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left;">北京安贞医院心脏外科7A病区主任来永强</p></div><div style="text-indent: 2em; text-align: left;"><p style="text-indent: 2em; text-align: left;">近年来，肥厚型心肌病发病率呈逐年上升趋势，已成青少年、运动员运动时发生猝死的首要原因，青少年的死亡有35%是由肥厚型梗阻性心肌病引起的，根据流行病调查，目前国内大概有100到200万的肥厚型心肌病患者。</p><p style="text-indent: 2em; text-align: left;">人的心脏分四个腔，左心房、右心房、左心室、右心室。在左心室和右心室之间有一个室间隔，这个室间隔正常情况下不应该非常厚的，它如果肥厚的比较厉害，就会对血流有影响，造成血流动力学的梗阻，这就是肥厚型梗阻心肌病。因为患者的心脏无法正常地回流血液，常造成猝死。</p><p style="text-indent: 2em; text-align: left;">这个疾病比较特殊，有一定的遗传倾向，30%左右的病人有明显的家族史，父母、爷爷、姥爷有心肌病，到下一代就会有遗传可能。剩余60%左右是没有明确的家族史因素。有遗传史的患者一定要注意，建议先要做超声心动检查来排除这种因素。</p><p style="text-indent: 2em; text-align: left;">年轻人经常参与长跑、踢球时，突然出现头晕或者晕厥的情况，一定要引起高度重视。运动过量的情况要控制。随着国内体育运动的开展，很多地方都有马拉松比赛，对于有家族史，或者平时有晕厥史的病人，一定要注意在做运动之前要做超声心动图检查，排除这些因素再去参加比赛，否则很有可能会猝死。</p><p style="text-indent: 2em; text-align: left;">建议高危人群需要特别警惕，防止意外发生。及早诊断、控制病情发展很重要。因为除了心脏疾病导致的猝死外，运动过量也是发生猝死的一个重要原因。</p></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p 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