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沈意清
2017.11.24 39歲運將未察覺心肌梗塞症狀 乘客提醒成救命恩人
2017.11.24 39歲運將未察覺心肌梗塞症狀 乘客提醒成救命恩人
2017.11.24 39歲運將未察覺心肌梗塞症狀 乘客提醒成救命恩人
By
沈意清
Senior Account Executive
・
Yilan County, Taiwan
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本月初一名縣內39歲計程車司機,深夜從宜蘭市載客前往羅東,途中突然出現胸悶、冒冷汗等不適症狀,車內乘客機警提醒有可能是心肌梗塞建議儘速就醫,運將聽聞後不放心,完成載客立刻驅車轉往羅東博愛醫院急診就醫,經醫師確診為心肌梗塞後,隨即進行緊急心導管支架置放手術,目前已康復出院。 羅東博愛醫院心臟血管內科陳韋成醫師表示,該名運將大哥年僅39歲,無三高疾病,看似非心肌梗塞高風險群,但進一步問診才發現,原來運將是老煙槍,每天會抽2至3包香菸且持續20年,加上為了增加收入長期開夜車,導致生活作息日夜顛倒,進而促使心肌梗塞發生。 對此陳韋成醫師特別叮嚀,抽菸會加速冠狀動脈硬化,是惡化心血管疾病的潛在因素,且近年來心肌梗塞患者40歲以下的中壯年比例增加,發現多有吸菸、生活作息不正常等不良習慣,都直接提高心肌梗塞的發生機率,若患有三高疾病,如糖尿病、高血壓、高血脂更要特別小心。此外,男性超過45歲、女性超過55歲,越熟齡則心血管疾病風險也會逐年增加。 陳韋成醫師依105年全年羅東博愛醫院約60例緊急心導管手術觀察,冬天發生心肌梗塞的比例稍高,近日天氣忽冷忽熱變化大,心血管疾病的病人就要格外注意。另外陳韋成醫師進一步叮嚀,一般常發生心肌梗塞的時間為清晨起床後兩小時內,所以起床時應注意保暖,避免溫差太大的環境,如果家族病史中,父母有三高疾病就得多加注意自己可能有潛在風險,需提早預防,飲食上不要吃太鹹、攝取太多動物性脂肪,若有冬天進補習慣也需注意,儘量挑選低油脂、高纖維的食材。要吃也要適當運動,運動頻率建議每週約3至4次,每次持續30分鐘,對血壓及調整身體狀況皆有益處。 最近幾波冷空氣讓降溫十分有感,若民眾近期有覺得持續胸悶、胸痛,並伴隨著冒冷汗、左上臂疼痛,或是脖子、下巴、牙齒有酸麻的感覺,可能就是心臟產生缺氧症狀的表現,就要提高警覺,必要時提早到心臟科就診,藉由心電圖、抽血協助判斷是否有潛在心血管疾病風險,才能提前預防與治療。
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沈意清
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Published: Apr 29th 2019
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