong></span></section><section data-tools="135编辑器" data-id="119344"><section style='border-top: 1px solid rgb(120, 148, 75);border-bottom: 1px solid rgb(120, 148, 75);padding-top: 5px;padding-bottom: 5px;line-height: 1.75em;'><section style='display: flex;justify-content: space-between;margin-bottom: -10px;'><section style='width: 10px; height: 10px; border-width: 0px; border-radius: 0px 0px 100%; border-style: solid; border-color: rgb(243, 221, 188);'><br></section><section style='width: 10px; height: 10px; border-width: 0px; border-radius: 0px 0px 0px 100%; border-style: solid; border-color: rgb(243, 221, 188);'><br></section></section></section><section style='border-width: 0px;border-style: solid;border-color: rgb(245, 227, 199);padding: 15px 20px;background-color: rgb(254, 251, 245);'><section data-autoskip="1" style='line-height: 1.75em; letter-spacing: 1.5px; color: rgb(51, 51, 51); background: transparent;'><section style='max-inline-size: 100%;cursor: text;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'></section><section style='text-align: center;max-inline-size: 100%;cursor: text;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'><strong><span style='color: rgb(0, 112, 192);'>图源：武汉协和医院</span></strong></span></section></section></section><section style='margin: 10px auto;line-height: 1.75em;'><section style='display: flex;justify-content: space-between;margin-top: -10px;'><section style='width: 10px; height: 10px; border-width: 0px; border-radius: 0px 100% 0px 0px; border-style: solid; border-color: rgb(243, 221, 188);'><br></section><section style='width: 10px; height: 10px; border-width: 0px; border-radius: 100% 0px 0px; border-style: solid; border-color: rgb(243, 221, 188);'><br></section></section></section></section><section data-tools="135编辑器" data-id="100789"><section style='margin: 10px 5px;text-align: center;line-height: 1.75em;'><section style='display: inline-block;'><section style='display: flex;justify-content: center;align-items: flex-start;'><section><section style='border-width: 1px;border-style: solid;border-color: rgb(28, 113, 190);padding-top: 4px;padding-right: 7px;padding-left: 2px;'><section data-brushtype="text" style='font-size: 16px;letter-spacing: 1.5px;padding: 5px 1.3em;color: rgb(28, 113, 190);background: rgb(246, 249, 253);'><span style='letter-spacing: 2px;'><strong style='font-size: 17px;line-height: 1.59em;'><span style='font-size: 16px;color: rgb(192, 0, 0);'>不能和柚子同吃的其他药物</span></strong></span></section></section><section style='width: 93.3%;height: 4px;background: rgb(246, 249, 253);margin-left: 3px;max-width: 93.3% !important;' data-width="93.3%"><br></section></section><section style='background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; padding-bottom: 4px; margin-left: -8px;'><section style='width: 8px;height: 8px;background: rgb(24, 112, 190);'><br></section></section></section></section></section></section><section data-tools="135编辑器" data-id="120956"><section style='margin: 10px auto;'><section style='border-top: 1px solid rgb(105, 10, 1);border-bottom: 1px solid rgb(105, 10, 1);background-color: rgb(234, 234, 234);padding: 10px;'><section style='background-color: rgb(255, 255, 255);padding: 25px 20px;'><section data-autoskip="1" style='line-height: 1.75em; letter-spacing: 1.5px; color: rgb(51, 51, 51); background: transparent;'><ul class="list-paddingleft-1" style='max-inline-size: 100%;padding-left: 30px;list-style-position: outside;width: 440.797px;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;'><li style='font-size: 16px;letter-spacing: 2px;'><section style='max-inline-size: 100%;cursor: text;line-height: 1.75em;'><strong>抗焦虑或镇静药</strong></section></li></ul><section style='max-inline-size: 100%;cursor: text;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'><br></section><section style='max-inline-size: 100%;cursor: text;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>柚子可能会延长这类药物的作用时间，从而引起眩晕和嗜睡。</span></section><section style='max-inline-size: 100%;cursor: text;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'><br></section><ul class="list-paddingleft-1" style='max-inline-size: 100%;padding-left: 30px;list-style-position: outside;width: 440.797px;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;'><li style='font-size: 16px;letter-spacing: 2px;'><section style='max-inline-size: 100%;cursor: text;line-height: 1.75em;'><strong>他汀类药物</strong></section></li></ul><section style='max-inline-size: 100%;cursor: text;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'><br></section><section style='max-inline-size: 100%;cursor: text;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>他汀类药物如果与柚子同服，会在短时间内迅速升高药物在血液中的浓度，最明显的副作用就是引起横纹肌溶解症。