有(you)很多(duo)人經常半夜(ye)胸(xiong)口疼，這個(ge)時候要(yao)警惕，引起胸(xiong)口疼痛的(de)常見(jian)原因，比(bi)如心(xin)肌炎或(huo)者是心(xin)包(bao)炎以及心(xin)律失常的(de)患(huan)者，都可能會出現胸(xiong)部(bu)有(you)疼痛感，還有(you)氣短問(wen)題(ti)常見(jian)心(xin)臟疾病。
1、疼痛：心(xin)(xin)肌炎(yan)、心(xin)(xin)包炎(yan)、心(xin)(xin)律失(shi)常(chang)的病人(ren)均(jun)可感到胸部(bu)疼(teng)痛(tong)(tong)。最常(chang)見的是心(xin)(xin)絞(jiao)痛(tong)(tong)。心(xin)(xin)絞(jiao)痛(tong)(tong)往往以勞(lao)累、激動、飽餐為誘因突(tu)然發(fa)作，疼(teng)痛(tong)(tong)部(bu)位多(duo)在胸部(bu)正中，有壓(ya)迫、灼(zhuo)熱或擠壓(ya)感，甚至(zhi)是一種瀕臨死亡的窒息(xi)感，有的可放散在左(zuo)肩、背及左(zuo)上(shang)臂內側。疼(teng)痛(tong)(tong)持(chi)續時間短，3—5分鐘消失(shi)，最長不超過20分鐘。
2、氣短：氣(qi)短(duan)(duan)是(shi)心臟病(bing)常見(jian)癥狀。最顯(xian)著特點(dian)是(shi)勞(lao)力(li)性(xing)氣(qi)短(duan)(duan)和夜間陣發性(xing)呼吸困(kun)難(nan)。勞(lao)力(li)氣(qi)短(duan)(duan)就是(shi)氣(qi)短(duan)(duan)與活(huo)動有(you)關。心臟病(bing)人常說，我上(shang)二層樓都心慌、憋氣(qi)，受不了;夜間陣發性(xing)呼吸困(kun)難(nan)即(ji)夜間睡臥不平，有(you)時從夢中(zhong)憋醒，端坐且喘息一會兒方可緩解。
3、胸痛：冠狀動(dong)脈(mo)供血不(bu)足時心臟缺氧?病人就(jiu)會出(chu)(chu)現(xian)胸(xiong)悶，缺血嚴(yan)重時感到胸(xiong)痛(tong)(tong)?其疼(teng)痛(tong)(tong)程(cheng)(cheng)度性質及持續時間(jian)因人而異。如(ru)果(guo)(guo)缺血是暫(zan)時性的?胸(xiong)痛(tong)(tong)程(cheng)(cheng)度通(tong)常較輕，且(qie)持續時間(jian)短最多持續20分鐘(zhong)即可消失(shi)。如(ru)果(guo)(guo)冠狀動(dong)脈(mo)完全阻塞(sai)所致(zhi)?胸(xiong)痛(tong)(tong)程(cheng)(cheng)度劇(ju)烈(lie)且(qie)疼(teng)痛(tong)(tong)持續時間(jian)超過20分鐘(zhong)?多伴有出(chu)(chu)冷汗、面色蒼白、胸(xiong)口壓(ya)榨樣疼(teng)痛(tong)(tong)，疼(teng)痛(tong)(tong)往(wang)(wang)往(wang)(wang)會向左上臂或(huo)后背放(fang)射、休克(ke)等，須即刻(ke)就(jiu)醫做動(dong)態(tai)心電(dian)圖檢(jian)查。
4、心律失常：正常(chang)心(xin)(xin)跳(tiao)每(mei)分鐘在50～100次(ci)之間?若在50次(ci)以下或100次(ci)以上，或跳(tiao)動(dong)不(bu)規律(lv)都(dou)叫做心(xin)(xin)律(lv)失常(chang)。運(yun)動(dong)時心(xin)(xin)跳(tiao)加快是正常(chang)現(xian)象，運(yun)動(dong)量越大，心(xin)(xin)跳(tiao)越快，如果運(yun)動(dong)時心(xin)(xin)率增(zeng)加不(bu)明(ming)顯，多是心(xin)(xin)臟病的(de)早期信(xin)號。運(yun)動(dong)后心(xin)(xin)跳(tiao)加快持續10分鐘以上，或停止某種活動(dong)后仍然感到呼吸急超過10分鐘，都(dou)屬于異(yi)常(chang)情況。心(xin)(xin)律(lv)失常(chang)嚴重(zhong)時表現(xian)為心(xin)(xin)悸，有(you)時伴氣喘、頭(tou)昏(hun)、眼花。
