<p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">據(jù)統(tǒng)計，我國急性心梗及心絞痛患者中，有</span><span class="s2" style="font-family: ".SFUIDisplay"; font-size: 28pt;">1/3</span><span class="s1" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">以上患者的癥狀是不典型的疼痛癥狀，稱為“不典型心梗”、“無癥狀心肌缺血”；另外，還約有</span><span class="s2" style="font-family: ".SFUIDisplay"; font-size: 28pt;">20%</span><span class="s1" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">的急性心?；颊邲]有任何疼痛癥狀，稱為“無痛性心?！?。</span></h3> <p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;">1. </span><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">心前區(qū)疼痛：</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">如果出現(xiàn)突發(fā)性的心前區(qū)壓榨性疼痛，持續(xù)</span><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;">20</span><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">分鐘以上仍然不能緩解，并且伴有大汗淋漓、面色蒼白、嘔吐、惡心、瀕死感等癥狀，就要考慮是心梗。</span></h3> <p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;">2. </span><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">前胸、左肩、左腋下疼痛：</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">心臟病會導(dǎo)致左臂和左肩疼痛，有時也會反射到右臂。疼痛一般為鈍痛而不是劇痛，通常僅限于前臂內(nèi)側(cè)，有可能放射到小指和無名指。尤其是伴有胸悶、氣緊時，更要警惕心梗。</span></h3> <p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;">3. </span><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">胸骨后、頸部痛：</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">平時有冠心病史的人，如果出現(xiàn)胸骨后、頸部疼痛，呈陣發(fā)性脹悶痛，有明顯的胸部緊迫感，并可牽引或放射至肩臂部等處，應(yīng)警惕是急性心梗。</span></h3> <p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;">4. </span><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">后背痛：</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">有研究發(fā)現(xiàn)，男性急性心梗發(fā)作癥狀很明確，主要是持續(xù)胸痛和大汗；女性患者則主要是放射痛、后背痛、惡心嘔吐多，胸痛和大汗相對少見，有時“自己都說不清楚”。</span></h3> <p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;">5. </span><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">上腹部疼痛：</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">沒有明顯原因的氣喘，突然脈搏過快、過慢或不齊，四肢發(fā)冷，感覺“胃痛”等，也應(yīng)警惕急性心梗的可能。心臟病引發(fā)的“胃痛”，有壓迫、灼熱或擠壓感，有的可擴散到左肩、背及左上臂內(nèi)側(cè)。</span></h3> <p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;">6. </span><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">頸部痛、咽喉痛：</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">嗓子疼、咽喉部辛辣感也是心梗的一種非典型表現(xiàn)。咽喉和心臟的神經(jīng)由同一節(jié)段脊神經(jīng)支配，當(dāng)心肌缺血、缺氧時，產(chǎn)生的酸性物質(zhì)及多肽類物質(zhì)，會刺激神經(jīng)產(chǎn)生疼痛，并擴散至咽部神經(jīng)。若突然出現(xiàn)喉部堵塞感并伴呼吸不暢、大汗淋漓等癥狀，又無哮喘或上呼吸道感染，就要考慮心梗。</span></h3> <p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;">7. </span><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">下頜痛、牙痛：</span></h3><h3><p class="p2" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".SF UI Display"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;"></span></h3></h3><p class="p1" style="margin: 0px; font-style: normal; font-variant-caps: normal; font-weight: normal; font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; text-decoration: none;"><span class="s2" style="font-family: ".PingFangSC-Regular"; font-weight: normal; font-style: normal; font-size: 28pt;">少數(shù)情況下，心?？梢员憩F(xiàn)為牙痛或者下頜痛，但它往往不僅僅有牙痛，多數(shù)會伴隨其它的一些表現(xiàn)，包括胸痛、肩膀痛、出冷汗、瀕死感等等。另外，這種牙痛還跟運動相關(guān)，人在靜止?fàn)顟B(tài)時并不痛，一走路、運動就會疼痛，或是疼痛不止。</span></h3> <p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;">8. </span><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">偏頭痛：</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">有一種說法是，偏頭痛和心臟異常都是自主神經(jīng)系統(tǒng)失衡的結(jié)果。還有人認為，心梗表現(xiàn)出偏頭痛，是由于心梗前血管痙攣期伴發(fā)腦血管痙攣所致。</span></h3> <p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;">9. </span><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">左下肢、左腹股溝疼痛：</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">突然左下肢劇烈地疼痛，并出現(xiàn)胸悶、憋氣及出汗，應(yīng)警惕急性心梗。</span></h3> <p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;">10. </span><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">無痛性心梗：</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">既往有慢性阻塞性肺病、糖尿病或腦血管病史者，如突然發(fā)生無誘因可尋的咳喘、胸悶、氣短、急性心衰、嚴重心律失常、暈厥及惡心嘔吐等表現(xiàn)，要想到發(fā)生無痛性心梗的可能，立即就診。另外，</span><span class="s1" style="font-family: ".SFUIDisplay"; font-size: 28pt;">60</span><span class="s2" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">歲以上的健康老年人應(yīng)定期體檢，以減少完全無癥狀性無痛性心梗的漏診率。</span></h3> <p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">搶救心梗，</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">什么最重要？</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">不是先進的醫(yī)療技術(shù)，</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">也不是多么有效的藥品，</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">而是從發(fā)病到醫(yī)院的時間。</span></h3><p class="p1" style="font-stretch: normal; font-size: 28px; line-height: normal; font-family: ".PingFang SC"; color: rgb(69, 69, 69); white-space: normal; -webkit-tap-highlight-color: rgba(26, 26, 26, 0.301961); -webkit-text-size-adjust: auto;"><span class="s1" style="font-family: ".PingFangSC-Regular"; font-size: 28pt;">時間就是生命！</span></h3>