{"nowTime30":1711619965487,"lyBarModerator":null,"metaSearch":{"description":"我妈妈五年前患心衰,近一两年患心肌缺血。劳累,熬夜会发病,发病时心脏颤、嘚瑟,耳鸣,并伴有脸、脚心发热。脸有水肿,有时脑袋疼,睡眠不好,没有力气。心衰心肌缺血一般用什么药,希望帮忙推荐下","keywords":"心衰心肌缺血一般用什么药_洞医","title":"心衰心肌缺血一般用什么药_洞医","channels":null},"identificate":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"realName":null,"certifiedStatus":0,"phone":null,"email":null,"hospitalId":null,"departmentId":null,"illName":null,"illId":null,"cardType":0,"cardImg":null,"idCardImg":null,"identityType":0,"stop":0,"departmentName":null,"hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1704","isDel":0,"createAt":1483439343920,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"北京协和医院心血管内科","type":101,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":"110000","cityId":"110101","illId":null,"hospitalId":"15009","keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医为您提供:北京协和心内科专家、北京协和医院心律失常、北京协和医院心内科病友的治疗经验等相关信息,让您在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"北京协和心内科专家_北京协和医院心律失常_北京协和医院心内科_洞医\",\"title\":\"北京协和心内科专家_北京协和医院心律失常_北京协和医院心内科_洞医\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"1188","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"心力衰竭的日常生活中怎么保健","content":"
年龄大了以后人体的各种机能都会下降,抵抗力也会变得越来越差,这就会导致老年人特别的容易就被感染上各种的疾病,其中比较常见的一种就是心力衰竭这种疾病,那么对于患者来说,日常的生活中应该如何的进行护理呢?
\n心力衰竭由很多种情况病发,大多是其他严重的疾病导致心力衰竭。心力衰竭前期表现为急性心力衰竭,病发迅速,症状严重。得不到及时有效的治疗会引发慢性心力衰竭,治疗比较棘手,康复也比较慢。下面先来看看心功能的分级,再来了解一下怎么预防心力衰竭。
\n心功能分成4个等级:
\n第1级:体力活动不受限,一般活动没有不适感;
\n第2级:休息时没有乏力、心悸、气短、心绞痛等情况,轻微体力活动即出现上述症状;
\n第3级:体力活动明显受限,日常活动就有症状;
\n第4级:一切活动都受限,即使休息时也有表现。
\n有了心力衰竭的病人,要重视自己的饮食起居,可能哪一天放松了,心衰症状就会加重。
\n心力衰竭的预防:
\n1、控制盐的摄入量
\n摄入过多的盐会增加身体水分潴留,加重心脏负担,轻度心衰病人每天只能吃2~3克的盐,中到重度病人每天吃盐小于2克,有些医生甚至建议心衰病人不要吃盐,因为烹饪使用的酱油、味精里面或多或少也含有盐(世卫组织建议健康人群一天盐的摄入量也最高不要超过6克)。
\n2、不能喝很多水
