同样是“梗” 心梗和脑梗发病时有何不同?
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公开课模版测试文章(编辑别推)

于 扬

北京大学第一医院心血管内科副主任医师

心梗和脑梗发病时的症状有何区别?

心肌梗死和脑梗死,都属于动脉粥样硬化心脑血管疾病。当供应心脏的冠状动脉出现了急性的血管闭塞,那么它供应的心肌就会相应地出现急性的缺氧、缺血和坏死,这叫做急性的心肌梗死。同理,当供应脑组织的血管闭塞时,脑组织就会缺氧、缺血和坏死,这叫做脑梗死。

同样是“梗” 心梗和脑梗发病时有何不同?

心肌梗死和脑梗死的病变部位不同,发病症状也有所不同。急性心肌梗死以胸痛起病,主要表现为胸前区或胸骨后有剧烈的疼痛感,这种痛感可以向下颌部、咽部、后背或双肩部放射,同时可能伴有出汗、恶心、呕吐等症状。

同样是“梗” 心梗和脑梗发病时有何不同?

脑梗的症状更多元化,有些患者可能就是轻微的头晕、恶心、呕吐。严重的患者还可能出现肢体活动或言语表达障碍,比如一侧的肢体突然动不了、说不出话或口眼歪斜等。 

更多相关视频:
心梗来临前,心脏会发出哪些“求救信号”?
心肌梗死为什么会“缠上”年轻人?
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