A 46-year-old doctor died suddenly, and a child died three days after leg pain

Recently, Zhu Xiang, a medical science Internet celebrity blogger and chief physician of the Department of Anesthesiology, a well-known tertiary general physician, suddenly suffered a cardiac arrest and unfortunately passed away at the age of 46.

After this bad news spread on the Internet, 100,000 fans remembered it, once again triggering discussions about the sudden death of the doctor. An insider replied to netizens that Dr. Zhu was infected with the new coronavirus, and secondary myocarditis eventually caused a myocardial infarction, while another colleague of Zhu Xiang speculated that "he caught a cold a while ago, which may have something to do with it." 

Cardiologists solemnly remind that when people are under high pressure, overtired, and then attacked by viruses such as new crown and influenza, it is easy to induce myocarditis.

After three years of new crown and a large-scale wave of respiratory infections in winter, people have more understanding of the complication of viral infection "pneumonia", and some people have seen the horror of severe pneumonia, whose mortality rate is as high as 50%.

When the focus is on pneumonia, it is easy to ignore the existence of another dangerous molecule brought by the virus, "myocarditis". Whether it is the common cold virus, influenza virus, or the new coronavirus, it can erode the heart muscle and induce inflammation, resulting in viral myocarditis.

Clinically, it was found that the patient had myocarditis without knowing it, and it occurred repeatedly, and as a result, his condition deteriorated and he was admitted to the ICU.

◎ A cold is not a trivial matter, be alert to myocarditis. / Photo: Qiantu.com

"Viral myocarditis is not to be taken lightly, and a small number of patients may progress to fulminant myocarditis with a high mortality rate (data show a mortality rate of up to 80%). Zhang Xiuli, deputy chief physician of the Department of Cardiovascular Medicine of Zhujiang Hospital, recently consulted a 28-year-old girl with a cold and fever, diagnosed with viral myocarditis, and was admitted to the ICU with heart failure only more than an hour after admission.

Unfortunately, Dr. Zhu Xiang did not have her good luck. 

01

Sudden death of a 46-year-old anesthesiologist, who is to blame?

Doctors are also mortal in the flesh, and there is no shortcut to prevent sudden death. The survey found that among all departments, the number of sudden deaths of anesthesiologists accounted for the first place, and "Desperate Anesthesia" became a realistic version of the story.

The Chinese Medical Journal once published an article counting the number of Chinese doctors who were publicly reported by the media for sudden deaths from 2012 to 2015, a total of 29 doctors died suddenly, and 14 doctors came from the anesthesiology department, accounting for half of the total number.

In addition, 39 took a deep breath and combed through past media reports and found that since 2017, the youngest anesthesiologist in China who unfortunately died young was only in his 20s.

According to public information, Zhu Xiang has been practicing medicine for 22 years, is the chief physician and doctor of anesthesiology of the Department of Anesthesiology of the Affiliated Hospital of Nantong University, and is a rising star in the anesthesia field. In addition to his work as a doctor, he is a perennial active science popularizer on the Internet, who has published more than 200 medical science videos and has more than 100,000 fans on the video platform.

◎ Zhu Xiang's self-media homepage. / Picture: Screenshot of Douyin

Regarding the death of Dr. Zhu Xiang, fans were shocked and "couldn't believe it". You must know that two days before his sudden death, he was still updating his social media account, sharing a video of a patient's surgery, popularizing medical knowledge to the public - anterograde amnesia, and enthusiastically interacting with fans.

Perhaps in the eyes of many people, doctors will pay more attention to health than ordinary people and attach importance to the combination of work and rest, but this is not the case. Because the work intensity of the medical industry is particularly high, especially in the anesthesiology department, anesthesiologists are wheeled by all surgeons, and the daily workload is really not something they can determine, and working 10 or even 16 hours a day is commonplace.

The study found that the suicide rate of anaesthesiologists in Finland between 1996 and 2014 was three times that of paediatricians and five times that of the population as a whole, and that anesthesiologists lived longer than paediatricians (76.2 years) compared to anaesthetists (66.9 years). These data reflect that the work pressure and intensity of anesthesiologists are much higher than those of other populations.

