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男子脖子疼痛 就诊后发现为急性心肌梗死--亲民维稳网络舆情监测室
2012-11-22
脖子痛,却不料是急性心肌梗死发作。昨日,在湖南中医药大学附一医院,56岁的陈师傅回想起自己的这一遭遇还有些后怕。该院专家提醒,中老年人尤其是有高血压、冠心病病史患者出现不明原因的左肩部、左颈部、甚至左下颌部疼痛应警惕急性心肌梗死可能,及时就医检查。
Neck pain,But it was acute myocardial infarction attack.yesterday,In hunan university of Chinese medicine with a hospital,56 of the Chen teacher recall his this encounter some fear.Hospital experts remind,The elderly especially high blood pressure/Coronary heart disease patients with history of appear unexplained left shoulder/Left neck/Even left XiaGeBu pain should be vigilant the acute myocardial infarction may,Timely medical examination.
陈师傅当了20多年的司机,最近1个月以来经常有点脖子痛,也没当回事。前两天凌晨陈师傅在睡觉时突然发现脖子疼痛加剧、左上肢发麻、胸闷,还伴随恶心,到湖南中医药大学附一医院急诊科就诊,经心电图及心肌标志物检查,才发现是急性心肌梗死。急诊科医生立即会同心内科医生对陈师傅进行了急诊溶栓处理。经过1个多小时急诊处理后,陈师傅的脖子不痛了,胸闷也明显缓解,病情转危为安。
Chen teacher when the more than 20 years of the driver,Recently one months often a little neck pain,Also didn't seriously.The first two morning Chen teacher in bed when suddenly found that neck severe pain/Left upper limb pins and needles/Bosom is frowsty,Also with nausea,To hunan university of Chinese medicine with a hospital emergency department to see a doctor,The electrocardiogram (ecg) and myocardial markers inspection,Found that is acute myocardial infarction.The emergency clinician in conjunction with heart doctor immediately to master Chen the emergency thrombolysis treatment.After more than one hour after the emergency treatment,Master Chen of the neck pain,Bosom is frowsty also significant relief,Condition turn the corner.
据该院急诊科主任文爱珍教授介绍,急性心肌梗死常以胸痛,特别是胸骨体上端、中段持久压榨性疼痛为典型表现。但少数患者无明显胸部疼痛,疼痛位于上腹部,易被误认为胃穿孔或急性胰腺炎等急腹症,部分患者疼痛放射至下颌、背部上方,被误认为骨关节痛、牙痛等。陈师傅当时的脖子痛其实是心梗时疼痛放射至颈部而引起。
According to the hospital emergency department director professor WenAiZhen is introduced,Acute myocardial infarction, often with chest pain,Especially gladiolus top/The middle lasting press sexual pain for typical performance.But a few patients have no obvious chest pain,Pain located on the abdomen,May be mistaken for gastric perforation or acute pancreatitis and acute abdomen,Part of the patients pain radiates to the jaw/Back above,Be mistaken for joint pain/Toothache etc.Master Chen was neck pain is actually the heart pain caused by radiation to the neck.
文爱珍提醒,对于急性心肌梗死患者来说,时间就是生命,但前提是早期识别与诊断。因此中老年心脏病人务必谨慎对待身体的每一个部位不明原因疼痛,尽早就医。(记者 唐江澎 通讯员 田争)
WenAiZhen remind,For patients with acute myocardial infarction patients speaking,Time is life,But the prerequisite is that early recognition and diagnosis.So old heart patients must be careful with body each part of unknown cause pain,Seek medical treatment as soon as possible.(Reporter correspondent for TangJiangPeng field)
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