5、呼吸困難：以往爬(pa)樓梯輕輕松(song)松(song)?現在則要中途休息?或者(zhe)輕微活動也會感到(dao)氣急(ji)，躺下時咳(ke)嗽、呼吸(xi)困(kun)難，或者(zhe)睡(shui)到(dao)深夜突感心慌(huang)、氣喘(chuan)，坐起(qi)后氣急(ji)才能緩解，這通(tong)常是心功能不全的表現。
針灸培訓您好，引起胸痛的病因有很多，如：心絞痛、肋間神經炎和肋軟骨炎、胸椎病變、帶狀皰疹、食道反流和消化性潰瘍等都會胸痛。疾病的診斷要依據相關檢查，
您的情況，要是(shi)經常發作的，建議(yi)就診心(xin)電圖、B超(chao)等，明(ming)確(que)病因(yin)(yin)指導治療(liao)。同時(shi)不(bu)排除可能是(shi)由(you)于(yu)勞累(lei)、情緒等原因(yin)(yin)引起(qi)的，或者是(shi)神經官能癥(zheng)引起(qi)的。
普遍(bian)排(pai)名：第(di)(di)一 ■胸(xiong)(xiong)壁疼(teng)痛(tong)(tong)(tong)(tong)(tong)（chestwallpain）又(you)稱(cheng)肌肉(rou)骨(gu)骼疼(teng)痛(tong)(tong)(tong)(tong)(tong)（musculoskeletalpain） 特色 ●疼(teng)痛(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)(de)(de)(de)(de)(de)地(di)方(fang)只集(ji)中一點(dian)，病(bing)(bing)(bing)人(ren)(ren)能(neng)(neng)明(ming)確(que)地(di)指出來。 ●疼(teng)痛(tong)(tong)(tong)(tong)(tong)時(shi)間(jian)(jian)不(bu)(bu)(bu)(bu)長，每次通常只維持(chi)一、兩秒，有(you)(you)機會復(fu)發(fa)(fa)(fa)。 ●病(bing)(bing)(bing)人(ren)(ren)深呼吸、咳嗽、打(da)噴嚏或(huo)轉身時(shi)，胸(xiong)(xiong)口(kou)(kou)(kou)(kou)即刺痛(tong)(tong)(tong)(tong)(tong)，甚至(zhi)劇痛(tong)(tong)(tong)(tong)(tong)。 ●痛(tong)(tong)(tong)(tong)(tong)楚(chu)可(ke)能(neng)(neng)比其(qi)它疾病(bing)(bing)(bing)引(yin)(yin)起(qi)的(de)(de)(de)(de)(de)(de)(de)(de)胸(xiong)(xiong)痛(tong)(tong)(tong)(tong)(tong)更強烈，但大多數(shu)(shu)于數(shu)(shu)天(tian)至(zhi)兩、三(san)(san)星期內好轉。 ●任(ren)何年齡皆(jie)會患上(shang)。 病(bing)(bing)(bing)因(yin) ●病(bing)(bing)(bing)人(ren)(ren)扭(niu)傷肋(lei)骨(gu)間(jian)(jian)的(de)(de)(de)(de)(de)(de)(de)(de)軟骨(gu)并發(fa)(fa)(fa)炎(yan)，即肋(lei)骨(gu)軟骨(gu)炎(yan)（costochondritis），是(shi)較常見的(de)(de)(de)(de)(de)(de)(de)(de)胸(xiong)(xiong)壁疼(teng)痛(tong)(tong)(tong)(tong)(tong)疾病(bing)(bing)(bing)之(zhi)一。 ●由(you)(you)(you)流(liu)行(xing)性感(gan)冒(mao)等病(bing)(bing)(bing)毒引(yin)(yin)起(qi)發(fa)(fa)(fa)炎(yan)，此為(wei)Tietze'ssyndrome。（流(liu)感(gan)本身亦(yi)會令人(ren)(ren)全身骨(gu)痛(tong)(tong)(tong)(tong)(tong)。） ●較罕見的(de)(de)(de)(de)(de)(de)(de)(de)為(wei)肋(lei)骨(gu)斷(duan)裂，但也最(zui)痛(tong)(tong)(tong)(tong)(tong)楚(chu)。 