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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-indent: 2em; text-align: left;"><p style="text-indent: 2em; text-align: left;">11月20日是“中国心梗救治日”，根据《中国心血管病报告》显示，仅在2015年中国居民死于急性心梗的人数约85万，每37秒就有1人死于急性心梗。中年男性、绝经后的女性、烟民等是心梗的高危人群，一定要记住这两个救命的“120”——及时拨打120急救电话，把握黄金救治120分钟。</p><p style="text-indent: 2em; text-align: left;"><strong>心梗前：留意心梗的前期症状</strong></p><p style="text-indent: 2em; text-align: left;">北京大学第三医院急诊科田兆兴医生：急性心肌梗死之前常出现各种征兆，尤其是一些不明原因的、一过性的、明显或不太明显的胃肠道症状，如恶心不适、泛酸烧心、纳差、呕吐、上腹部疼痛、饱胀等等，特别是活动量增加时，反复间断出现。还有可能是口腔、颌面部、咽喉、气管，以及颈背等部位的症状。当身体出现牙疼、肩膀痛、腹痛甚至手指痛等各种疼痛并伴随浑身难受和乏力的症状，不要大意，应及时到医院检查。</p><p style="text-indent: 2em; text-align: left;"><strong>心梗时：注意心梗时的四种错误做法</strong></p><p style="text-indent: 2em; text-align: left;">上海长海医院心血管内科主治医师杜贺：急性心肌梗死的死亡多发生在起病的1小时内，但不少人偏听错误的急救方法，不但不救命反而可能要命。</p><p style="text-indent: 2em; text-align: left;">不要独自前往医院——有病去医院是正确的，但是对于疑似心梗者，各种轻微活动都会增加心脏负担，也许前一秒还没事，后一秒就倒下了。而且，去医院路上、自己挂号检查，这些过程可能加剧心梗恶化。如果没有人陪在身边，一旦发生心跳呼吸骤停，很可能错失最好的抢救时机。</p><p style="text-indent: 2em; text-align: left;">不要喝水——有的家属在患者心梗发生后，有人会手忙脚乱地给患者喂两口水，拍拍后背。希望以此降低血液黏稠度，但其实喝水是“帮倒忙”。如果患者意识不清，喝水很容易导致误吸，发生吸入性肺炎。心梗患者一次喝下太多水，水分快速进入血液，使血液量增，患者不健全的心脏承受不了，反而出现胸闷气短。</p><p style="text-indent: 2em; text-align: left;">不要错误使用硝酸甘油——硝酸甘油是治疗心绞痛常用药，急性心?；颊叻靡髦?。如果患者血压本来就低，服药会导致血压进一步降低，增加休克风险，即使血压正常，也要躺服该药，以防发生体位性低血压，进而头晕摔倒。</p><p style="text-indent: 2em; text-align: left;">正确的做法是在使用硝酸甘油前，给患者测个血压。服药之前，患者血压若已经低于90/60mmHg，或者虽然比这个值高，但明显比平时的血压低，这时就不要用硝酸甘油。</p><p style="text-indent: 2em; text-align: left;">不要盲目心肺复苏——心脏复苏适用于心跳呼吸骤停的患者，而急性心?；颊卟⒎嵌蓟崦涣撕粑托奶?。如果患者没有出现心跳呼吸骤停，心肺复苏反而会增加室速室颤发生的风险，不恰当的急救方法甚至还有可能会导致患者肋骨骨折。如果患者已经意识不清、呼之不应、呼吸微弱、摸不到脉搏，方可进行心脏复苏。</p><p style="text-indent: 2em; text-align: left;"><strong>心梗后：心梗后心脏最怕累</strong></p><p style="text-indent: 2em; text-align: left;">中国医学科学院阜外医院心衰病房叶蕴青医生：心梗造成的坏死心肌组织，需要6~8周以上，才能逐渐形成纤维瘢痕，组织才能相对稳定。幸存的心肌要承担更大的工作压力，因此很容易发生心力衰竭。所以心梗的患者，心脏最怕累。要养护心脏，在饮食、活动、生活起居上都要特别注意。</p><p style="text-indent: 2em; text-align: left;">饮食——要把握清淡的原则：营养要均衡，每餐只吃七成饱，一定要避免饮酒，也不能抽烟。</p><p style="text-indent: 2em; text-align: left;">活动——在急性期(4周内)都需要减少活动量，重点关注活动中是否出现心律失常，如果患者出现活动中心慌或心跳不规整，那么活动量必须要减少。因为大量活动可能会诱发或加重心力衰竭和恶性心律失常，严重时会威胁生命。</p><p style="text-indent: 2em; text-align: left;">起居——建议患者降低生活要求，作息规律，不要加班熬夜、不放纵自身，避免不良情绪?；挂⒁獗苊獗忝爻鱿?，必要时可以服用一些通便的药物。如果出现便秘，可以使用开塞露等药物来帮助排便，原则就是不要使劲!</p><p style="text-indent: 2em; text-align: left;">性生活——心梗2~3个月以后，如果患者病情稳定，正常生活下很少发生心绞痛，能正常上下三四层楼，没有明显气短乏力的症状时，那么已婚的患者可以考虑恢复性生活。</p><p style="text-indent: 2em; text-align: left;">参考资料</p><p style="text-indent: 2em; text-align: left;">①健康时报2017年11月28日：心梗后心脏最怕累</p><p style="text-indent: 2em; text-align: left;">②健康时报2018年05月29日：留意心梗的前期症状</p><p style="text-indent: 2em; text-align: left;">③健康时报2018年10月09日：心梗时的四种错误做法</p></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：1120心梗日救命法则</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 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