肩痛一周后突然猝死！这些身体求救信号很多人都不知道！

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                    <p><br  /></p><section data-role="paragraph" data-color="rgb(182, 228, 253)" data-custom="rgb(182, 228, 253)"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section><p><p><img src="image/20201014/86b79d371e9862b01189f0252a03b2cd_1.png" /></p></p></section><section><section><span><strong></strong></span></section><p><span>医疗器械媒体报道先锋</span></p><p><span>分享专业医疗器械知识</span></p></section><section><section><section><span>关注</span></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><p><br  /></p><p><span>肩膀有些疼痛，</span><br  /></p><p><span>很多人习惯性地认为</span></p><p><span>是颈椎病或是肩周炎，</span></p><p><span>没什么大不了。</span></p><p><span>其实，</span></p><p><span>它有可能是身体发出的求救信号！</span></p><p><p><img src="image/20201014/588c733c9eed0f15a1ecc1341ce004c6_2.gif" /></p></p><p><p><img src="image/20201014/4a737403fb3e249aaf8de1eeaa95791b_3.jpg" /></p></p><p><span>最近，张先生就因为小瞧了肩痛背后潜藏的危机，错过了救治的最佳时机，等到突然晕倒被送到医院抢救时，已经回天乏力。</span></p><p><br  /></p><section><section><section><section></section><section></section><section></section></section><section><section><strong><span>肩痛一周，倒地猝死</span></strong></section></section><section><section></section><section></section><section></section></section></section></section><p><br  /></p><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><span>据了解，张先生今年40岁，半个月前到南京洽谈生意。事发前一周，与他同行的家人听他抱怨说<strong><span>自己左肩疼痛，而且还出现一阵阵的钝痛</span></strong>。以为是颈椎病犯了，加之身在外地，为了省事，张先生就到宾馆附近的小诊所按摩了几次，<strong><span>然而肩痛不见缓解</span></strong>。6月5日下午，正在忙碌的张先生突然晕倒在地，神志不清，口吐白沫，慌乱的家人赶紧拨打了120，将他送到医院急救。<br  /></span></p></section></section></section></section><p><br  /></p><p><p><img src="image/20201014/fd464e688f20de2db67193a8fa388d63_4.jpg" /></p></p><p><br  /></p><p><span>“由于事发在院外，现场又没有实施及时有效的救治，等到患者被120急救车送到医院，人已经不行了。”当天值班的江苏省中医院急诊科仲跻巍医师回忆说，患者入院时瞳孔散大，心脏停跳，没有任何生命迹象，医护人员立即投入抢救，采取了包括胸外心脏按压、气管插管、注射肾上腺素在内的一系列复苏措施，前后持续了一个多小时，却依然没能挽回患者年轻的生命。</span></p><p><br  /></p><section><section><section><section></section><section></section><section></section></section><section><section><strong><span>忽视了心脏的“救命信号”</span></strong></section></section><section><section></section><section><br  /></section></section></section></section><p><br  /></p><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section><p><span>张先生的家人怎么也想不通，平素身体素质较好的张先生为何会遭遇猝死？仲跻巍副主任医师分析，<strong><span>患者猝死很可能与心梗有关。</span></strong></span></p></section></section></section></section></section></section></section></section></section></section></section></section></section><p><br  /></p><p><span>“患者床边肌钙蛋白检测结果为0.46ng/ml，而正常值是0.023ng/ml，足足高了20倍，意味着心脏受损。另外<strong><span>事发前患者左肩持续疼痛，可能就是以肩痛为主要疼痛点的不典型心梗症状。</span></strong></span></p><p><br  /></p><p><strong><span><p><img src="image/20201014/dbce396781cfc2018fd08e9cfd0322be_5.jpg" /></p></span></strong></p><p><br  /></p><p><span>他表示，很多人误以为只有胸闷、胸痛才是心肌梗死，其实不然，临床上有30%的心肌梗死患者症状并不典型，容易误诊。<strong><span>心梗不典型症状包括牙痛，上肢、左肩疼痛，上腹部剧烈疼痛、恶心呕吐，出冷汗等。</span></strong></span></p><p><strong><span><p><img src="image/20201014/1815797bc1111d27d23ec085077870d3_6.gif" /></p></span></strong></p><p><br  /></p><section><section><section><section></section><section></section></section><section><p><strong><span>心梗并非都出现胸痛&nbsp;</span></strong></p><p><strong><span>无痛性心梗同样凶险高</span></strong></p></section><section><section></section><section><br  /></section></section></section></section><p><br  /></p><p><br  /></p><p><span>近日，78岁的谭娭毑因为肠胃毛病到长沙市第三医院老年医学科就诊，心电图提示她有陈旧性心肌梗死。谭娭毑吃了一惊，表示自己从来没有出现过胸痛。</span></p><p><br  /></p><p><span><strong><span>“不是所有的心肌梗死患者都有胸痛症状，有一种临床症状不明显的心梗，医学上称为无痛性心梗。”