肩痛一周后突然猝死!医生:这些身体求救信号很多人都不知道


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Editor's note

Some pain in the shoulders, many people habitually think that it is cervical spondylosis or frozen shoulder, no big deal. In fact, it may be a distress signal from the body!

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Recently, Mr. Zhang, who came to Nanjing from Anhui to do business, missed the best opportunity for treatment because of the hidden danger behind the shoulder pain. When he was suddenly fainted and sent to the hospital for rescue, he was already weak.

One shoulder pain, one fell to the ground

It is understood that Mr. Zhang is 40 years old and went to Nanjing to discuss business half a month ago. A week before the incident, his family members listened to him complaining that his left shoulder was sore, and there was a dull pain. I thought it was a cervical spondylosis, and in addition to being in the field, in order to save trouble, Mr. Zhang went to the small clinic near the hotel to massage a few times, but the shoulder pain did not ease. On the afternoon of June 5, Mr. Zhang, who was busy, suddenly fainted to the ground, his mind was unclear, his mouth was foaming, and the flustered family quickly dialed 120 and sent him to the hospital for emergency treatment.

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"Because the incident was outside the hospital, the site did not implement timely and effective treatment. When the patient was taken to the hospital by the 120 ambulance, the person was no longer able to." The doctor of the emergency department of Jiangsu Provincial Hospital of Traditional Chinese Medicine on the same day recalled that the patient was admitted. When the pupils were dilated, the heart stopped, there was no sign of life, and the medical staff immediately went to the rescue. A series of resuscitation measures including chest compressions, tracheal intubation, and injection of adrenaline were taken, which lasted for more than an hour. Still can't save the patient's young life.

Ignore the heart's "life-saving signal"

Mr. Zhang’s family can’t figure out why, why is Mr. Zhang, who is better in physical fitness, suffering from sudden death? Deputy Chief Physician Zhong Zhong analyzed that sudden death of the patient is likely to be related to myocardial infarction.

xx“患者的床边肌钙蛋白检测结果为0.46ng/ml,而正常值为0.023ng/ml,高出20倍,这意味着心脏受损。此外,患者的左肩继续疼痛。可能是肩痛是主要疼痛点的非典型心肌梗塞症状。

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他说,很多人误以为只有胸闷和胸痛才是心肌梗塞。事实上,30%的临床心肌梗死患者有非典型症状,很容易被误诊。心肌梗塞的非典型症状包括牙痛,上肢,左肩疼痛,上腹部剧烈疼痛,恶心和呕吐以及冷汗。

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心肌梗塞不会发生胸痛

无痛性心肌梗塞同样危险

最近,由于肠胃问题,78岁的谭伟去了长沙市第三医院老年病科。心电图显示她患有旧的心肌梗塞。谭伟震惊地说,他从未患过胸痛。

“并非所有心肌梗死患者都有胸痛症状,并且存在心肌梗塞,临床症状不明显,医学上称为无痛性心肌梗死。”第12病房老年病科主任梁振玲表示,患者活动或情绪激动,胸闷和窒息,休息后松了一口气,这种短暂的不适可能是无痛性心肌梗塞的症状,往往被忽视并且没有采取任何治疗。

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众所周知,这种“隐形杀手”会导致血管闭塞越来越严重,逐渐导致心肌缺血,心力衰竭,甚至死亡。

梁振玲提醒说,心肌梗死不是冠心病患者的专利。吸烟,酗酒和熬夜等不良习惯也是心肌梗塞的危险因素。

4种心肌梗死症状均为“高”

心肌梗塞的典型症状是胸骨中部或左侧的心绞痛,猝死和压力持续5至15分钟或更长时间。一般来说,胸痛持续20分钟并且不能减轻对高度怀疑心肌梗塞的需要。警惕超过5分钟。

然而,心肌梗塞也有许多非典型症状。除了上述胃肠道表现外,以下“穿越海洋”的迹象需要高度警惕。

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1.腹痛

上腹部疼痛是主要表现。老年人腹痛伴有呼吸困难,紫绀(皮肤,手指,嘴唇等),心律失常等,需要考虑急性心肌梗死的可能性。

2.牙痛,下巴疼痛,颈肩疼痛

由心脏病引起的牙痛,医学上称为“心脏牙痛”,通常表现为严重的牙痛,但疼痛并不准确,止痛药不能缓解,颈部疼痛或胸部和背部刺痛经常发生。患有多汗症,面色苍白和猝死的患者应警惕急性心肌梗死。

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3.心悸,bel气

无痛性心肌梗塞在老年人中更常见,特别是在糖尿病患者中。

当心脏病发作时,它通常表现为上腹部不适,心悸,bel气,低血压,休克等。主要原因是糖尿病患者或老年人的自主神经功能障碍减少,疼痛敏感性差。

4.头晕头痛

以神经症状为首发表现,患者会伴有头晕,头痛,突然意识丧失,抽搐等中风临床表现。在这种情况下,不应忽视心肌梗塞的可能性。

夏季预防心肌梗死

许多人认为冬季是心肌梗塞的高风险季节。事实上,在炎热的夏天,心肌梗塞并不少见,特别是在闷热的热量。医院急诊室心肌梗死患者人数将急剧增加。人是主要的。

专家表示,夏季天气炎热,体力消耗大,身体会出汗很多。此时,如果水量不足,会导致身体缺水,使血液变稠。对于一些患有冠心病的患者,据说由于冠状动脉的血液供应不足,它会导致心绞痛。如果心绞痛严重,将导致急性心肌梗塞的出现。

此外,夏季闷热,其余不好,交感神经兴奋,心率加快,血压升高,这也是心肌缺血增加的原因。另外,在高温下吃冷饮或冷食,血管突然受寒冷收缩,很容易诱发心肌梗塞。

在心肌梗塞的情况下

需要这样做

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中央电视台威尼斯人网址】

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