Compared with anesthesiologists in Europe and the United States, the pressure on anesthesiologists in mainland China is greater, and the current shortage of anesthesiologists is as high as 300,000.

◎

During the operation, the anesthesiologist not only has to manage the patient's blood pressure, heartbeat and other indicators, but also has to deal with various emergencies, and the spirit is always in a state of high tension.

/ Photo: 123RF

From 2015 to 2017, the number of anesthesiologists in mainland China increased by 5.97%, but the number of anesthesia cases in and out of the operating room increased by 9% and 15% respectively, and the annual growth rate of clinical workload of anesthesiologists was 11.32%. According to a 2015 survey of anesthesiologists in Beijing, Tianjin and Hebei, the burnout rates of anesthesiologists in the three regions were 69%, 70% and 68%, respectively, much higher than those in Western countries.

In the videos posted by Dr. Zhu Xiang, he often doesn't get off work until late at night. Words such as "off work, full workload, tired" and so on often appear in his self-media works.

It is rumored that Dr. Zhu Xiang is usually in good health and does not have any chronic diseases, but he was unfortunately infected with the new crown virus during wave after wave of virus.

At this time, overwork is a big taboo. However, Zhu Xiang is a doctor with a strong sense of responsibility, and considering the special anesthesia post and the heavy tasks, he chooses to work while sick. Faced with the double blow of exhaustion and the virus, the body could not bear it after all, and secondary viral myocarditis occurred.

Wang Lihong, director of the Department of Cardiovascular Medicine of Zhejiang Provincial People's Hospital, previously reminded that viral myocarditis is more common in young and strong groups, who have strong resistance and are prone to excessive activation of immune response after infection with the virus, which induces toxic myocarditis.

◎

Figure: 123RF

Regarding the risk of myocarditis after new crown infection, as early as 2021, the statistics of new crown infection cases in nearly 1,000 hospitals in the United States found that the incidence of myocarditis in hospitalized patients with new crown infection is 16 times that of non-new crown hospitalized patients, especially in the early stage of the new crown epidemic, myocarditis is one of the main causes of death from new crown.

According to the Centers for Disease Control and Prevention (CDC), since March 2020, about 146 people per 100,000 people have been diagnosed with myocarditis, which is significantly higher than before the pandemic (10-20 myocarditis patients per 100,000 people).

02

A wave of influenza children had leg pain after the fever subsided, and the fastest was only 3 days from the onset of illness to death

Recently, the wave of respiratory infections has continued, wave after wave, wave after wave of virus, and adults can't withstand it, let alone children. News such as "the child went to physical education class directly after the flu A, and then was diagnosed with myocarditis with leg pain and numbness", "Parents sent their children who did not have a fever to kindergarten, and the child had leg pain, but the parents thought it was okay, and the person would be gone after 3 days" and other news, which attracted the attention of the majority of parents, and also triggered a heated discussion about whether calf pain is a sign of myocarditis.

◎ 

On social platforms, many parents shared that their children had leg pain after the fever subsided. /

 Source:

Little Red Book

In the eyes of some doctors, this wave of influenza A and influenza B is a bit weird, and the symptoms of leg pain are more prominent after the fever of children with influenza subsides.

"Unless you really experience this symptom, it really can't be related to myocarditis. Ms. Hu, a mother in Shandong, said that the child was four years old, and her legs hurt after taking Chinese medicine to reduce fever, so she went to the hospital, and the doctor was very experienced, and reminded her to take the child to take blood to check for myocardial enzymes, and it was found to be myocarditis. The doctor said a sentence at the time, which made her remember vividly: "Hurry up and get hospitalized, don't be lucky, every time you have a high fever, you open the blind box, just because you were okay before doesn't mean you'll be fine in the future, myocarditis is very dangerous."

Like COVID infection, influenza is also an important cause of myocarditis.

Deng Tenglan, chief physician of pediatrics at Beijing Anzhen Hospital affiliated to Capital Medical University, received a 7-year-old boy in the outpatient clinic a few days ago, and kept telling his mother that his legs were numb and his calves hurt.