\n心衰病人身体里水分多了,同样增加心脏负担。建议心衰病人每天喝1.5~2升的水,不渴就不喝。
\n3、每天早上称体重
\n3天内增长2公斤以上,或每天增长1公斤以上,可能是心衰症状加重,要马上去医院。
\n4、合理活动
\n心衰病人不要剧烈运动,也不要静卧不动。
\n5、其他细节
\n心衰病人要对自己的生活格外留心。小心感冒,情绪激动、营养不良、生活方式的突然改变可能使病情加重。在生活中只要坚持做到上面的几点,加上适量运动,定时检查,相信疾病一定会远离您的身旁。祝愿您越活越年轻。
\n","barId":"1704","topicTypeId":null,"topicThemeId":"1023","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":3},{"id":"3207","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"冠心病的注意事项 冠心病饮食六大禁忌","content":"
冠心病的诊断主要依赖典型的临床症状,再结合辅助检查发现心肌缺血或冠脉阻塞的证据,以及心肌损伤标志物判定是否有心肌坏死。发现心肌缺血最常用的检查方法包括常规心电图和心电图负荷试验、核素心肌显像。
\n1、忌油腻
\n对冠心病患者来说,日常饮食一定要清淡。平时应多吃新鲜蔬菜,以及水果、黑木耳,或者是豆制品;还可适当吃一些瘦肉及鱼类,尽量少吃过于油腻或高脂肪的食物。日常生活中如果有条件,可以多喝绿豆汤以及莲子汤、百合汤或者是菊花茶、荷叶茶等饮料。
\n2、忌冷饮
\n对于冠心病患者的饮食,日常一定要注意禁食冷饮,因为在气温高时,血管处于扩张状态,一旦进食冷饮,大多数患者的肠道突遭刺激,再者就是会引起全身血管收缩,血压突然升高,容易突发心绞痛、心梗、脑溢血。
\n3、忌吃糖
\n糖类即指碳水化合物,它是机体热能的主要来源,摄入过多可造成热量入超,在体内可转化生成脂肪,引起肥胖,并使血脂升高。因此,要严格控制碳水化合物摄入总量,尤其是控制食糖摄入量,经研究证明,在碳水化合物中升高血脂的作用,果糖高于蔗糖,蔗糖高于淀粉。故提倡进食复合糖、控制精制糖:选用淀粉,糙米、玉米等植物纤维多的食物,少进食单糖,如蔗糖、果糖。
\n4、忌烟酒
\n吸烟者冠心病的发病率比不吸烟者高3倍。常饮烈性酒,可因酒精中毒导致心脏病和高脂血症。过多的乙醇还可使心脏耗氧量增多,加重冠心病。应戒烟、限酒,浓茶、辣椒等刺激性食物也应慎食。
\n5、忌暴饮暴食
\n患有严重冠心病的患者,应采取少量多餐的原则,切忌暴饮暴食,尤其晚餐也不宜吃得过饱。尽量多吃些容易消化的食物,同时要保持大便通畅。
\n6、忌脱水
\n一些中老年人没有定时喝水的习惯,反而等到渴了想喝时才喝,其实这已造成程度不同的“脱水”了。老年人平时要养成定时喝水的好习惯。老年人(特别是冠心病患者)的血黏度都有所增高,脱水导致血液浓度升高,达到一定程度会出现血凝倾向,导致缺血或心脑血管堵塞,严重时可引起心肌梗死或脑卒中。建议睡前半小时、或者是半夜醒来及清晨起床后最好喝一些开水。
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如何治疗?有无必要转呼吸重症?
男,66岁。扩张性心脏病。四肢无力,多汗,腰疼,怕累,气喘,有什么办法治疗或使心脏缩小到正常范围,这种扩张性心脏病能治愈吗
","barId":"1704","topicTypeId":null,"topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"2454","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"冠心病的常见发病症状是什么","content":"心脏对我们来说的重要性是不言而喻的,所以我们应该要对一些常见的心脏病有所了解,这样能在疾病出现的时候我们及时的做一些防护措施,一提起冠心病,我们大家都知道它是一种心脏病。发病严重时,有可能会夺去我们的生命。但是只知道这些。对于冠心病的的减少还是没有任何作用的。因此关于冠心病的一些其他的知识还是需要了解一下的。下面我们来主要了解一下冠心病的发病症状。
