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認識心絞痛

發佈日期:2013-12-31
發佈單位:華揚醫院-行政部
最新更新日期:2013-12-31
1.什麼是心絞痛?

心絞痛是罹患冠狀動脈病變的病人,因為勞累、用力、情緒激動或其他情況,所引起暫時性的局部性心肌缺血,而發生的胸痛現象。

2.心絞痛的症狀:

發作時間可能從數分鐘至15分鐘不等,發作時在胸部中心有悶、痛、重物壓迫或呼吸困難的感覺,有時悶痛會幅射到左肩、左臂內側或下巴,可是這種疼痛可以因休息,或藥物(硝化甘油舌下含片或噴劑)而減輕。

3.急性發作時該如何處理?

◆立即停止所有活動,坐下或休息,並保持冷靜。

◆疼痛時立即服用舌下含片一片或噴劑一次。可每隔5分鐘使用一次,最多三次,若症狀持續或加劇,則立即就醫。

◆給予氧氣。

◆尋求旁人幫忙。

4.居家生活中的注意項:

◆定期接受健康檢查。

◆控制體重。

◆治療高血壓及糖尿病。

◆避免太油、太鹹的食物。

◆戒煙。

◆每天有規律地適當運動。

◆將工作速度放慢,減少精神壓力,愉快地完成工作。

◆飯後耐力會減低,應減少活動量。

◆預期心絞痛可能發作時,先服藥。

5.含片須知:

◆舌下含片,會因暴露於空氣、濕氣及日光下而逐漸分解加速失去效用,因此須注意避光及防潮濕。

◆此藥應整瓶隨身攜帶以應不時之需,不要分裝其他容器使用。

◆若舌下含服時沒有辛辣感,也不能減輕胸部不適,表示可能已失效,應取新藥(一般為6個月內有效)。

◆服藥時最好坐下,以防低血壓。

◆長期服藥,藥效不會減退,也不會成癮,可以安心使用。

◆每月使用含片數量若有明顯增加應儘速就醫。

◆避免併用「威而剛」,以免產生嚴重低血壓。

◆含藥後,若發生低血壓、頭暈、冒冷汗時,應立即躺下,採頭低腳高姿勢,補充水分,並儘速就醫。
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