Deng Tenglan inquired in detail, it turned out that the child had a flu after a short period of time, and he always felt very tired after not having a fever, and sighed from time to time. At her suggestion, the child checked the cardiac enzymes, and the result was that creatine kinase isoenzyme and lactobactyl hydrogenase were slightly exceeded, suggesting myocarditis.

◎ 

Viral myocarditis usually has a history of a viral infection, which may be respiratory or intestinal tract. A parent said on social platforms that his son had a fever of 39.6 degrees Celsius, suffered from influenza A, and his right leg hurt so much that he couldn't walk. Source: Xiaohongshu @ Lebao is growing up 

Timely detection of early warning signs of myocarditis is to be qualified to race against death, but not every child has such good luck.

Two weeks ago, a fourth-grade boy in a primary school in Jiangsu died of viral myocarditis. When the teacher found out that the child was weak and weak in the classroom, sitting motionless, and unable to lift his eyelids, he notified the parents to take him to the doctor, but he still could not be saved.

Some doctors pointed out that calf pain is beyond the early warning of myocarditis in the past, including textbooks.

Viral myocarditis is known to have insidious onset symptoms

Song Xudong, deputy chief physician of the Department of Cardiovascular Medicine of Zhujiang Hospital, introduced that mild viral myocarditis can only show cold symptoms without obvious heart symptoms, but after the cold symptoms subside, it will be particularly easy to fatigue and sweat for a period of time.

◎ Calf pain in children with influenza may be a sign of viral myocarditis. / Photo: 123RF

In typical fulminant myocarditis, patients present with symptoms of upper respiratory tract infection or intestinal infection, manifested as fever, body aches, sore throat, fatigue, nausea, vomiting, diarrhea and other symptoms, followed by chest tightness, palpitations, fatigue, and vague pain in the precordial area in 1-3 weeks. In severe cases, symptoms such as dizziness, difficulty breathing, body edema, and fainting may occur.

However, if you have leg pain and numbness after the flu, it is not necessarily myocarditis, and the first consideration should be viral myositis

, also known as benign acute myositis. Studies have found that influenza B is more likely to develop myositis than influenza A, with far more boys than girls. Myositis is diagnosed, and the child's pain usually resolves on its own within 3 days, with little to no life-threatening rhabdomyolysis.

◎ A mother said that the child was hit by the second flu, the fever was more than 40 degrees, the body temperature dropped to 38 degrees and began to hurt the calf muscles, she thought it was the accumulation of lactic acid, and beat it with a fascia gun, but the next day the child's legs hurt more, and he couldn't walk on the ground, and the blood test in the hospital found that myositis was detected, and the serum myoglobin exceeded 3 times the normal value, and there was a tendency to myolysis, and the doctor told him not to exercise anymore and not to rub his legs again. Source: Xiaohongshu @Ricky

Hainan infectious disease doctor Wang Shengsheng clarified that leg pain, including elevated enzyme profiles in the blood test, only indicates muscle damage and is not a criterion for diagnosing myocarditis. Whether it is myocarditis or not needs to be comprehensively judged based on medical history, symptoms, cardiac enzyme profile, anti-myocardial antibodies, electrocardiogram, cardiac color ultrasound, cardiac magnetic resonance imaging and other examinations.

When it comes to the diagnosis of myocarditis, Professor Huo Yong, chief physician of Peking University First Hospital, believes that electrocardiogram and cardiac ultrasound can reflect the damage of myocardium, but the best way to diagnose myocarditis is cardiac MRI and endocardial myocardial biopsy.

◎ MRI is the best way to diagnose myocarditis. / Photo: 123RF

【Summary】

The new crown may rebound this month, with a high incidence of co-infection, and mixed infection of multiple viruses is more harmful to the body than a single virus. There is no doubt that early identification, early diagnosis and early treatment are of great significance for the prognosis of myocardial damage secondary to viral infection in the diagnosis and treatment of respiratory tract infection.

Many doctors, including Deng Tenglan, reminded that under the attack of multiple rounds of respiratory infections, the child's immune system is already very fragile, and after the fever is reduced, do not rush to exercise, prohibit strenuous exercise, and take more rest.

