Tuesday, August 7, 2012

The middle-aged and elderly people have a toothache and guard against vigorously " The heart stem "

The middle-aged and elderly people have a toothache and guard against vigorously " The heart stem "
It is often pain to send symptom in head of myocardial infarction, there is behind the brestbone more pain, the pressing, stuffy and bloated or choky appears. Find a lot of " heart stems " while being clinical Patient, especially middle-aged and old patient, appear with " toothache " sometimes In order to first publish symptom. With " heart stem " Relevant toothache, call " the intersection of heart and source have a toothache " as at the medical science . Can be shown as: Toothache is violent, but without obvious tooth disease, with profuse sweating at the same time, look pale, be extremely weak, close to the feeling of the death; The toothache position is inaccurate, often several teeth all feel pain; Taking general analgesic can't be relieved to pain; The electrocardiogram checks cardiac muscle ischemically to change, or reveal the wave form of blocking up; Disappear according to toothache after angina pectoris or heart stem treatment. Especially original hypertension, patient of the coronary heart disease, once have a toothache vigorously, persons who there is the above-mentioned manifestation, must think of " heart stem " at first Possibility. How to pay attention to? Toothache which the middle-aged and elderly people can't explain, should go to the hospital to go to a doctor immediately. Check, carry on the radiography of coronary artery to check if necessary electrocardiogram, CT, myocardium calcium albumen,etc. in time. Once it is acute to make a definite diagnosis of " The heart stem " ,Make the patient nearby flat and lie immediately, guarantee that it is unobstructed to breathe, untie belt and front clothing to buckle, avoid the activity, exert oneself. Should let its lean to one side while vomiting, and clear up the oral cavity and prevent the vomit from stopping up the trachea. Include and obey the Nitroglycerin, quick-acting to rescue heart pill or subdue the regret continuously under the tongue. Breathe faintly, consciousness is unclear, when the complexion is livid purple, do heart pressing and mouth-to-mouth artificial respiration outside the chest immediately. Acute at present " The heart stem " Views therapeutic lasting patienting to get by hospitals conditional,it is dissolve by bolt, get involved, surgery treatment to go on as soon as possible, the emergency call of getting in an hour after the onset, can save the cardiac muscle of most necrosis; In 6 hours, may save some cardiac muscle; 12 hours later, the obvious difference of the result. (the refined professor of emergency department of hospital of Hunan of middle and southern university of author's department)

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