心绞痛和普通的胸痛有什么区别 杜廷海 河南中医药大学第一附属医院 скачать в хорошем качестве

心绞痛和普通的胸痛有什么区别 杜廷海 河南中医药大学第一附属医院

心绞痛和普通的胸痛有什么区别 杜廷海 河南中医药大学第一附属医院 心绞痛它表现为胸痛，但胸痛多表现为闷痛、压榨性疼痛或胸骨后咽喉部紧缩感，有些患者仅有胸闷，可放射到左肩、左上肢内侧或者大无名指或者小指，偶然还有濒死的感觉，这些疼痛往往迫使患者，立即停止活动，严重者还有出汗等等这一系列表现，常在劳累的时候或情绪激动的时候发生，也可在饱餐、饱食，吸烟时候发生疼痛的时间历时几分钟，一般半分钟到30分钟，很少超过30分钟以上，这种疼痛在休息或者含服硝酸甘油，常常在一两分钟内就缓解。而普通的胸痛它的特点是以时间非常短，短暂的几秒钟的刺痛或者时间非常长，常持续几个小时以上，甚至几天的疼痛。二疼痛的范围不是一点而是一片范围拳头大小，而一个手指难以明确的指出疼痛的部位。三、疼痛多于劳累后出现，而不是在劳累的当时出现胸痛。四、胸痛与呼吸，或其他影响胸廓运动有关系，如吸气时候疼痛。五、胸痛可被其他因素缓解，如与患者交流，使其疼痛反而缓解，或走路或行走时候，疼痛可缓解。六、疼痛发作时不影响活动。七、舌下含化硝酸甘油，在十分钟以上才有一点效果，或者不能缓解发作。 What's the difference between angina and chest pain Angina pectoris is characterized by chest pain, However, chest pain is mainly manifested as suffocating pain, squeezing pain or tightness of the throat behind the sternum, Some patients only have chest tightness, It can radiate to the left shoulder, the inner side of the left upper limb, or the big ring finger or little finger, Sometimes I feel like dying, The pain often forces the patient, Stop the activity immediately, There are also a series of manifestations such as sweating, It often happens when you are tired or excited, They can also be full of food, It takes a few minutes for the pain to develop when smoking, Usually half a minute to 30 minutes, Rarely more than 30 minutes, The pain is resting or nitroglycerin, It's usually relieved in a minute or two. Common chest pain is characterized by a very short time, A few seconds of tingling or a very long time, It often lasts for more than a few hours, Even a few days of pain. (II) the range of pain is not one point but one fist, It is difficult for a finger to point out the pain clearly. 3、 Pain is more than fatigue, Instead of chest pain when you are tired. 4、 Chest pain and breathing, Or other effects on thoracic movement, Such as pain when inhaled. 5、 Chest pain can be relieved by other factors, If communicating with patients, The pain was relieved, Or walking or walking, Pain can be relieved. 6、 Pain does not affect activity. 7、 Sublingual nitroglycerin, It takes more than ten minutes to get a little effect, Or it can't relieve the attack.