治(zhi)(zhi)療 ●發(fa)(fa)(fa)炎(yan)的(de)(de)(de)(de)(de)(de)(de)(de)地(di)方(fang)不(bu)(bu)(bu)(bu)服(fu)藥(yao)也會自行(xing)痊(quan)愈，醫生(sheng)(sheng)或(huo)處方(fang)止(zhi)痛(tong)(tong)(tong)(tong)(tong)消炎(yan)藥(yao)（例如(ru)異丁苯丙(bing)酸(suan)(suan)(suan)，ibuprofen）。 ●肋(lei)骨(gu)斷(duan)裂的(de)(de)(de)(de)(de)(de)(de)(de)話只能(neng)(neng)待傷口(kou)(kou)(kou)(kou)自行(xing)愈合(he)。 ●不(bu)(bu)(bu)(bu)必服(fu)抗生(sheng)(sheng)素，因(yin)為(wei)它不(bu)(bu)(bu)(bu)能(neng)(neng)對(dui)(dui)病(bing)(bing)(bing)毒產生(sheng)(sheng)任(ren)何作用(yong)。 焦(jiao)慮致胸(xiong)(xiong)口(kou)(kou)(kou)(kou)痛(tong)(tong)(tong)(tong)(tong) 普遍(bian)排(pai)名：第(di)(di)二(er) ■焦(jiao)慮引(yin)(yin)起(qi)胸(xiong)(xiong)口(kou)(kou)(kou)(kou)疼(teng)痛(tong)(tong)(tong)(tong)(tong)（anxiety-relatedchestpain） 特色 ●病(bing)(bing)(bing)人(ren)(ren)聲稱(cheng)痛(tong)(tong)(tong)(tong)(tong)楚(chu)維持(chi)數(shu)(shu)小(xiao)時(shi)、數(shu)(shu)日、數(shu)(shu)年，甚至(zhi)十(shi)(shi)(shi)(shi)年以上(shang)。 ●整個胸(xiong)(xiong)部任(ren)何位(wei)置(zhi)都可(ke)能(neng)(neng)痛(tong)(tong)(tong)(tong)(tong)，通常病(bing)(bing)(bing)人(ren)(ren)感(gan)覺「翳」、「悶」。 ●靜(jing)止(zhi)時(shi)，例如(ru)坐下、躺下或(huo)沒(mei)有(you)(you)工(gong)(gong)作在(zai)手(shou)，病(bing)(bing)(bing)人(ren)(ren)便(bian)(bian)開始感(gan)到(dao)(dao)胸(xiong)(xiong)口(kou)(kou)(kou)(kou)不(bu)(bu)(bu)(bu)適(shi) ●工(gong)(gong)作時(shi)或(huo)運動(dong)時(shi)卻不(bu)(bu)(bu)(bu)會。 ●病(bing)(bing)(bing)人(ren)(ren)看醫生(sheng)(sheng)甫坐下，便(bian)(bian)急(ji)?數(shu)(shu)出多種「病(bing)(bing)(bing)征」：頭暈、冒(mao)汗、惡心(xin)(xin)(xin)(xin)(xin)(xin)、氣促、怕(pa)熱、怕(pa)冷(leng)、手(shou)腳或(huo)嘴(zui)唇(chun)麻痹(bi)，很(hen)想醫生(sheng)(sheng)快(kuai)點(dian)「治(zhi)(zhi)」好他的(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)。 病(bing)(bing)(bing)因(yin) 太緊張所致。 治(zhi)(zhi)療 重點(dian)處理精神(shen)狀態，詳(xiang)細解(jie)釋病(bing)(bing)(bing)人(ren)(ren)的(de)(de)(de)(de)(de)(de)(de)(de)胸(xiong)(xiong)口(kou)(kou)(kou)(kou)疼(teng)痛(tong)(tong)(tong)(tong)(tong)與心(xin)(xin)(xin)(xin)(xin)(xin)臟(zang)無關。高德謙稱(cheng)，通常說到(dao)(dao)這里，病(bing)(bing)(bing)人(ren)(ren)已安心(xin)(xin)(xin)(xin)(xin)(xin)許多。