胸痛14个小时、八旬老太遭遇“血管炸弹”，介入手术实施精准“拆弹”！
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics-app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section class="empty_paragraph" style="text-align: center;"></section><section style="font-size: 15px; line-height: 1.5; color: #3e3e3e;"><section style="color: #6a3e3e; line-height: 2.5;"><section style="font-size: 15px; line-height: 1.5; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify; color: #3e3e3e;"><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">八旬老太突发持续胸痛，竟是遭遇了凶险的“血管炸弹”。面对保守治疗效果不佳的局面、面对高龄的患者、面对随时有可能发生的“致命危机”，义乌市中心医院血管外科团队<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">以微创介入手术精准“拆弹”</span></strong>。</p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/Fld0Y5ZND2Pstve2g-n1c4mOGndr" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="text-indent: 2em; box-sizing: border-box;">虽然当下的危机已解除，但</span><strong style="text-indent: 2em; box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">手术不是终点，而是健康管理的起点</span></strong><span style="text-indent: 2em; box-sizing: border-box;">。出院前，血管外科团队为钱奶奶（化名）制定了长期随访方案，以期降低术后再发风险。</span></p></section><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="height: auto; z-index: 1; box-sizing: border-box;"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px -3px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; box-sizing: border-box;"><section style="transform: perspective(0px); -webkit-transform: perspective(0px); -moz-transform: perspective(0px); -o-transform: perspective(0px); transform-style: flat; box-sizing: border-box;"><section style="text-align: left; margin: 0px; transform: rotateY(180deg); -webkit-transform: rotateY(180deg); -moz-transform: rotateY(180deg); -o-transform: rotateY(180deg); box-sizing: border-box;"><section style="display: inline-block; width: 0px; height: 0px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 0px 12px 29px 0px; border-color: rgba(255, 255, 255, 0) rgba(255, 255, 255, 0) #3061cf; margin: 0px; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: stretch; flex: 0 0 auto; background-image: linear-gradient(-90deg, #1398ef 0%, #305acb 100%); min-width: 5%; max-width: 100%; height: auto; padding: 0px 11px; box-sizing: border-box;"><section style="margin: 2px 0px -2px; box-sizing: border-box;"><section style="color: #ffffff; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;"> 本文指导专家</strong></p></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: stretch; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; line-height: 0.1; box-sizing: border-box;"><section style="text-align: left; margin: 0px; box-sizing: border-box;"><section style="display: inline-block; width: 0px; height: 0px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 0px 12px 29px 0px; border-color: rgba(255, 255, 255, 0) rgba(255, 255, 255, 0) #1597ef; margin: 0px; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section></section></section></section></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 0px 0px 10px; width: 100%; align-self: flex-start; background-color: #eaf1ff; padding: 23px; border-style: solid; border-width: 3px 0px; border-color: #1597ef; box-sizing: border-box;"><section style="text-align: center; margin: 0px; line-height: 0; width: 100%; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/FirXR66k-d79h4mGHEwv4OT27Sgu" /></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="line-height: 0; margin: 0px; text-align: center; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 26px; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/FpVdezgqCxAD--aMV8BAkJBSwKv2" /></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="font-size: 47px; line-height: 1; color: #3061cf; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">01</strong></p></section></section></section><section style="display: inline-block; width: auto; vertical-align: bottom; align-self: flex-end; flex: 0 0 auto; border-radius: 8px; overflow: hidden; min-width: 5%; max-width: 100%; height: auto; padding: 3px 15px; background-color: rgba(161, 218, 245, 0.22); box-shadow: #ffffff 3px 3px 0px 0px inset, rgba(161, 218, 245, 0.22) 4px 4px 0px 0px; box-sizing: border-box; border: 1px dashed #3061cf;"><section style="text-align: justify; color: #3061cf; font-size: 17px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">剧烈胸痛</strong></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">八旬老太遭遇“夹层”</strong></p></section></section><section style="display: inline-block; vertical-align: bottom; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; padding: 0px 0px 0px 8px; align-self: flex-end; box-sizing: border-box;"><section style="text-align: justify; color: #a1daf5; font-size: 11px; line-height: 1.1; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 50%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/Fsbi4dOYGkk6emR_9erOTHfTm5UT" /></section></section><section style="color: #6a3e3e; line-height: 2.5; direction: ltr; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">80岁的钱奶奶有高血压病史10余年，一个月前，老人<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">突发左胸背部疼痛</span></strong>。