心梗猝死年轻化,如何让心脏安全过冬?

2021-01-04 Sunny Xu MedSci原创

劝你惜命。

昨天(1月2日)下午,《巴啦啦小魔仙》凌美琪扮演者孙侨潞的妈妈发文证实女儿去世的消息:“2021年1月1日,我的宝贝女儿、我那么引以为傲的孩子,永远离开了我。” 孙侨潞年仅25岁,死因疑似是心梗猝死。

 

来源:微博

 

来源:网络

 如此年轻的花样少女被心梗盯上,令人唏嘘。回想1年前,35岁男星高以翔因心源性猝死离世,引起大众关注,为何心梗频频盯上年轻人?

 急性心梗,是急性心肌梗死的简称,又称急性心肌梗塞,致病原因是血管里的斑块破裂或脱落,形成的“血栓”彻底把血管堵死了,导致心肌缺血并发生坏死,是猝死的最常见疾病。

 其实相比老年人,年轻人突发心梗更加凶险。

 因为老年人血管的狭窄状态是逐渐形成的,他们的心肌已初步适应了缺血,而年轻人的心梗则是斑块突然破裂造成的堵塞,一旦发病,血管完全闭塞,血流中断,心肌梗死面积会更大,极易发生猝死。

 据国家卫健委发布的数据显示,从2007 年到2009 年,25 岁以上人群急性心肌梗死的发病率逐年上升,特别是35 到44 岁人群的发病率上升幅度最大——三年中增加了31.8%。

 2008年,北京阜外心血管病医院心内科副主任医师郑昕和她的团队做过一个调查,在过去的15年间,该医院诊断出心肌梗死的首发病例中,男性平均发病年龄呈下降趋势。另一项流行病学研究证实,1984年至1999 年,北京市35 岁到44 岁心肌梗死的病死率增加了154%。

 著名心血管病专家、北京大学人民医院心脏内科主任胡大一对此有几十年的切身感受:“急性心肌梗死近30年不断快速年轻化,不仅有数据支持,也是我学医、行医50年的亲身体验。上世纪80年代,我在北大医院工作,每年收治的急性心肌梗死患者仅有40至50人,绝大多数为65岁以上的老年患者。而现在,我工作的北大人民医院,每个月收治的急性心肌梗死患者都超出过去一年的人数,并且至少有四分之一的患者年龄不到50岁,三分之一不到60岁,至少一半患者毫无先兆,突发致死或致残。”

 与老年人不同,大多数年轻人在心梗发作前,往往都能找到明显诱因,例如精神紧张、情绪激动、过度疲劳、长期熬夜等。因此,必须提醒年轻人,尽管现代生活压力大节奏快,但要注意健康的生活方式,也要特别注意一些高危诱因,毕竟,生命只有一次。

心梗为什么会找上年轻人

急性心梗并不只是老年人“专利”,现在越来越多地“光顾”年轻人。数据显示,近年来,年轻人的发病率正以每年至少5%的速度增长,职场精英正成为急性心梗的高发人群。导致年轻人频频发生心梗的原因主要有以下几个方面:

运动减少。很多年轻人出门乘车,上下班乘电梯,经常久坐于电脑前,运动量大大减少,高血脂、高血压、糖尿病、肥胖患者越来越多。

吸烟。烟中的尼古丁可引起血压升高、心率增快、心肌耗氧量增加,烟雾中的一氧化碳进入血液,使血液携带氧的能力下降,加重心肌缺血,尼古丁和一氧化碳均可引起冠脉痉挛,导致急性心梗的发生。

暴饮暴食。为了消化食物,大量血液向胃肠转移,供应心脏的血液相对减少,从而加重了心肌缺血,增加了心脏负担。如果吃得过于油腻,摄入太多脂肪,还可能导致血液黏稠度增加,促进血栓形成,引发心肌梗塞。

过度劳累。中青年心梗的发病人群主要是脑力劳动者,有人长时间工作缺乏足够的休息。过于劳累、没有规律的生活,极易导致冠状动脉痉挛,从而诱发心肌梗塞。

压力过大。生活节奏快,工作和生活的压力往往会集中到一起。人在紧张时,会大量分泌肾上腺素,导致血管收缩、心跳加快、血压上升,交感神经兴奋,这很容易引起心肌梗塞发作。

急性心梗黄金救治时间仅2小时

识别早期症状很关键!

心梗的典型症状是胸骨正中间或中间偏左的地方出现心绞痛,有濒死、压迫感,可持续5~15分钟或以上,还有人伴有出汗、恶心等。

虽然急性心梗时,胸痛会比较普遍,但还可能表现为不典型症状

比如说嗓子痛,往往伴有紧缩性的感觉;上腹痛,就是我们常说的胃痛;牙疼,往往是下颌部的牙疼;胳膊疼、手指疼等,心脏原因引起的肢体疼痛往往是越动越痛,一休息就会有所好转。 

如果出现这些征兆,就要特别小心了。

应该第一时间到医院进行相关的检查和救治,否则一旦耽误了病情,往往就会危及生命!