Adults should also be careful not to be negligent if myocarditis is not detected in one examination. If you have viral myocarditis, continue to exercise at high intensity and stay up late, your body will be seriously damaged, which may lead to serious complications and even sudden death.

Life is precious, please cherish it more!

Author|Aoi Aoi

Typesetting|Wu Qian

Cover & First Image|123RF

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(min-width:1024px){body:not(.pages_skin_pc) .wx-root,body:not(.pages_skin_pc) body{--appmsgExtra-BG: #F7F7F7}}@media screen and (min-width:1024px){body:not(.pages_skin_pc) .wx-root[data-weui-theme=dark],body:not(.pages_skin_pc) body[data-weui-theme=dark]{--weui-BG-0: #111;--weui-BG-1: #1e1e1e;--weui-BG-2: #191919;--weui-BG-3: #202020;--weui-BG-4: #404040;--weui-BG-5: #2c2c2c;--weui-FG-0: rgba(255, 255, 255, .8);--weui-FG-HALF: rgba(255, 255, 255, .6);--weui-FG-1: rgba(255, 255, 255, .5);--weui-FG-2: rgba(255, 255, 255, .3);--weui-FG-3: rgba(255, 255, 255, .1);--weui-FG-4: rgba(255, 255, 255, .15);--weui-FG-5: rgba(255, 255, 255, .1);--weui-RED: #fa5151;--weui-ORANGERED: #ff6146;--weui-ORANGE: #c87d2f;--weui-YELLOW: #cc9c00;--weui-GREEN: #74a800;--weui-LIGHTGREEN: #3eb575;--weui-BRAND: #07c160;--weui-BLUE: #10aeff;--weui-INDIGO: #1196ff;--weui-PURPLE: #8183ff;--weui-WHITE: rgba(255, 255, 255, .8);--weui-LINK: #7d90a9;--weui-TEXTGREEN: #259c5c;--weui-FG: #fff;--weui-BG: #000;--weui-TAG-TEXT-RED: rgba(250, 81, 81, .6);--weui-TAG-BACKGROUND-RED: rgba(250, 81, 81, .1);--weui-TAG-TEXT-ORANGE: rgba(250, 157, 59, .6);--weui-TAG-BACKGROUND-ORANGE: rgba(250, 157, 59, .1);--weui-TAG-TEXT-GREEN: rgba(6, 174, 86, .6);--weui-TAG-BACKGROUND-GREEN: rgba(6, 174, 86, .1);--weui-TAG-TEXT-BLUE: rgba(16, 174, 255, .6);--weui-TAG-BACKGROUND-BLUE: rgba(16, 174, 255, .1);--weui-TAG-TEXT-BLACK: rgba(255, 255, 255, .5);--weui-TAG-BACKGROUND-BLACK: rgba(255, 255, 255, .05)}}@media screen and (min-width:1024px){body:not(.pages_skin_pc) .wx-root[data-weui-theme=dark],body:not(.pages_skin_pc) body[data-weui-theme=dark]{--appmsgExtra-BG: #121212}}@media screen and (min-width:1024px){body:not(.pages_skin_pc)body:not(.pages_skin_pc){background:#191919; background:var(--weui-BG-2)}}@media screen and (min-width:1024px) and (prefers-color-scheme:dark){body:not(.pages_skin_pc) .wx-root[data-weui-mode=care]:not([data-weui-theme=light]),body:not(.pages_skin_pc) body[data-weui-mode=care]:not([data-weui-theme=light]){--weui-BG-0: #111;--weui-BG-1: #1e1e1e;--weui-BG-2: #191919;--weui-BG-3: #202020;--weui-BG-4: #404040;--weui-BG-5: #2c2c2c;--weui-FG-0: rgba(255, 255, 255, .85);--weui-FG-HALF: rgba(255, 255, 255, .65);--weui-FG-1: rgba(255, 255, 255, .55);--weui-FG-2: