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警惕8个高风险疼痛部位  

2014-12-13 12:05:03|  分类: 学做医生 |  标签: |举报 |字号 订阅

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警惕8个高风险疼痛部位 - lw17sjy - 司纪永的博客


心绞痛和心梗的症状不典型,不仅有可能导致患者误判,就连医生都可能判断失误。一方面,一些心梗患者可能被误判成其他疾病,另一方面,还有许多疾病也会因为表现和心绞痛太接近,而被误当成心绞痛、心梗治疗,这样的结果也很严重。比如一个主动脉夹层的患者,同样可能表现为胸痛症状,但如果按照心梗患者那样进行溶栓治疗,会大大增加患者死亡的风险。

由于心血管关系全身的供血,一旦出现问题,首先影响的就是人体的血液流动。而供血出现问题,这样的疼痛就会出现相关的特点。比如一般人在疼痛的时候,为了忍痛往往会屏住呼吸,此时呼吸频率应该放慢。但如果是心血管疾病所致,患者由于血液循环出现问题,所以反而表现为呼吸困难、频率加快。因此,胸痛+呼吸加速就是一个高危信号。此外,这类胸痛患者还会出现四肢温度下降、出冷汗、心跳明显加快、血压降低的现象。所以一旦出现这些表现,就要考虑心源性疼痛的可能,必须立刻送医急救。而在得到专业人员帮助以后,可以再通过心电图等检查,进一步排除患其他疾病的可能。


在这张图中,一共标示了8个区域。除了最传统的胸前区外,还有背部、胸口略下靠近上腹的位置,可有些位置就显得匪夷所思了,比如颈部、腋下这些看起来八竿子打不着的位

置,按照图中标示同样可能是心脏出了问题。

心绞痛常表现为胸部疼痛或不适,呈紧缩感、压迫、挤压、重压、束带样、烧灼样,比如胸部心前区的疼痛就比较容易判断。可心绞痛的表现堪称千变万化,光疼痛部位就有多个。其中一个因牙痛就医的患者连拔了3颗牙都不能消除牙痛,此时才想到要去心脏科排除,结果发现他的一根血管已经95%狭窄,相当危险。日常生活小创意 - 小玉 - 品讀-劄記凡是加我好友的博友,可以看到更多的私密日志, 笔墨春秋吧特别推荐  

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