突发心梗三步有效自救 

东南大学附属中大医院心内科主任马根山表示:突发心梗剧烈胸痛时,用力捶胸、深呼吸、咳嗽,甚至喝热水都有一定自救作用,但最最重要的是呼叫救护,把握黄金救治时间,然后考虑含服硝酸甘油或救心丸,第三步才是自救。 

在突发心梗的死亡病例中,很多都是因为在到达医院前没能得到及时正确的抢救。

所以一旦突发心梗后,一定要马上拨打120急救电话! 

同时在等待120急救的时间里要做到这三点,才能有效救命:

1、不可随意搬动、扶起患者,同时避免患者情绪激动;

2、如果病人有冠心病病史,怀疑心梗时,可服用硝酸甘油、阿司匹林等药物;

3、但如果没病史或不清楚病人的情况,最好不要随便给病人服药,一定要在专业医师的指导下服药。

注意!急性心梗救治一定要把握好黄金“120分钟”,从发病到开通梗死血管如果在120分钟内完成,可大大降低病死率和致残率。

预防心梗小贴士

健康饮食、保持大便通畅:每天多吃富含膳食纤维的粗粮和新鲜的蔬菜水果,同时记住,对于心脑血管患者来说,厕所真是一个非常危险的地方,如厕解便切忌“很用力”。

适当锻炼、控制体重:体力活动量力而行,循序渐进,既要适当运动,也不鼓励大家赶时髦,每个人都去跑马拉松。 

避免熬夜,合理安排工作和生活:生活有规律,记住“熬最晚的夜,吃最贵的保健品”对健康根本无济于事。

戒烟限酒,积极控制高血压、糖尿病、高血脂、肥胖等心肌梗死危险因素:喝酒容易上瘾,稍不注意就会过量,酒精过量对心脏有害、同时导致高血压、诱发心律失常,同时饮酒伤肝又伤胃,因此通过红酒预防心脏病并不划算。

在2021新年伊始之际,愿新的一年诸君健康和快乐常在!

来源:梅斯医学综合报道

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    2021-01-07 ms6000001619456004

    可惜

    0

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    2021-01-05 1e128dcbm18(暂无匿称)

    要宣教

    0

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    2021-01-04 ms3000001780497766

    珍爱生命,远离病痛

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=915020, encodeId=d348915020ef, content=<a href='/topic/show?id=d202104100a3' target=_blank style='color:#2F92EE;'>#心梗猝死#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=104100, encryptionId=d202104100a3, topicName=心梗猝死)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Sat Jan 09 21:33:54 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=914516, encodeId=507c9145163d, content=可惜, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f2fa5415478, createdName=ms6000001619456004, createdTime=Thu Jan 07 22:03:47 CST 2021, time=2021-01-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913902, encodeId=c5d791390232, content=要宣教, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=861c1956936, createdName=1e128dcbm18(暂无匿称), createdTime=Tue Jan 05 16:35:01 CST 2021, time=2021-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913612, encodeId=3c659136128a, content=珍爱生命,远离病痛, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200618/47e172bce1cc4da5ab6d5e886bd6b9d9/25cba073cbc94c3dad32d0c132ef6a75.jpg, createdBy=f25d5390775, createdName=ms3000001780497766, createdTime=Mon Jan 04 15:40:49 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913606, encodeId=5a0d91360610, content=少喝酒, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49db1605285, createdName=yinier, createdTime=Mon Jan 04 15:21:42 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913590, encodeId=e888913590ad, content=科普, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e6a5448481, createdName=Lion 力力, createdTime=Mon Jan 04 14:28:03 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913557, encodeId=c28a91355eed, content=数据有点老啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=720c5435647, createdName=ms9000002064729307, createdTime=Mon Jan 04 12:15:54 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913538, encodeId=1a3b913538f1, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210104/d4fbc32628eb4ee3a0e25df8ecf474d6/fc6c25ac09a54400bc82b0c34ccf315f.jpg, createdBy=a2522492951, createdName=Catt, createdTime=Mon Jan 04 11:16:12 CST 2021, time=2021-01-04, status=1, ipAttribution=)]
    2021-01-04 yinier