「還(huan)要(yao)耐心(xin)(xin)(xin)(xin)(xin)(xin)地(di)跟他們談(tan)，引(yin)(yin)導他們怎(zen)樣容易地(di)應(ying)付(fu)壓力。嚴重時(shi)需要(yao)找精神(shen)科醫生(sheng)(sheng)或(huo)臨?心(xin)(xin)(xin)(xin)(xin)(xin)理學家協助。」 普遍(bian)排(pai)名：第(di)(di)三(san)(san) ■冠(guan)心(xin)(xin)(xin)(xin)(xin)(xin)病(bing)(bing)(bing)所引(yin)(yin)發(fa)(fa)(fa)的(de)(de)(de)(de)(de)(de)(de)(de)心(xin)(xin)(xin)(xin)(xin)(xin)絞痛(tong)(tong)(tong)(tong)(tong) ■病(bing)(bing)(bing)情最(zui)嚴重 特色 ●與由(you)(you)(you)焦(jiao)慮引(yin)(yin)起(qi)胸(xiong)(xiong)口(kou)(kou)(kou)(kou)痛(tong)(tong)(tong)(tong)(tong)的(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)征相反(fan)(fan)，即走路、運動(dong)、追巴士、上(shang)樓梯等運動(dong)量大時(shi)才痛(tong)(tong)(tong)(tong)(tong)；停(ting)下來時(shi)痛(tong)(tong)(tong)(tong)(tong)楚(chu)亦(yi)停(ting)止(zhi)。 ●痛(tong)(tong)(tong)(tong)(tong)楚(chu)維持(chi)五(wu)至(zhi)十(shi)(shi)(shi)(shi)分鐘。 ●胸(xiong)(xiong)口(kou)(kou)(kou)(kou)，特別是(shi)上(shang)胸(xiong)(xiong)位(wei)置(zhi)有(you)(you)壓迫(po)感(gan)或(huo)感(gan)到(dao)(dao)被(bei)對(dui)(dui)象「頂住」。 ●如(ru)果疼(teng)痛(tong)(tong)(tong)(tong)(tong)持(chi)續十(shi)(shi)(shi)(shi)五(wu)至(zhi)三(san)(san)十(shi)(shi)(shi)(shi)分鐘，并且冒(mao)汗，可(ke)能(neng)(neng)是(shi)心(xin)(xin)(xin)(xin)(xin)(xin)肌梗塞，必須立(li)即到(dao)(dao)急(ji)癥(zheng)室。 病(bing)(bing)(bing)因(yin) 供應(ying)心(xin)(xin)(xin)(xin)(xin)(xin)臟(zang)養分的(de)(de)(de)(de)(de)(de)(de)(de)冠(guan)狀動(dong)脈栓塞。 治(zhi)(zhi)療 冠(guan)心(xin)(xin)(xin)(xin)(xin)(xin)病(bing)(bing)(bing)人(ren)(ren)心(xin)(xin)(xin)(xin)(xin)(xin)絞痛(tong)(tong)(tong)(tong)(tong)時(shi)服(fu)「?底(di)丸(wan)」能(neng)(neng)令血管擴張，紓緩病(bing)(bing)(bing)情。或(huo)接(jie)受(shou)「通波(bo)仔」、心(xin)(xin)(xin)(xin)(xin)(xin)臟(zang)搭(da)橋(qiao)手(shou)術(shu)，回復(fu)正常血流(liu)量。 普遍(bian)排(pai)名：第(di)(di)四 ■胃(wei)食道(dao)反(fan)(fan)流(liu)癥(zheng)（GERD） 特色 ●吃(chi)太飽、躺下或(huo)睡覺時(shi)有(you)(you)東西涌上(shang)來。 ●胸(xiong)(xiong)口(kou)(kou)(kou)(kou)有(you)(you)「脹住」及火灼(zhuo)(zhuo)感(gan)，口(kou)(kou)(kou)(kou)里甚至(zhi)有(you)(you)酸(suan)(suan)(suan)酸(suan)(suan)(suan)的(de)(de)(de)(de)(de)(de)(de)(de)味道(dao)。 ●坐起(qi)來情?改(gai)善。 病(bing)(bing)(bing)因(yin) 食道(dao)與胃(wei)之(zhi)間(jian)(jian)的(de)(de)(de)(de)(de)(de)(de)(de)「閘口(kou)(kou)(kou)(kou)」（一組括約肌）松弛(chi)，胃(wei)酸(suan)(suan)(suan)乘機上(shang)涌。 治(zhi)(zhi)療 ●改(gai)變生(sheng)(sheng)活習慣，如(ru)不(bu)(bu)(bu)(bu)要(yao)吃(chi)得(de)太飽。 ●服(fu)藥(yao)控制胃(wei)酸(suan)(suan)(suan)分泌。 ■膽(dan)囊(nang)發(fa)(fa)(fa)炎(yan) 特色 ●吃(chi)得(de)很(hen)飽時(shi)痛(tong)(tong)(tong)(tong)(tong)。 ●范圍集(ji)中在(zai)下半胸(xiong)(xiong)至(zhi)胃(wei)之(zhi)間(jian)(jian) ●有(you)(you)「頂住」或(huo)「脹住」的(de)(de)(de)(de)(de)(de)(de)(de)感(gan)覺。 ●持(chi)續痛(tong)(tong)(tong)(tong)(tong)數(shu)(shu)小(xiao)時(shi)。 病(bing)(bing)(bing)因(yin) 膽(dan)內生(sheng)(sheng)石以致發(fa)(fa)(fa)炎(yan)。 治(zhi)(zhi)療 需動(dong)手(shou)術(shu)切除膽(dan)囊(nang)。 胃(wei)酸(suan)(suan)(suan)反(fan)(fan)流(liu)與胸(xiong)(xiong)口(kou)(kou)(kou)(kou)痛(tong)(tong)(tong)(tong)(tong) 胃(wei)酸(suan)(suan)(suan)反(fan)(fan)流(liu)的(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)人(ren)(ren)感(gan)到(dao)(dao)胸(xiong)(xiong)口(kou)(kou)(kou)(kou)灼(zhuo)(zhuo)痛(tong)(tong)(tong)(tong)(tong)，而冠(guan)心(xin)(xin)(xin)(xin)(xin)(xin)病(bing)(bing)(bing)的(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)(bing)人(ren)(ren)同樣胸(xiong)(xiong)口(kou)(kou)(kou)(kou)感(gan)到(dao)(dao)不(bu)(bu)(bu)(bu)適(shi)，胃(wei)與心(xin)(xin)(xin)(xin)(xin)(xin)雖屬不(bu)(bu)(bu)(bu)同器官(guan)，但關治(zhi)(zhi)邦解(jie)釋，原來兩者都由(you)(you)(you)同一條神(shen)經(jing)線(xian)發(fa)(fa)(fa)出疼(teng)痛(tong)(tong)(tong)(tong)(tong)信息。 另外，他亦(yi)指出，治(zhi)(zhi)療胃(wei)食道(dao)反(fan)(fan)流(liu)癥(zheng)引(yin)(yin)起(qi)食道(dao)炎(yan)的(de)(de)(de)(de)(de)(de)(de)(de)藥(yao)物(wu)，并非直(zhi)接(jie)治(zhi)(zhi)愈食道(dao)炎(yan)，而是(shi)藥(yao)物(wu)能(neng)(neng)壓抑胃(wei)酸(suan)(suan)(suan)分泌。胃(wei)酸(suan)(suan)(suan)上(shang)涌少了，刺激食道(dao)的(de)(de)(de)(de)(de)(de)(de)(de)時(shi)間(jian)(jian)及次數(shu)(shu)也減(jian)少，受(shou)損的(de)(de)(de)(de)(de)(de)(de)(de)食道(dao)才有(you)(you)機會慢(man)(man)慢(man)(man)愈合(he)。
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