冠状动脉覆盖在心脏表面，导致其发生“狭窄”和“堵塞”的根源，是冠状动脉内皮损伤。
聂绍平主任医师
首都医科医院急诊危重症中心
保护血管内膜，就是保护“人体的生命线”！
血管内膜
血管内膜由内皮和内皮下层组成，内皮功能一旦受损，就会出现动脉粥样硬化斑块累积、破裂、堵塞，严重危及生命安全！
血管内膜的功能
血管内膜主要由很薄的血管内皮细胞构成，有防御、交换、分泌的功能。
血管内膜可以阻挡血液中有害物质对血管壁的侵害，将血液中的氧气和营养物质交换到血管壁中，并且能够分泌因子调节血管的收缩和舒张功能，平衡促凝血和抗凝血系统，抑制血栓形成。
小贴士“三高”包括高血压、高血脂、高血糖，以及吸烟等不良生活习惯是导致血管内皮破损的危险因素！
血管内皮一旦损伤，血液中的胆固醇和细胞会浸润至内膜下，进而形成动脉粥样硬化！
动脉粥样硬化斑块
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心绞痛
心绞痛分为稳定型心绞痛和不稳定型心绞痛，在临床中，只有50%的冠心病患者会出现典型的心绞痛症状！
心绞痛的5个典型特征
诱因：劳累、饱餐、情绪激动时诱发；
性质：闷痛、压榨样疼痛或不适；
位置：心前区、胸骨后，疼痛的区域大概有拳头或巴掌大小；
持续时间：3-5分钟，一般不超过10-20分钟；
缓解方式：休息或含服硝酸甘油后，可缓解。
心绞痛的非典型性特征
心脏受脊髓的臂丛神经支配，而人体的下颌和上腹部之间都属于臂丛神经的支配范围，所以心绞痛的不典型症状可能为下颌至上腹部之间的放射症状。
专家提醒：硝酸甘油是治疗心绞痛最有效、最可靠的药物，中老年冠心病患者建议随身携带。
动脉粥样硬化斑块破裂导致血栓形成
动脉粥样硬化斑块破裂导致血栓形成可发生急性心肌梗死！
专家提醒：冠心病患者预防斑块破裂导致的血栓形成，要注意避免情绪激动，避免剧烈运动，控制血压，以减少心肌耗氧量增加。
小贴士据报道，80%的医院外！遇见猝死患者，我们该如何应对？快做心肺复苏！
心肺复苏术
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生活中，我们要注意保护血管内皮，预防斑块破裂，学会心肺复苏，并且远离“三高”、吸烟、饮酒、压力过大、熬夜、劳累过度等危险因素！
健康之路
《心脏历险记》（下）
播出时间：9月19日18:38
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