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class="pv_box m_p ov_hi"> <div id="i2i2jyu4k" class="bw_750 fl"> <h1 class="pv_title_2"><span id="i2i2jyu4k" class="site fr"><a href='/'>首页</a>><a href='/xywy/'>寻医·问药</a>><a href='/xywy/mjjt/'>名家健坛</a></span><span id="i2i2jyu4k" class="t" id="a1"><a href="/xywy/mjjt/">名家健坛</a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <h1 class="Content_title" id="hh"> <span id="a" style="">当心你的“中暑”是心梗</span> </h1> <p class="Content_title1">出冷汗、突发剧烈持久胸闷，更需警惕</p> <script>/*jQuery('#hh').width(jQuery('#a').width());*/</script> <div id="i2i2jyu4k" class="Remark"> <span>2018年08月21日 10:56 | 来源：<a target="_blank">人民网-生命时报</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <div style="text-align: left; color: rgb(51, 51, 51); white-space: normal; text-indent: 2em;"><p style="text-align: left; text-indent: 2em;">华中科技大学同济医学院附属武汉中心医院老年病科副主任医师、博士刘玮</p></div><div style="text-indent: 2em; text-align: left;"><p style="text-align: left; text-indent: 2em;">入伏以来气温节节攀升，多地已经连续数日发布高温预警，医院急诊科因中暑前来就诊的病人也明显增多。近日，一名50多岁的建筑工人在烈日下工作了五六个小时后，出现胸闷、头晕等症状，工友送来时都说他是中暑了，但经过详细检查后发现，他其实是急性心梗。高温天，心脑急症和中暑都是高发病，且症状也类似，容易误诊。</p><p style="text-align:center"><img src="/upload/resources/image/2018/08/21/2177880_600x600.jpg" title="MAIN201808210930245974884376749" alt="MAIN201808210930245974884376749" suffix="jpg"/></p><p style="text-align: left; text-indent: 2em;">中暑根据症状可分为先兆、轻度和重症三类。先兆中暑是指在高温环境中出现乏力、大汗、口渴、头痛、头晕、眼花、耳鸣、恶心、胸闷等症状；轻度中暑除以上症状外，还有面色潮红、皮肤灼热、体温38℃以上，可伴有呕吐、面色苍白、心率增快、血压下降、皮肤湿冷等；重症中暑可导致热射病，有痉挛、腹痛、高热晕厥、昏迷、虚脱或休克等症状，严重者可能死亡。部分急性心脑血管疾病的表现与中暑先兆症状相似，都会出现胸闷气短、面色苍白、大汗淋漓、头晕、恶心、肢体无力、周身不适等症状。</p><p style="text-align: left; text-indent: 2em;">夏天气温升高，皮下血管扩张，皮肤血流量比平时增加3~5倍，回流到心脏的血流量减少，影响心肌供血。由于出汗多，水分大量蒸发，造成血液黏稠度增高，出现血小板聚集和血栓形成。高温下，人体交感神经兴奋性增高，心率加快，冠状动脉收缩，心肌供氧量减少，再加上睡眠不佳，就会增加心血管疾病的发作风险。</p><p style="text-align: left; text-indent: 2em;">高血压、心脏病患者夏季一旦出现胸闷、憋气、胸痛、心慌，甚至腹痛、后背痛、牙痛等，应及时到医院检查，防止病情恶化。</p><p style="text-align: left; text-indent: 2em;">鉴别方面，一要判断是否在容易中暑的环境（如高温、高湿或密闭空间）下发病。</p><p style="text-align: left; text-indent: 2em;">二要判断出汗的部位。中暑时以前胸、后背、额头、脖子、腋下等为主，且皮肤温度升高；心梗发作时，因心输出量下降、血管收缩，出汗部位多在脖子、额头、手心、脚心等处，皮肤温度相对较低，俗称“出冷汗”。</p><p style="text-align: left; text-indent: 2em;">三要判断胸闷的轻重，中暑时胸闷相对轻微，而急性心梗是突然发作胸痛，剧烈而持久，伴有全身不适，常有压榨感和濒死感。如果出现类似中暑的症状，先要采取消暑措施，如通风、补充水分等；若症状持续不缓解，要送医院进一步检查。</p><p style="text-align: left; text-indent: 2em;">夏天预防心脑血管急症，一要做到不贪凉，适度降温，室内外温差不要过大。二要多饮水，避免血液黏稠度增高。三要稳定情绪，保持平和愉悦的心情，避免交感神经兴奋，使得心跳加快、血管收缩。四要保持充足睡眠，适当运动但避免剧烈运动，以免加重心脏负担。五要清淡饮食，忌油忌咸，戒烟限酒，多食蔬菜水果，切忌摄入大量冷饮、冷食。</p></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：中暑心梗出冷汗胸闷</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul class="Related_ul bh_150"> <li><a target="_blank" 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