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发生了胸痛之后，应该做什么？
医院。胸痛，先排除心肺，因为心肺的胸痛最致命，其他的病可以排在第二第三位。尤其是平时什么不适都没有，但平白无故发作胸痛的患者。
首都医科医院心脏中心有一位患者李先生，38岁，一年前因为急性心梗住进心脏中心。
“我是去年11月5号，坐地铁的时候，出了一身汗，就站在两个地铁中间那个通风口，大概吹了半小时风。结果半小时后觉得越汗越来多，胸口开始疼，牙也开始疼了，我就觉得有点问题了。”
老李静止站了一分钟，发现没有丝毫缓解，医院，一点没耽搁。
急诊各项检查提示，当时已经发生了心梗，立刻上台造影，发现前降支近端已经闭死，后面的血流无法通过。
我们人的心脏血管主要是三支，前降支、回旋支和右冠状动脉。前降支作为供应左心室的前壁，包括心尖、前间隔，甚至部分侧壁，这一大面积的功能性心肌，十分重要，一旦它闭塞，这一大部分心肌缺血，时间长了就会坏死，导致心功能的严重受损。
急诊紧急开通前降支近端，置入一枚支架。支架扩张的一瞬间，血液通过，心肌不再缺血，胸痛马上缓解了。
“支架一下去我就感觉好了。后来这一年也都没疼过了。”
王彦富医生提醒：年的数据提示，咱们国人的发病至就诊时间还在5个小时以上。就是一个人发病了，因为各种原因，医院就诊的时间，仍然在5小时以上。5小时的时间是非常长的，而世界上最快的是德国，从发病到就诊时间大约一小时。
当然，咱们时间间隔长有各方面原因，但主要还是因为患者自身重视程度不够高。有的觉得胸口疼，忍一忍就过去了，其实不是，越忍可能病情越严重，后续连抢救的机会可能都没有了。还有的就是觉得自己年轻，不可能得心梗，不认为是这个病，不会重视，结果好多都耽误了。
李先生复查结果正常，与他这一年来的维护脱不开关系。一年里李先生每个月