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<div id="i3gva66utzw" class="detail-content wbwr f32 lh52 pt20 taj"><p>高血壓、冠心病和腦?；颊邞?yīng)就診心血管內(nèi)科和神經(jīng)內(nèi)科。心血管內(nèi)科負(fù)責(zé)高血壓與冠心病診療，神經(jīng)內(nèi)科專攻腦梗治療，病情復(fù)雜時(shí)需多學(xué)科協(xié)作。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/73/FE/o4YBAGgdaXyAX4iUAAEEnOInuiA807.jpg"></p><p>1、心血管內(nèi)科：</p><p>高血壓和冠心病屬于心血管系統(tǒng)疾病。心血管內(nèi)科醫(yī)生通過(guò)血壓監(jiān)測(cè)、心電圖、冠脈造影等手段評(píng)估病情，開具降壓藥如氨氯地平、β受體阻滯劑，冠心病患者可能需支架植入術(shù)。合并血脂異常者需聯(lián)合降脂治療。</p><p>2、神經(jīng)內(nèi)科：</p><p>腦梗即缺血性腦卒中，由神經(jīng)內(nèi)科負(fù)責(zé)急性期溶栓及二級(jí)預(yù)防。醫(yī)生會(huì)進(jìn)行頭顱CT/MRI檢查，使用阿司匹林抗血小板、他汀類藥物穩(wěn)定斑塊。大面積腦梗需聯(lián)合康復(fù)科進(jìn)行功能恢復(fù)訓(xùn)練。</p><p>3、多學(xué)科聯(lián)合：</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/2C/64/oYYBAGgdaXyAIf-fAADDKLRWyA4914.jpg"></p><p>三高共病患者常需心血管內(nèi)科與神經(jīng)內(nèi)科協(xié)同治療。如冠心病合并腦梗時(shí)，需平衡抗凝與抗血小板治療；高血壓引發(fā)腦出血?jiǎng)t需神經(jīng)外科介入。部分醫(yī)院設(shè)有卒中中心提供整合診療。</p><p>4、急診處理：</p><p>突發(fā)胸痛或偏癱需立即急診科就診。急診醫(yī)生會(huì)快速分診，心肌梗死患者轉(zhuǎn)心血管內(nèi)科導(dǎo)管室，腦?；颊邌?dòng)卒中綠色通道。血壓急劇升高至180/120mmHg以上屬高血壓危象，需緊急降壓處理。</p><p>5、康復(fù)隨訪：</p><p>病情穩(wěn)定后需定期復(fù)診，心血管內(nèi)科隨訪血壓和心臟功能，神經(jīng)內(nèi)科評(píng)估神經(jīng)系統(tǒng)后遺癥?？祻?fù)科協(xié)助運(yùn)動(dòng)功能恢復(fù)，營(yíng)養(yǎng)科指導(dǎo)低鹽低脂飲食。建議配備家用血壓計(jì)和智能心電監(jiān)測(cè)設(shè)備。</p><p>患者日常需嚴(yán)格遵醫(yī)囑用藥，每日監(jiān)測(cè)晨起和睡前血壓并記錄波動(dòng)情況。飲食采用地中海飲食模式，限制鈉鹽攝入至每日5克以下，增加深色蔬菜和深海魚類攝入。每周進(jìn)行150分鐘中等強(qiáng)度有氧運(yùn)動(dòng)如快走、游泳，避免劇烈運(yùn)動(dòng)引發(fā)心腦血管事件。戒煙限酒，保持情緒穩(wěn)定，睡眠時(shí)間保證7-8小時(shí)。冬季注意保暖防寒，夏季避免大量出汗導(dǎo)致血液濃縮。定期復(fù)查血脂、血糖和肝腎功能，每年至少進(jìn)行一次頸動(dòng)脈超聲和心臟超聲檢查。</p></div> <div id="i3gva66utzw" class="f24 fc9 lh40 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