</span></section><section style='max-inline-size: 100%;cursor: text;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'><br></section><ul class="list-paddingleft-1" style='max-inline-size: 100%;padding-left: 30px;list-style-position: outside;width: 440.797px;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;'><li style='font-size: 16px;letter-spacing: 2px;'><section style='max-inline-size: 100%;cursor: text;line-height: 1.75em;'><strong>抗过敏药</strong></section></li></ul><section style='max-inline-size: 100%;cursor: text;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'><br></section><section style='max-inline-size: 100%;cursor: text;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>服用此类药后食用柚子，会加重抗过敏药对心脏、肝脏及胃肠道的不良反应。<br data-filtered="filtered" style='max-inline-size: 100%;-webkit-tap-highlight-color: transparent;outline: 0px;'></span></section><section style='max-inline-size: 100%;cursor: text;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'><br></section><ul class="list-paddingleft-1" style='max-inline-size: 100%;padding-left: 30px;list-style-position: outside;width: 440.797px;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;'><li style='font-size: 16px;letter-spacing: 2px;'><section style='max-inline-size: 100%;cursor: text;line-height: 1.75em;'><strong>抗排异药物</strong></section></li></ul><section style='max-inline-size: 100%;cursor: text;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'><br></section><section style='max-inline-size: 100%;cursor: text;font-size: 17px;caret-color: rgb(255, 0, 0);font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>如环孢素与柚子同服后，会导致血药浓度增加，不良反应增大，加重肝肾毒性。若这类药长期与柚子同吃，有诱发肿瘤的风险。</span></section></section></section></section></section></section><section style='line-height: 1.75em;'><br></section><section style='line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>除了柚子，<strong><span style='color: rgb(0, 112, 192);'>苹果汁和橙汁也可能与药物产生相互作用</span></strong>。</span></section><section style='line-height: 1.75em;'><br></section><section style='line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>中国医科大学附属第一医院感染性疾病二科医生李承博介绍，<strong><span style='color: rgb(0, 112, 192);'>苹果汁和橙汁在体内常与药物呈“敌对状态”，相互竞争着被人体吸收，</span></strong>可能导致药物被吸收的水平下降，例如西替利嗪、氯雷他定等抗组胺类药物。</span></section><section style='line-height: 1.75em;'><br></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>提醒：</span></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'><strong style='letter-spacing: normal;line-height: 1.59em;'><span style='color: rgb(0, 112, 192);'>普通人每天食用柚子</span></strong></span></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'><strong><span style='color: rgb(0, 112, 192);'>尽量不要超过200克</span></strong></span></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>常规服用降压药、降血脂药人群</span></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>应注意抵制“柚”惑</span></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'><strong style='letter-spacing: normal;line-height: 1.59em;'><span style='color: rgb(0, 112, 192);'>切不可将药品和柚子同食</span></strong></span></section><section style='text-align: center;line-height: 1.75em;'><span style='font-size: 16px;letter-spacing: 2px;'>以免发生血压骤降等危险</span></section><section style='line-height: 1.75em;'><br></section><p><br></p><section style='-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;'><span style='-webkit-tap-highlight-color: transparent; outline: 0px; color: rgb(136, 136, 136);'>来源：<span style='letter-spacing: 0.578px;'>综合自</span>新闻坊、国家应急广播、半岛晨报、广州日报、武汉协和医院、</span><span style='-webkit-tap-highlight-color: transparent; outline: 0px; color: rgb(136, 136, 136); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;'>江苏新闻、看看新闻KNEWS</span></section><section xmlns="http://www.w3.org/1999/xhtml" style='-webkit-tap-highlight-color: transparent;outline: 0px;'><section data-author="Wxeditor" style='-webkit-tap-highlight-color: transparent;outline: 0px;'><section data-from="local" author="wxeditor" style='-webkit-tap-highlight-color: transparent;outline: 0px;'><section style='-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;'><span style='-webkit-tap-highlight-color: transparent; outline: 0px; color: rgb(136, 136, 136); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; letter-spacing: 1px;'></span></section><section style='-webkit-tap-highlight-color: transparent;outline: 0px;text-align: center;'><img src="https://www.yewn.cn/data/attachment/forum/202411/19/090306uoehu4psq2o5ppqp.png"></section></section></section></section><p style='display: none;'><mp-style-type data-value="10000"></mp-style-type></p></div> 注意身体健康。 吃药要注意安全 千万要注意一些细节哦 药品要按照大夫的医嘱服用 药食不能同时 注意身体健康。 该注意还是要注意的 健康第一！！ 注意身体健康。
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