rgba(255, 255, 255, .35);--weui-FG-3: rgba(255, 255, 255, .1);--weui-FG-4: rgba(255, 255, 255, .15);--weui-FG-5: rgba(255, 255, 255, .1);--weui-RED: #fa5151;--weui-ORANGERED: #ff6146;--weui-ORANGE: #c87d2f;--weui-YELLOW: #cc9c00;--weui-GREEN: #74a800;--weui-LIGHTGREEN: #3eb575;--weui-BRAND: #07c160;--weui-BLUE: #10aeff;--weui-INDIGO: #1196ff;--weui-PURPLE: #8183ff;--weui-WHITE: rgba(255, 255, 255, 255, .8);--weui-LINK: #7d90a9;--weui-TEXTGREEN: #259c5c;--weui-FG: #fff;--weui-BG: #000;--weui-TAG-TEXT-RED: rgba(250, 81, 81, .6);--weui-TAG-BACKGROUND-RED: rgba(250, 81, 81, .1);--weui-TAG-TEXT-ORANGE: rgba(250, 157, 59, .6);--weui-TAG-BACKGROUND-ORANGE: rgba(250, 157, 59, .1);--weui-TAG-TEXT-GREEN: rgba(6, 174, 86, .6);--weui-TAG-BACKGROUND-GREEN: rgba(6, 174, 86, .1);--weui-TAG-TEXT-BLUE: rgba(16, 174, 255, .6);--weui-TAG-BACKGROUND-BLUE: rgba(16, 174, 255, .1);--weui-TAG-TEXT-BLACK: rgba(255, 255, 255, .5);--weui-TAG-BACKGROUND-BLACK: rgba(255, 255, 255, .05)}}@media screen and (min-width:1024px) and (prefers-color-scheme:dark){body:not(.pages_skin_pc) .wx-root:not([data-weui-theme=light]),body:not(.pages_skin_pc) body:not([data-weui-theme=light]){--weui-BG-0: #111;--weui-BG-1: #1e1e1e;--weui-BG-2: #191919;--weui-BG-3: #202020;--weui-BG-4: #404040;--weui-BG-5: #2c2c2c;--weui-FG-0: rgba(255, 255, 255, .8);--weui-FG-HALF: rgba(255, 255, 255, .6);--weui-FG-1: rgba(255, 255, 255, .5);--weui-FG-2: rgba(255, 255, 255, .3);--weui-FG-3: rgba(255, 255, 255, .1);--weui-FG-4: rgba(255, 255, 255, .15);--weui-FG-5: rgba(255, 255, 255, .1);--weui-RED: #fa5151;--weui-ORANGERED: #ff6146;--weui-ORANGE: #c87d2f;--weui-YELLOW: #cc9c00;--weui-GREEN: #74a800;--weui-LIGHTGREEN: #3eb575;--weui-FIRE: #07c160;--weui-BLUE: #10aeff;--weui-INDIGO: #1196ff;--weui-PURPLE: #8183ff;--weui-WHITE: rgba(255, 255, 255, .8);--weui-LINK: #7d90a9;--weui-TEXTGREEN: #259c5c;;--weui-FG: #fff;--weui-BG: #000;--weui-TAG-TEXT-RED: rgba(250, 81, 81, .6);--weui-TAG-BACKGROUND-RED: rgba(250, 81, 81, .1);--weui-TAG-TEXT-ORANGE: rgba(250, 157, 59, .6);--weui-TAG-BACKGROUND-ORANGE: rgba(250, 157, 59, .1);--weui-TAG-TEXT-GREEN: rgba(6, 174, 86, .6);--weui-TAG-BACKGROUND-GREEN: rgba(6, 174, 86, .1);--weui-TAG-TEXT-BLUE: rgba(16, 174, 255, .6);--weui-TAG-BACKGROUND-BLUE: rgba(16, 174, 255, .1);--weui-TAG-TEXT-BLACK: rgba(255, 255, 255, .5);--weui-TAG-BACKGROUND-BLACK: rgba(255, 255, 255, .05)}}@media screen and (min-width:1024px) and (prefers-color-scheme:dark){body:not(.pages_skin_pc) .wx-root:not([data-weui-theme=light]),body:not(.pages_skin_pc) body:not([data-weui-theme=light]){-appmsgExtra-BG: #121212}}@media(prefers-color-scheme:dark){body:not([data-weui-theme=light]).my_comment_empty_data{ background-color:#111}}body,.wx-root{--weui-BG-6: rgba(0, 0, 0, .. 