对于疼痛，不少老人都想着“忍一忍就算了”，但这次持续剧烈的疼痛让钱奶奶直呼“受不了”。</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">持续14小时后，症状仍未缓解</span></strong>，家属赶紧带着老人直奔中心医院急诊科，接诊医生立即完善相关检查。胸腹主动脉CTA检查提示<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">B型主动脉夹层</span></strong>。</p><section style="text-align: center;"><img class="rich_pages wxw-img" src="https://pics-app.cnyw.net/FuytyVVvO1unjjnnVg66MgRYXvL2" /></section><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">考虑钱奶奶目前夹层未累及升主动脉，且病情相对平稳，暂无主动脉破裂、心包填塞等威胁生命的并发症，黄惊鸿主任医师团队考虑优先药物治疗，其目的是<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">控制心率和血压，降低主动脉撕裂危险</span></strong>，治疗过程<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">逐步评估、严密动态观察</span></strong>。</p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/FtDc6RWgbvjUUxIKdHZWFDZ3ok20" /></section></section><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">▲ 正常主动脉与主动脉夹层示意图</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">图片来源：mybabycoolzh</strong></p></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">黄惊鸿介绍，主动脉夹层是由各种原因导致的主动脉内膜出现破口，血液由内膜破口进入中层并沿主动脉纵轴撕裂，使主动脉被分隔为真、假两腔的病理过程。</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">其中，B型主动脉夹层是指<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">病程超过14天</span></strong>的患者，占所有主动脉夹层的<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">25%~40%</span></strong>，需根据患者病情制定药物或手术治疗方案。</p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 80%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/Fjpnyif94ZWst1w1jjS8n7v1eLWI" /></section></section><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">▲ 主动脉夹层示意图</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">图片来源：mybabycoolzh</strong></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="line-height: 0; margin: 0px; text-align: center; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 26px; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/FpVdezgqCxAD--aMV8BAkJBSwKv2" /></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="font-size: 47px; line-height: 1; color: #3061cf; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">02</strong></p></section></section></section><section style="display: inline-block; vertical-align: bottom; width: auto; align-self: flex-end; flex: 0 0 auto; border-radius: 8px; overflow: hidden; min-width: 5%; max-width: 100%; height: auto; padding: 3px 15px; background-color: rgba(161, 218, 245, 0.22); box-shadow: #ffffff 3px 3px 0px 0px inset, rgba(161, 218, 245, 0.22) 4px 4px 0px 0px; box-sizing: border-box; border: 1px dashed #3061cf;"><section style="text-align: justify; color: #3061cf; font-size: 17px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">介入治疗</strong></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">实施精准“拆弹”</strong></p></section></section><section style="display: inline-block; vertical-align: bottom; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; padding: 0px 0px 0px 8px; align-self: flex-end; box-sizing: border-box;"><section style="text-align: justify; color: #a1daf5; font-size: 11px; line-height: 1.1; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/FkoJHi0bk0_6qpbi8jqsF1cZYgi3" /></section></section><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">▲ 黄惊鸿主任医师团队正在查房，评估患者病情</strong></p></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">药物治疗一周后，复查CTA提示夹层没有完全吸收，保守治疗效果不佳，<strong style="box-sizing: border-box;">如假腔持续扩张、破裂风险增高，若不及时干预，可能发生急性破裂或器官缺血，导致死亡</strong>。</p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/FmKAUpu-4AJYTMD4-VdluDaTdgzj" /></section></section><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">▲ 覆膜支架腔内隔绝术示意图</strong></p></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">“简单来说，就是血管里埋了一颗致命的‘定时炸弹’，经综合评估，建议行</strong><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">主动脉覆膜支架植入术</span></strong><strong style="box-sizing: border-box;">，避免疾病进展，减少相关并发症的发生。”</strong></p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">黄惊鸿解释，近年来，B型主动脉夹层的治疗方式已逐渐由传统外科手术转为微创介入治疗，具有<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">创伤小、安全性高、并发症少等</span></strong>优势，为高龄患者也创造了良好的手术机会。手术仅需在患者大腿根部开一个铅笔粗细的小孔，<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">通过导管将特制支架精准送至病变血管处，封堵血管破口，重建正常血流通道</span></strong>。</p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/Fl1M-rDJqS7UyEI-IDt3GixiMxxA" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="text-indent: 2em; box-sizing: border-box;">为此，血管外科邀请营养科、呼吸内科、心血管内科等进行多学科疑难病例讨论，对围手术期营养指导、术前术后呼吸管理等进行会诊，对患者当前临床症状、真腔和假腔位置关系、重要分支血管真假腔供血情况等细节进行</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">反复讨论、细化手术方案</span></strong><span style="text-indent: 2em; box-sizing: border-box;">。