    少喝酒

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=915020, encodeId=d348915020ef, content=<a href='/topic/show?id=d202104100a3' target=_blank style='color:#2F92EE;'>#心梗猝死#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=104100, encryptionId=d202104100a3, topicName=心梗猝死)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Sat Jan 09 21:33:54 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=914516, encodeId=507c9145163d, content=可惜, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f2fa5415478, createdName=ms6000001619456004, createdTime=Thu Jan 07 22:03:47 CST 2021, time=2021-01-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913902, encodeId=c5d791390232, content=要宣教, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=861c1956936, createdName=1e128dcbm18(暂无匿称), createdTime=Tue Jan 05 16:35:01 CST 2021, time=2021-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913612, encodeId=3c659136128a, content=珍爱生命,远离病痛, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200618/47e172bce1cc4da5ab6d5e886bd6b9d9/25cba073cbc94c3dad32d0c132ef6a75.jpg, createdBy=f25d5390775, createdName=ms3000001780497766, createdTime=Mon Jan 04 15:40:49 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913606, encodeId=5a0d91360610, content=少喝酒, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49db1605285, createdName=yinier, createdTime=Mon Jan 04 15:21:42 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913590, encodeId=e888913590ad, content=科普, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e6a5448481, createdName=Lion 力力, createdTime=Mon Jan 04 14:28:03 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913557, encodeId=c28a91355eed, content=数据有点老啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=720c5435647, createdName=ms9000002064729307, createdTime=Mon Jan 04 12:15:54 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913538, encodeId=1a3b913538f1, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210104/d4fbc32628eb4ee3a0e25df8ecf474d6/fc6c25ac09a54400bc82b0c34ccf315f.jpg, createdBy=a2522492951, createdName=Catt, createdTime=Mon Jan 04 11:16:12 CST 2021, time=2021-01-04, status=1, ipAttribution=)]
    2021-01-04 Lion 力力

    科普

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=915020, encodeId=d348915020ef, content=<a href='/topic/show?id=d202104100a3' target=_blank style='color:#2F92EE;'>#心梗猝死#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=104100, encryptionId=d202104100a3, topicName=心梗猝死)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Sat Jan 09 21:33:54 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=914516, encodeId=507c9145163d, content=可惜, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f2fa5415478, createdName=ms6000001619456004, createdTime=Thu Jan 07 22:03:47 CST 2021, time=2021-01-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913902, encodeId=c5d791390232, content=要宣教, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=861c1956936, createdName=1e128dcbm18(暂无匿称), createdTime=Tue Jan 05 16:35:01 CST 2021, time=2021-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913612, encodeId=3c659136128a, content=珍爱生命,远离病痛, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200618/47e172bce1cc4da5ab6d5e886bd6b9d9/25cba073cbc94c3dad32d0c132ef6a75.jpg, createdBy=f25d5390775, createdName=ms3000001780497766, createdTime=Mon Jan 04 15:40:49 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913606, encodeId=5a0d91360610, content=少喝酒, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49db1605285, createdName=yinier, createdTime=Mon Jan 04 15:21:42 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913590, encodeId=e888913590ad, content=科普, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e6a5448481, createdName=Lion 力力, createdTime=Mon Jan 04 14:28:03 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913557, encodeId=c28a91355eed, content=数据有点老啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=720c5435647, createdName=ms9000002064729307, createdTime=Mon Jan 04 12:15:54 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913538, encodeId=1a3b913538f1, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210104/d4fbc32628eb4ee3a0e25df8ecf474d6/fc6c25ac09a54400bc82b0c34ccf315f.jpg, createdBy=a2522492951, createdName=Catt, createdTime=Mon Jan 04 11:16:12 CST 2021, time=2021-01-04, status=1, ipAttribution=)]
    2021-01-04 ms9000002064729307

    数据有点老啊

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=915020, encodeId=d348915020ef, content=<a href='/topic/show?id=d202104100a3' target=_blank style='color:#2F92EE;'>#心梗猝死#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=104100, encryptionId=d202104100a3, topicName=心梗猝死)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=59321624668, createdName=zb1235672, createdTime=Sat Jan 09 21:33:54 CST 2021, time=2021-01-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=914516, encodeId=507c9145163d, content=可惜, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f2fa5415478, createdName=ms6000001619456004, createdTime=Thu Jan 07 22:03:47 CST 2021, time=2021-01-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913902, encodeId=c5d791390232, content=要宣教, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=861c1956936, createdName=1e128dcbm18(暂无匿称), createdTime=Tue Jan 05 16:35:01 CST 2021, time=2021-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913612, encodeId=3c659136128a, content=珍爱生命,远离病痛, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200618/47e172bce1cc4da5ab6d5e886bd6b9d9/25cba073cbc94c3dad32d0c132ef6a75.jpg, createdBy=f25d5390775, createdName=ms3000001780497766, createdTime=Mon Jan 04 15:40:49 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913606, encodeId=5a0d91360610, content=少喝酒, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49db1605285, createdName=yinier, createdTime=Mon Jan 04 15:21:42 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913590, encodeId=e888913590ad, content=科普, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1e6a5448481, createdName=Lion 力力, createdTime=Mon Jan 04 14:28:03 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913557, encodeId=c28a91355eed, content=数据有点老啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=39, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=720c5435647, createdName=ms9000002064729307, createdTime=Mon Jan 04 12:15:54 CST 2021, time=2021-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=913538, encodeId=1a3b913538f1, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210104/d4fbc32628eb4ee3a0e25df8ecf474d6/fc6c25ac09a54400bc82b0c34ccf315f.jpg, createdBy=a2522492951, createdName=Catt, createdTime=Mon Jan 04 11:16:12 CST 2021, time=2021-01-04, status=1, ipAttribution=)]
    2021-01-04 Catt

    学习了

    0