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href="http://yp.120ask.com/search/?kw=%E5%86%A0%E5%BF%83%E7%97%85" target='_blank'>药品</a> </div> <div class="cont-box"> <div class="left"> <div class="art_cont"> <h1>冠心病的症状有哪些？</h1> <p>　　常见症状：心绞痛、劳累或精神紧张时出现胸骨后或心前区闷痛、体力活动时出现胸闷</p> <p>　    冠心病 - 临床症状</p><p>　　不同人的心绞痛发作表现不一。多数人形容其为"胸部压迫感"，"闷<a target='_blank' href="http://tag.120ask.com/zhengzhuang/zhanggan/" style='color:#145b7d;text-decoration:underline;' >胀感</a>""憋闷感"，部分病人感觉向双侧肩部、背部、颈部、咽喉部放散，休息或者含服硝酸甘油缓解。</p><p>　　冠心病有5型,分别有如下临床症状:</p><p>　　1、心绞痛型：表现为胸骨后的压榨感,闷胀感,伴随明显的<a target='_blank' href="http://tag.120ask.com/zhengzhuang/jiaolv/" style='color:#145b7d;text-decoration:underline;' >焦虑</a>,持续3到5分钟,常发散到左侧臂部,肩部,下颌,咽喉部,背部,也可放射到右臂.有时可累及这些部位而不影响胸骨后区.用力,情绪激动,受寒,饱餐等增加心肌耗氧情况下发作的称为劳力性心绞痛,休息和含化硝酸甘油缓解。有时候心绞痛不典型,可表现为气紧,晕厥,虚弱,<a target='_blank' href="http://tag.120ask.com/zhengzhuang/qi/" style='color:#145b7d;text-decoration:underline;' >嗳气</a>,尤其在老年人。根据发作的频率和严重程度分为稳定型和<a target='_blank' href="http://tag.120ask.com/jibing/bwdxxjt/" style='color:#145b7d;text-decoration:underline;' >不稳定型心绞痛</a>.稳定型心绞痛指的是发作一月以上的劳力性心绞痛,其发作部位,频率,严重程度,持续时间,诱使发作的劳力大小,能缓解疼痛的硝酸甘油用量基本稳定。不稳定型心绞痛指的使原来的稳定型心绞痛发作频率,持续时间, 严重程度增加,或者新发作的劳力性心绞痛(发生1个月以内),或静息时发作的心绞痛。<a target='_blank' href="http://tag.120ask.com/zhengzhuang/buwendingxingxinjiao/" style='color:#145b7d;text-decoration:underline;' >不稳定性心绞痛</a>是急性心肌梗塞的前兆,所以一旦发现应立即到医院就诊.</p><p>　　2、心肌梗塞型：梗塞发生前一周左右常有前驱症状,如静息和轻微体力活动时发作的心绞痛,伴有明显的不适和疲惫。梗塞时表现为持续性剧烈压迫感,闷塞感,甚至刀割样疼痛,位于胸骨后,常波及整个前胸,以左侧为重。部分病人可延左臂尺侧向下放射,引起左侧腕部,手掌和手指麻刺感,部分病人可放射至上肢,肩部,颈部,下颌,以左侧为主。疼痛部位与以前心绞痛部位一致,但持续更久,疼痛更重,休息和含化硝酸甘油不能缓解。有时候表现为<a target='_blank' href="http://tag.120ask.com/zhengzhuang/sfbtt/" style='color:#145b7d;text-decoration:underline;' >上腹部疼痛</a>,容易与腹部疾病混淆。伴有<a target='_blank' href="http://tag.120ask.com/zhengzhuang/dire/" style='color:#145b7d;text-decoration:underline;' >低热</a>,烦躁不安,多汗和<a target='_blank' href="http://tag.120ask.com/zhengzhuang/lenghan/" style='color:#145b7d;text-decoration:underline;' >冷汗</a>,恶心,<a target='_blank' href="http://tag.120ask.com/zhengzhuang/outu/" style='color:#145b7d;text-decoration:underline;' >呕吐</a>,<a target='_blank' href="http://tag.120ask.com/zhengzhuang/xinji/" style='color:#145b7d;text-decoration:underline;' >心悸</a>,<a target='_blank' href="http://tag.120ask.com/zhengzhuang/touyun/" style='color:#145b7d;text-decoration:underline;' >头晕</a>,极度<a target='_blank' href="http://tag.120ask.com/zhengzhuang/fali/" style='color:#145b7d;text-decoration:underline;' >乏力</a>,<a target='_blank' href="http://tag.120ask.com/zhengzhuang/hxkn/" style='color:#145b7d;text-decoration:underline;' >呼吸困难</a>,濒死感，持续30分钟以上,常达数小时。发现这种情况应立即就诊。</p><p>　　3、无症状性心肌缺血型(隐性冠心病)：很多病人有广泛的冠状动脉阻塞却没有感到过心绞痛,甚至有些病人在心肌梗塞时也没感到心绞痛。部分病人在发生了<a target='_blank' href="http://tag.120ask.com/zhengzhuang/xzxs/" style='color:#145b7d;text-decoration:underline;' >心脏性猝死</a>,常规体检时发现心肌梗塞后才被发现.部分病人由于心电图有缺血表现,发生了<a target='_blank' href="http://tag.120ask.com/zhengzhuang/xlsc/" style='color:#145b7d;text-decoration:underline;' >心律失常</a>,或因为运动试验阳性而做冠脉造影才发现。这类病人发生心脏性猝死和心肌梗塞的机会和有心绞痛的病人一样，所以应注意平时的心脏保健。</p><p>　　4、<a target='_blank' href="http://tag.120ask.com/zhengzhuang/xlsj/" style='color:#145b7d;text-decoration:underline;' >心力衰竭</a>和心律失常型：部分患者原有心绞痛发作,以后由于病变广泛,心肌广泛纤维化,心绞痛逐渐减少到消失,却出现心力衰竭的表现,如气紧,水肿,乏力等,还有各种心律失常,表现为心悸.还有部分患者从来没有心绞痛,而直接表现为心力衰竭和心律失常。</p><p>　　5、猝死型：指由于冠心病引起的不可预测的突然死亡,在急性症状出现以后6小时内发生心脏骤停所致。主要是由于缺血造成心肌细胞电生理活动异常,而发生严重心律失常导致。</p><br /> </div> <div class="portlet" id="yw0"> <div class="portlet-content"> <div class="baike_dl"> <h3 class="ti">相关百科</h3> <div class="lists"> <span><a href='https://tag.120ask.com/jibing/gdgcxz/' title='高胆固醇血症'>高胆固醇血症</a></span><span><a href='https://tag.120ask.com/jibing/xjgs/' title='心肌梗死'>心肌梗死</a></span><span><a href='https://tag.120ask.com/jibing/gaoxuezhi/' title='高血脂'>高血脂</a></span><span><a href='https://tag.120ask.com/jibing/xinjiaotong/' title='心绞痛'>心绞痛</a></span><span><a href='https://tag.120ask.com/jibing/gxy/' title='高血压'>高血压</a></span><span><a 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