显现肩痛别欠妥回事，可能是心梗不典型症状
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">肩膀有些<span style="color: black;">病痛</span>，</span></strong><span style="color: black;">非常多</span>人认为是颈椎病或是肩周炎，没什么大不了的。其实，这<strong style="color: blue;"><span style="color: black;">有可能是身体发出的求救信号。</span></strong><span style="color: black;">近期</span>，安徽的张先生就<span style="color: black;">由于</span>小瞧肩痛<span style="color: black;">暗地里</span><span style="color: black;">危险</span>，<span style="color: black;">错失</span>心梗救治的最佳<span style="color: black;">机会</span>，等到<span style="color: black;">忽然</span><span style="color: black;">昏倒</span>被送到医院<span style="color: black;">救治</span>时，<span style="color: black;">已然</span>回天乏力。当时值班的<strong style="color: blue;">江苏省中医院急诊科副<span style="color: black;">专家</span>医师仲跻巍</strong>分析，<span style="color: black;">病人</span>猝死<strong style="color: blue;"><span style="color: black;">很可能与心梗<span style="color: black;">相关</span>。</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“<span style="color: black;">病人</span>床边肌钙蛋白检测结果为0.46ng/ml，而正常值是0.023ng/ml，足足高出20倍，<span style="color: black;">寓意</span>着心脏受损。<span style="color: black;">另一</span>，<strong style="color: blue;"><span style="color: black;">事发前<span style="color: black;">病人</span>左肩<span style="color: black;">连续</span><span style="color: black;">病痛</span>，可能<span style="color: black;">便是</span>以肩痛为<span style="color: black;">重点</span><span style="color: black;">病痛</span>点的不典型心梗症状。</span></strong>”<strong style="color: blue;">仲跻巍</strong><span style="color: black;">暗示</span>，<span style="color: black;"><span style="color: black;">非常多</span>人误以为<span style="color: black;">仅有</span>胸闷、胸痛才是心肌梗死，其实</span><strong style="color: blue;"><span style="color: black;">临床上有30%的心肌梗死<span style="color: black;">病人</span>症状并不典型，容易误诊。</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">心梗的临床表现多种多样，最典型的是</span></strong>心脏血管梗塞、心肌细胞缺血坏死，<strong style="color: blue;"><span style="color: black;">心前区或左侧胸部<span style="color: black;">显现</span>一种剧烈的<span style="color: black;">病痛</span>或闷痛，部分人<span style="color: black;">病痛</span>感可放射至后背、左侧肩部、脖子、下颌、左上肢。</span></strong><strong style="color: blue;"><span style="color: black;">部分<span style="color: black;">病人</span></span></strong>心前区<span style="color: black;">病痛</span>不<span style="color: black;">显著</span>，而是<strong style="color: blue;"><span style="color: black;">有<span style="color: black;">显著</span>的牙疼、上腹部<span style="color: black;">病痛</span>或脖子疼。</span></strong><strong style="color: blue;"><span style="color: black;"><span style="color: black;">状况</span><span style="color: black;">严重</span>的<span style="color: black;">病人</span>可能<span style="color: black;">显现</span>急性心衰，表现为喘憋、满头大汗、血压下降；部分<span style="color: black;">病人</span>会<span style="color: black;">显现</span>心率变慢、<span style="color: black;">头昏</span>、眼花、昏厥等症状；还有<span style="color: black;">病人</span>表现为心率<span style="color: black;">尤其</span>快，<span style="color: black;">乃至</span><span style="color: black;">显现</span><span style="color: black;">心率</span>失常。</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“心梗<span style="color: black;">是由于</span>血管动脉粥样硬化形成斑块堵塞血管<span style="color: black;">引起</span>，<strong style="color: blue;"><span style="color: black;">冠心病家族史、高血压、高血脂、高血糖、<span style="color: black;">过重</span>等都是损害血管、<span style="color: black;">增多</span>斑块不稳定性的危险<span style="color: black;">原因</span>。</span></strong>”<strong style="color: blue;">首都医科大学<span style="color: black;">附庸</span>北京安贞医院急诊<span style="color: black;">严重</span>症中心副<span style="color: black;">专家</span>医师段小春</strong>介绍，<strong style="color: blue;"><span style="color: black;"><span style="color: black;">青春</span>人<span style="color: black;">出现</span>心梗，可能和生活不规律、经常熬夜、身体<span style="color: black;">处在</span>极度兴奋或疲惫的状态、<span style="color: black;">膳食</span>不健康、抽烟等<span style="color: black;">原因</span><span style="color: black;">关联</span>。</span></strong><span style="color: black;">另一</span>，<span style="color: black;">心情</span><span style="color: black;">哀痛</span>、抑郁、过度高兴<span style="color: black;">亦</span>会<span style="color: black;">引起</span>心脏<span style="color: black;">损害</span>，<span style="color: black;">诱发</span>心梗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">段小春</strong>提醒，<span style="color: black;">身患</span>高血压、高血脂、高血糖，或近期有熬夜、<span style="color: black;">休憩</span><span style="color: black;">欠好</span>、精神压力大等<span style="color: black;">状况</span>，<span style="color: black;">倘若</span><span style="color: black;">显现</span>心脏不舒服，如心慌、憋气，<span style="color: black;">尤其</span>是活动以后感觉这种症状更加<span style="color: black;">显著</span>，<span style="color: black;">必须</span><span style="color: black;">注意</span>起来，<span style="color: black;">即时</span>前往医院<span style="color: black;">检测</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">出现</span>心梗后，<span style="color: black;">病人</span>在血管堵塞的30分钟之内，<span style="color: black;">起始</span><span style="color: black;">显现</span>心肌细胞坏死，心肌细胞坏死是不可再生的，<span style="color: black;">小心</span>梗<span style="color: black;">始终</span><span style="color: black;">连续</span>6-8小时，心肌细胞就会完全坏死。“<strong style="color: blue;"><span style="color: black;">越早前往医院，越早打通血管，越早恢复血流，就能挽救<span style="color: black;">更加多</span>的心肌细胞，改善心脏功能和预后，<span style="color: black;">亦</span>能减少心梗对心脏和身体<span style="color: black;">导致</span>的<span style="color: black;">害处</span>。</span></strong>”<strong style="color: blue;">段小春</strong>指出，<strong style="color: blue;"><span style="color: black;"><span style="color: black;">倘若</span><span style="color: black;">可疑</span><span style="color: black;">出现</span>心梗，<span style="color: black;">必定</span>要拨打120，不要<span style="color: black;">自动</span>前往医院，</span></strong><span style="color: black;">没</span>论是开车还是步行都可能对心脏<span style="color: black;">导致</span><span style="color: black;">包袱</span>，<span style="color: black;">增多</span><span style="color: black;">危害</span>，<span style="color: black;">引起</span>病情加重。</p>
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