</span></p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/Fh9_Ugzl3EsxkELdyXMtw3nSnvtn" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/FrDBAbLUhR13jB2v-Kg_oIZUj4Wp" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="text-indent: 2em; box-sizing: border-box;">手术在全麻下经股动脉穿刺置管胸主动脉造影，行主动脉覆膜支架植入术，</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">术中精准定位并精准放置支架</span></strong><span style="text-indent: 2em; box-sizing: border-box;">，</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">复查造影提示血流畅通</span></strong><span style="text-indent: 2em; box-sizing: border-box;">。</span></p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="text-indent: 2em; box-sizing: border-box;">术后，钱奶奶仅有针孔样伤口，无相关并发症产生。</span></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="line-height: 0; margin: 0px; text-align: center; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 26px; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/FpVdezgqCxAD--aMV8BAkJBSwKv2" /></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="text-align: center; box-sizing: border-box;"><section style="font-size: 47px; line-height: 1; color: #3061cf; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">03</strong></p></section></section></section><section style="display: inline-block; vertical-align: bottom; width: auto; align-self: flex-end; flex: 0 0 auto; border-radius: 8px; overflow: hidden; min-width: 5%; max-width: 100%; height: auto; padding: 3px 15px; background-color: rgba(161, 218, 245, 0.22); box-shadow: #ffffff 3px 3px 0px 0px inset, rgba(161, 218, 245, 0.22) 4px 4px 0px 0px; box-sizing: border-box; border: 1px dashed #3061cf;"><section style="text-align: justify; color: #3061cf; font-size: 17px; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">起病急、进展快</strong></p><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">警惕不明原因胸痛</strong></p></section></section><section style="display: inline-block; vertical-align: bottom; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; padding: 0px 0px 0px 8px; align-self: flex-end; box-sizing: border-box;"><section style="text-align: justify; color: #a1daf5; font-size: 11px; line-height: 1.1; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/Fg6wiotzRBJ_-hJJc9rnareHPv5o" /></section></section><section style="font-size: 12px; color: #a0a0a0; text-align: center; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">▲ 黄惊鸿主任医师检查患者伤口恢复情况</strong></p></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">主动脉夹层是一种极危险的疾病，<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">疼痛是主动脉夹层最常见的症状</span></strong>。</p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">约85%以上的夹层患者发病时会出现突发、持续的<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">“撕裂样”或“刀割样”</span></strong>等难以忍受的剧痛，<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">可由高强度体力活动或剧烈运动诱发</span></strong>，伴有濒死感。<span style="text-indent: 2em; box-sizing: border-box;">疼痛部位根据破口位置及夹层累及范围而有所不同，以</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">胸痛、背痛及腹痛多见</span></strong><span style="text-indent: 2em; box-sizing: border-box;">，可伴有颈部、上肢、背部和下肢的</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">放射性疼痛或麻木感</span></strong><span style="text-indent: 2em; box-sizing: border-box;">，</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">严重者可导致休克</span></strong><span style="text-indent: 2em; box-sizing: border-box;">。</span></p></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 80%; height: auto; box-sizing: border-box;"><img class="rich_pages wxw-img" style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box;" src="https://pics-app.cnyw.net/Func74MAjgGQbDZEvlcu3wU4ElOM" /></section></section><section style="color: #6a3e3e; line-height: 2.5; box-sizing: border-box;"><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="text-indent: 2em; box-sizing: border-box;">黄惊鸿表示，夹层形成以后，动脉壁会变薄变脆，</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">咳嗽、弯腰提物都有可能让动脉破裂，造成大出血</span></strong><span style="text-indent: 2em; box-sizing: border-box;">。而血液会直接涌入胸腔、腹腔甚至心包，引起大脑、心脏等重要器官供血不足，导致患者出现休克，</span><strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">可瞬间危及生命</span></strong><span style="text-indent: 2em; box-sizing: border-box;">。</span></p><p style="text-indent: 2em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">在此，他提醒，一旦突然出现<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">剧烈胸痛、背痛、腹痛，以及呼吸困难、晕厥等</span></strong>症状，尤其是在<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">身体活动或紧张情绪后出现</span></strong>，可能是主动脉夹层的信号，请<strong style="box-sizing: border-box;"><span style="color: #ff0000; box-sizing: border-box;">立即就医</span></strong>，并告知医生症状、发病时间以及既往病史，以便尽早确诊接受相关治疗。</p></section></section></section></section><p style="display: none;"> </p> <!----></div> :(:( 点赞
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