</span></strong>老年医学科十二病室主任梁珍玲介绍，比如患者在活动过后或情绪激动时出现胸闷憋气，休息之后就缓解了，这种短暂的不适可能就是无痛性心梗的症状，它往往被忽视而没有采取治疗措施。</span></p><p><br  /></p><p><p><img src="image/20201014/fc31413e29cfce1f2b56cd063e5a9d1d_7.jpg" /></p></p><p><br  /></p><p><span>殊不知，这个“隐形杀手”将导致血管堵塞越来越严重，逐步引起心肌缺血、心衰，甚至死亡。</span></p><p><br  /></p><p><span>梁珍玲提醒，<strong><span>心梗并非冠心病患者的专利，吸烟、酗酒、熬夜等不良生活习惯也是心梗的危险因素。</span></strong></span></p><p><br  /></p><section><section><section><section></section><section></section><section></section></section><section><section><strong><span>4种心梗症状“骗术”很高</span></strong></section></section><section><section></section><section><br  /></section></section></section></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section><p><br  /></p></section></section></section></section></section></section></section></section></section></section></section></section></section><p><span>心梗的典型症状是胸骨正中间或中间偏左的地方出现心绞痛，有濒死、压迫感，可持续5~15分钟或以上。<strong><span>一般来说，胸痛持续20分钟还不缓解要高度怀疑心梗，超过5分钟就要警惕了。</span></strong><br  /></span></p><p><br  /></p><p><span>但心梗也有许多非典型症状，除了上述提到的胃肠道表现外，以下一些“瞒天过海”的迹象也需要高度警惕。</span></p><p><span><p><img src="image/20201014/4406e36c06cdcc23dc75290825a0c240_8.jpg" /></p></span></p><section><section><section><section><section><p><strong>1. 腹痛</strong></p><p><br  /></p><p><span>上腹痛为主要表现。老年人如果在上腹痛的同时伴有呼吸困难、发绀（皮肤、手指、嘴唇等处颜色发青）、心律不齐等，需要考虑到急性心梗的可能。</span></p></section><section><p><img src="image/20201014/97a306db646f513d37e15ce867fef570_9.jpg" /></p></section></section></section></section></section><section><section><section><section><section><p><strong>2. 牙痛、下颌痛、颈肩痛</strong><br  /></p><p><br  /></p><p><span>由心脏疾病引起的牙痛，医学上称之为“心源性牙痛”，常表现为牙痛剧烈，但疼痛部位不确切，且服用止痛药不能缓解，颈部放射痛或者胸背部刺痛也常有发生。患者如伴大汗、面色苍白、濒死感，应警惕急性心梗。</span></p><p><p><img src="image/20201014/6900970b8ffe875df61eddb2899e3e75_10.jpg" /></p></p></section><section><p><img src="image/20201014/97a306db646f513d37e15ce867fef570_9.jpg" /></p></section></section></section></section></section><section><section><section><section><section><p><strong>3. 心悸、憋气</strong><br  /></p><p><br  /></p><p><span>无痛性心梗多见于老年人，特别是糖尿病患者。</span></p><p><br  /></p><p><span>心梗发生时，常表现为上腹部不适、心悸、憋气、低血压、休克等。主要原因为糖尿病患者或老年人植物神经功能减退，疼痛敏感性差。</span></p></section><section><p><img src="image/20201014/97a306db646f513d37e15ce867fef570_9.jpg" /></p></section></section></section></section></section><section><section><section><section><section><p><strong>4. 头晕头痛</strong><br  /></p><p><br  /></p><p><span>以神经症状为首发表现，患者会伴有头晕头痛、肢体瘫痪或突然意识丧失、抽搐等类似脑卒中的临床表现，这种情况下也不应忽略心梗的可能。</span></p></section><section><p><img src="image/20201014/97a306db646f513d37e15ce867fef570_9.jpg" /></p></section></section></section></section></section><p><br  /></p><section><section><section><section></section><section></section><section></section></section><section><section><strong><span>夏季预防诱发心梗疾病</span></strong></section></section><section><section></section><section><br  /></section></section></section></section><p><br  /></p><p><span>许多人将冬季看做是心梗的高危季节，其实，在炎热的夏季，心肌梗死并不少见，尤其是<strong><span>在闷热难当的季节，医院急诊室里心肌梗死患者数量会猛增，多以中老年人为主。</span></strong></span></p><section><br  /></section><p><span>专家表示，夏天天气炎热，体能消耗较大，身体就会大量出汗，而在这个时候如果没有补充足够的水分就会导致身体缺水，让血液变得比较浓稠，对于一些冠心病患者来说，就会导致冠状动脉供血量不足而出现心绞痛，心绞痛在发生的时候如果严重就会导致急性心梗的出现。</span></p><p><br  /></p><p><span>另外<strong><span>天气闷热，休息不好，交感神经兴奋，心跳加快，血压升高，也是导致心肌缺血加重的原因。</span></strong>此外，<strong><span>高</span></strong></span><span><strong><span>温下吃冷饮或冰冷食物，血管受冷突然收缩，也容易诱发心梗。</span></strong></span></p><p><br  /></p><section><section 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