Please call 911 immediately if you are having chest pain, difficulty breathing, severe bleeding, sudden weakness or numbness, or if you think you have a medical emergency.请立即拨打911 ,如果您有胸部疼痛,呼吸困难,严重出血,突发性的缺陷或麻木,或如果你认为你有一个医疗的紧急情况。 Angina Pectoris Treatment心绞痛治疗 The treatment for angina depends on the severity of the symptoms and the results of tests that are done to find the underlying cause.治疗心绞痛取决于严重的症状,化验结果是这样找到的根本原因。 Self-Care at Home自我照顾家 Stop doing whatever it is that causes your symptoms and call 911.停止做什么,那就是你的症状的原因,并拨打911 。 Immediate help and intervention is your best chance for survival if you are having a heart attack or other serious problem.直属协助和干预是你最好的生存机会,如果您有心脏病发作或其他严重的问题。 - Lie down in a comfortable position with your head up.躺下一个舒适的立场,你的脑袋了。
- If you have regular adult aspirin or its equivalent, chew one (as long as you are not allergic to aspirin).如果您有经常成人服用阿司匹林或同等学历,嚼一(只要你不过敏的阿司匹林) 。 Chewing more than one will not do any good and may cause unwanted side effects.咀嚼不止一个没有任何好处,而且可能导致不必要的副作用。
If you have had angina before and been evaluated by your health care provider, follow his or her recommendations.如果你有心绞痛之前和评价了您的卫生保健提供者,仿效他或她的建议。 - This may mean rest, and the immediate use of sublingual nitroglycerin.这可能意味着休息,并立即使用舌下含化硝酸甘油。
- It may include a visit to the hospital emergency department.它可能包括访问到医院急诊室。
Medical Treatment医疗 If you have come to the hospital emergency department, you may be sent to another care area for further testing, treatment, or observation.如果您已经来到医院急诊室,您可以发送到其他医疗领域作进一步化验,治疗,或观察。 On the basis of your provider's preliminary diagnosis, you may be sent to the following units:在此基础上您的供应商的初步诊断,您可向以下单位: - An observation unit pending test results or further testing一个单位待观察试验结果,或进一步测试
- A cardiac care unit一个心脏监护病房
- A cardiac catheterization unit甲心导管单位
- The operating room for emergency cardiac bypass surgery手术室紧急心脏搭桥手术
Regardless of where you are sent, several basic treatments may be started.无论你在哪里发出几个基本的治疗可能会开始。 Which are given to you depends on the severity of your symptoms and the underlying disease.这是给你取决于你的严重性症状和疾病的根本。 - You will have at least one intravenous line started.您将至少有一个静脉线开始。 This line is used to give medication or fluids.此行是用来给药品或液体。
- You will probably be given an aspirin if you haven't already taken one.您可能会给予阿司匹林如果你还没有一个已经采取的。
- You may be given oxygen through a face mask or a tube in your nose.您可能会得到通过氧气面罩或管你的鼻子。 This will help you feel better if you are having trouble breathing or feeling uncomfortably short of breath by raising the oxygen content of your blood.这将帮助你感觉更好,如果您有呼吸困难或感觉不舒服气短通过提高氧气含量的血液。
Treatment will depend on the severity of your symptoms, severity of the underlying disease, and extent of damage to the heart muscle, if any.治疗将取决于您的严重性症状,严重的潜在疾病,以及损害程度的心脏肌肉,如果有的话。 - Simple rest and observation, an aspirin, breathing oxygen, and sublingual nitroglycerin may be all that you need, if it is only angina.简单的休息和观察,阿司匹林,呼吸氧气,并舌下含化硝酸甘油可能是所有你需要,如果它只是心绞痛。
- You may be given medication to reduce anxiety or to treat pain.您可考虑药物治疗,以减少焦虑或治疗疼痛。
- You may be given medication to lower your blood pressure or your heart rate.您可考虑药物治疗,以降低您的血压或心率。 Beta blockers, Angiotensin Converting Enzyme Inhibitors (ACE inhibitors), and cholesterol- lowering drugs (statins) are commonly given if the chances of a heart attack are likely. β -受体阻滞剂,血管紧张素转换酶抑制剂( ACE抑制剂) ,以及降胆固醇药物(他汀)是常见的,如果给予的机会心脏病发作的可能。
- You may be given medication to reduce your risk of having a blood clot or to prevent further clotting.您可考虑药物治疗,以减少自己的风险有一个血块,或防止进一步的凝结。
- If the health care provider believes your chest pain actually represents a heart attack, you may be given a powerful "clot-buster" medication called a fibrinolytic.如果卫生保健提供者相信您的胸痛实际上代表了心脏病发作,您可能会得到一个强大的“血块终结者”所谓的药物溶栓。
After reviewing your immediate test results, the hospital health care provider will make a decision about where you should be for the next hours and days.在审查您立即测试结果,该医院的卫生保健提供者将作出决定,在哪里你应该为下一个时间和日期。 - If you are feeling better, your condition is stable, and this was only an angina attack, you may be allowed to go home.如果你感觉好一些,你的条件是稳定的,这只是一个心绞痛的攻击,您有可能被允许回家。 You may be given medications to take.您可能会考虑采取药物治疗。 You will be told to follow up with your primary care provider within the next day or two.你会被告知采取后续行动,与您的初级保健供应商在未来一两天。
- If you keep having symptoms or your condition is unstable, you will be admitted to the hospital.如果你继续有症状或您的条件是不稳定的,你将住院。 You will probably undergo further tests and possibly coronary angiography, coronary artery angioplasty, or even coronary artery bypass surgery, if all your arteries are critically blocked.您可能会进行进一步的试验,并可能冠状动脉造影,冠状动脉腔内成形术,甚至冠状动脉搭桥手术,如果您的所有动脉的严重受阻。
Angioplasty is a treatment used for people whose angina does not get better with medication and/or who are at high risk of having a heart attack.血管成形术是一种用于治疗人的心绞痛没有得到更好的治疗和/或谁是高风险的心脏病会发作。 - Before angioplasty can be done, the area(s) of coronary artery narrowing is located with coronary arteriography.在血管成形术可以做,该地区( s )的冠状动脉狭窄与位于冠状动脉造影。
- A thin plastic tube called a catheter is inserted into an artery in the arm or groin with local sedation.薄塑料管所谓的导管插入动脉的手臂或腹股沟与当地镇静。 The catheter has a tiny balloon attached to the end.导管有一个小气球重视结束。
- The catheter is threaded through the arteries and into the artery where the narrowing is.是的螺纹导管通过动脉进入动脉而缩小的。
- The balloon is inflated, opening up the narrowing.气球是夸大的,开放的缩小。
- This is not a permanent solution for most people.这不是一个永久性的解决办法对大多数人。 Many require placement of a "stent," a small metal sleeve that is placed in the narrowed artery.许多人需要安置的“支架” ,一个小金属套筒是放置在动脉收窄。 The stent holds the artery open.持有的支架动脉开放。
If you have had angina symptoms and are visiting your primary care provider for evaluation, he or she will make a decision about how to proceed with the evaluation.如果你有心绞痛症状,并访问您的初级保健提供者的评价,他或她会作出决定如何着手进行评价。 The choices include going ahead with the evaluation on an outpatient basis, referring you to a specialist in heart disorders (cardiologist), or admitting you to the hospital for further workup.在选择包括前进与评价门诊的基础上,您提到的专家在心脏疾病(心脏病) ,或承认你到医院作进一步workup 。
VitaDocs Medical Reference from eMedicineHealth VitaDocs医疗借鉴eMedicineHealth
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