05);--weui-ACTIVE-MASK: rgba(0, 0, 0, .05)}body,.wx-root{--weui-FG-1: rgba(0, 0, 0, .5);--weui-REDORANGE: #ff6146;--weui-BG-0: #ededed;--weui-BG-1: #f7f7f7;--weui-BG-2: #fff;--weui-BG-3: #f7f7f7;--weui-BG-4: #4c4c4c;--weui-BG-5: #fff;--weui-FG-0: rgba(0, 0, 0, .9);--weui-FG-HALF: rgba(0, 0, 0, .9);--weui-FG-1: rgba(0, 0, 0, .55);--weui-FG-2: rgba(0, 0, 0, .3);--weui-FG-3: rgba(0, 0, 0, .1);--weui-FG-4: rgba(0, 0, 0, .4 15);--weui-FG-5: rgba(0, 0, 0, .05);--weui-RED: #fa5151;--weui-ORANGERED: #ff6146;--weui-ORANGE: #fa9d3b;--weui-YELLOW: #ffc300;--weui-GREEN: #91d300;--weui-LIGHTGREEN: #95ec69;--weui-FIRE: #07c160;--weui-BLUE: #10aeff;--weui-INDIGO: #1485ee;--weui-PURPLE: #6467f0;--weui-WHITE: #fff;--weui-LINK: #576b95;--weui-TEXTGREEN: #06ae56;--weui-FG: #000;--weui-BG: #fff;--weui-TAG-TEXT-RED: rgba(250, 81, 81, 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#fff;--weui-LINK: #576b95;--weui-TEXTGREEN: #06ae56;--weui-FG: #000;--weui-BG: #fff;--weui-TAG-TEXT-RED: rgba(250, 81, 81, .6);--weui-TAG-BACKGROUND-RED: rgba(250, 81, 81, .1);--weui-TAG-TEXT-ORANGE: #fa9d3b;--weui-TAG-BACKGROUND-ORANGE: rgba(250, 157, 59, .1);--weui-TAG-TEXT-GREEN: #06ae56;--weui-TAG-BACKGROUND-GREEN: rgba(6, 174, 86, .1);--weui-TAG-TEXT-BLUE: #10aeff;--weui-TAG-BACKGROUND-BLUE: rgba(16, 174, 255, .1);--weui-TAG-TEXT-BLACK: rgba(0, 0, 0, .5);--weui-TAG-BACKGROUND-BLACK: rgba(0, 0, 0, .05)}.wx-root,body{--weui-BTN-ACTIVE-MASK: rgba(0, 0, 0, .1)}.wx-root,body{--weui-BTN-DEFAULT-ACTIVE-BG: #e6e6e6}.wx-root,body{--weui-DIALOG-LINE-COLOR: rgba(0, 0, 0, .1)}.wx-root,body{--weui-BG-COLOR-ACTIVE: #ececec}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body: not([data-weui-theme=light]){--weui-BTN-ACTIVE-MASK: rgba(255, 255, 255, ..1)}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--weui-BTN-DEFAULT-ACTIVE-BG: rgba(255, 255, 255, .126)}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--weui-DIALOG-LINE-COLOR: rgba(255, 255, 255, .1)}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--APPMSGCARD-BG: #1E1E1E}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--APPMSGCARD-LINE-BG: rgba(255, 255, 255, .07)}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--weui-BG-COLOR-ACTIVE: #373737}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([ data-weui-theme=light]){--weui-BG-6: rgba(255, 255, 255, .1);--weui-ACTIVE-MASK: rgba(255, 255, 255, ..1);-weui-ACTIVE-MASK: rgba(255, 255, 255, ..1)}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--weui-REDORANGE: #ff6146;--weui-BG-0: #111;--weui-BG-1: #1e1e1e;--weui-BG-2: #191919;--weui-BG-3: #202020;--weui-BG-4: #404040;--weui-BG-5: #2c2c2c;--weui-FG-0: rgba(255, 255, 255, .8);--weui-FG-HALF: rgba(255, 255, 255, .6);--weui-FG-1: rgba(255, 255, 255, .5);--weui-FG-2: rgba(255, 255, 255, .3);--weui-FG-3: rgba(255, 255, 255, .1);--weui-FG-4: rgba(255, 255, 255, .15);--weui-FG-5: rgba(255, 255, 255, .1);--weui-RED: #fa5151;--weui-ORANGERED: #ff6146;--weui-ORANGE: #c87d2f;--weui-YELLOW: #cc9c00;--weui-GREEN: #74a800;--weui-LIGHTGREEN: #3eb575;--weui-FIRE: #07c160;--weui-BLUE: #10aeff;--weui-INDIGO: #1196ff;--weui-PURPLE: #8183ff;--weui-WHITE: rgba(255, 255, 255, .8);--weui-LINK: #7d90a9;--weui-TEXTGREEN: #259c5c;--weui-FG: #fff;--weui-BG: #000;--weui-TAG-TEXT-RED: rgba(250, 81, 81, .. 6);--weui-TAG-BACKGROUND-RED: rgba(250, 81, 81, .1);--weui-TAG-TEXT-ORANGE: rgba(250, 157, 59, .6);--weui-TAG-BACKGROUND-ORANGE: rgba(250, 157, 59, .1);--weui-TAG-TEXT-GREEN: rgba(6, 174, 86, .6);--weui-TAG-BACKGROUND-GREEN: rgba(6, 174, 86, .1);--weui-TAG-TEXT-BLUE: rgba(16, 174, 255, .6);--weui-TAG-BACKGROUND-BLUE: rgba(16, 174, 255, .1);--weui-TAG-TEXT-BLACK: rgba(255, 255, 255, .5);--weui-TAG-BACKGROUND-BLACK: rgba(255, 255, 255, .05)}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--discussInput-BG: rgba(255, 255, 255, .03)}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--nickName-FG: #959595}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--weui-BG-0: #111;--weui-BG-1: #1e1e1e;--weui-BG-2: #191919;--weui-BG-3: #202020;--weui-BG-4: #404040;--weui-BG-5: #2c2c2c;--weui-FG-0: rgba(255, 255, 255, .8);--weui-FG-HALF: rgba(255, 255, 255, .6);--weui-FG-1: rgba(255, 255, 255, .5);--weui-FG-2: rgba(255, 255, 255, .3);--weui-FG-3: rgba(255, 255, 255, .1);--weui-FG-4: rgba(255, 255, 255, .15);--weui-FG-5: rgba(255, 255, 255, .1);--weui-RED: #fa5151;--weui-ORANGERED: #ff6146;--weui-ORANGE: #c87d2f;--weui-YELLOW: #cc9c00;--weui-GREEN: #74a800;--weui-LIGHTGREEN: #3eb575;;--weui-FIRE: #07c160;--weui-BLUE: #10aeff;--weui-INDIGO: #1196ff;--weui-PURPLE: #8183ff;--weui-WHITE: rgba(255, 255, 255, .8);--weui-LINK: #7d90a9;--weui-TEXTGREEN: #259c5c;--weui-FG: #fff;--weui-BG: #000;--weui-TAG-TEXT-RED: rgba(250, 81, 81, .6);--weui-TAG-BACKGROUND-RED: rgba(250, 81, 81, .1);--weui-TAG-TEXT-ORANGE: rgba(250, 157, 59, .6);--weui-TAG-BACKGROUND-ORANGE: rgba(250, 157, 59, .1);--weui-TAG-TEXT-GREEN: rgba(6, 174, 86, .. 6);--weui-TAG-BACKGROUND-GREEN: rgba(6, 174, 86, .1);--weui-TAG-TEXT-BLUE: rgba(16, 174, 255, .6);--weui-TAG-BACKGROUND-BLUE: rgba(16, 174, 255, .1);--weui-TAG-TEXT-BLACK: rgba(255, 255, 255, .5);--weui-TAG-BACKGROUND-BLACK: rgba(255, 255, 255, .05)}}@media(prefers-color-scheme:dark){.wx-root:not([data-weui-theme=light]),body:not([data-weui-theme=light]){--appmsgExtra-BG: #121212}}

div.autoTypeSetting24psection > p,div.autoTypeSetting24psection > section{margin-bottom: 24px;}