\n冠心病的常见发病症状是什么
\n①疼痛最先出现,多发生于清晨,疼痛部位和性质与心绞痛相同,但程度重,持续时间长,可达数小时或更长,休息或硝酸甘油不能缓解。患者常烦躁不安、出汗、恐惧,可伴濒死感,少数患者无疼痛,一开始就表现为休克或急性心衰。部分患者疼痛位于上腹部,易被误诊。
\n②有发热、心动过速、白细胞增高和血沉增快等全身症状。发热多在疼痛发生后24~48小时后出现,体温多在38℃左右,持续约一周。
\n③疼痛剧烈时常伴有恶心、呕吐和上腹胀痛等胃肠道,肠胀气亦不少见,重症者有呃逆。
\n④心律失常多发生在起病1~2天,而以24小时内最多见。以室性心律失常最多尤其是室性期前收缩。室颤是冠心病早期,特别是入院前的主要死亡原因。房室和束支传导阻滞亦较多。
\n⑤低血压和休克休克多在起病后数小时至数日内发生,主要为心源性。
\n⑥心力衰竭主要是急性左心衰竭,可在起病最初几天发生。
\n冠心病的早期症状
\n早期症状一、体力活动时出现胸闷、心悸、气短,休息后自行缓解。劳累或精神紧张时出现胸骨后或心前区闷痛,或紧缩样痛,并向左肩、左上臂放射,持续3-5分钟,甚至十余分钟,休息后自行缓解。出现与运动有关的头痛、牙痛、腿痛。饱餐、寒冷或看惊险片后出现胸痛、心悸。
\n早期症状二、夜晚低枕睡眠时,自觉胸闷憋气,需抬高枕头卧位(或坐位)方感舒适。熟睡或白天平卧时突然胸痛、心悸、呼吸困难,需立即坐起或站立才能缓解。
\n早期症状三、听到周围的锣鼓声或其他噪声便引起心慌、胸闷。反复出现脉搏不齐,不明原因心跳过速或过缓。
\n早期症状四、性生活用力或用力排便时出现心慌、胸闷、气急或胸痛不适。
\n温馨提示,冠心病的症状是比较明显的,只要我们多关注一下自己的健康状态就能及时的发现此病的出现了,由此可见,如果在日常生活中出现以上症状应该及时的到医院去检查。并且在生活中做定期的身体健康体检,时刻关注自己的身体健康变化。
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在医学上专家面对一个个疾病患者询问的问题,这种疾病是怎样的引起的,他们的回家出乎大家的意料,冠心病的病因至今尚未完全清楚。是的,在医学上冠心病却是没有一定的引发原因,但是在生活中却有一些导致疾病的主要原因,下面了解一下冠心病的病因是什么?
\n不爱运动患冠心病几率翻倍
\n1、遗传因素导致了很多人都逃不掉疾病的追逐。生活中人们久坐生活方式,不爱运动的人冠心病的发生和死亡危险性将翻一倍。肥胖症:已明确为冠心病的首要危险因素,可增加冠心病死亡率。肥胖被定义为体重指数(BMI=体重(kg)/身高平方(m2))在男性>=27.8,女性>=27.3.BMI与TC,TG增高,HDL-C下降呈正相关。糖尿病:冠心病是未成年糖尿病患者首要的死因,冠心病占糖尿病病人所有死亡原因和住院率的近80%。
\n2、大量的吸烟使人们出现严重的疾病症状:吸烟是疾病的重要危险因素,是唯一最可避免的死亡原因。冠心病与吸烟之间存在着明显的用量-反应关系。高血压:高血压与冠状动脉粥样硬化的形成和发展关系密切。收缩期血压比舒张期血压更能预测冠心病事件。140-149mmhg的收缩期血压比90-94mmhg的舒张期血压更能增加冠心病死亡的危险。
\n如何尽早发现冠心病
\n出现以下情况,要及时就医,尽早发现冠心病:
\n1)劳累、体力活动、精神紧张、寒冷及进食过饱时出现胸骨后或心前区闷痛,或紧缩样疼痛,向左肩、左上臂放射,持续3到5分钟,休息后自行缓解者;
\n2)反复出现脏脉搏不齐,心跳过速或过缓者;
\n3)阵发性胸闷憋气,心悸、呼吸困难;
\n4)用力排便、紧张或性生活出现心慌、胸闷、气急或胸痛不适者。
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我妈妈五年前患心衰,近一两年患心肌缺血。劳累,熬夜会发病,发病时心脏颤、嘚瑟,耳鸣,并伴有脸、脚心发热。脸有水肿,有时脑袋疼,睡眠不好,没有力气。心衰心肌缺血一般用什么药,希望帮忙推荐下
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