This Doctor is Great
Chapter 217: Coronary Heart Patient
Zhang Mei and Zhou Mo pushed the middle-aged patient to the emergency room.
Although middle-aged patients have not yet been diagnosed, such middle-aged patients with heart problems cannot tolerate any slights.
The middle-aged patient was pushed into the emergency room.
close the door,
Zhou Mo blocked the middle-aged patient's wife and said, "The emergency room, family members can't go in, you wait outside first."
Why can't family members enter the emergency room?
Because middle-aged patients in the emergency room are generally in serious condition and may die at any time.
And if there is a family member, pulling and pulling at the doctor, begging for help, or holding his leg for help, or crying and shouting, all kinds of obstacles...
That is a great obstacle to the mission of doctors and nurses to save people.
The wife was stunned: "Can't I come in?"
Zhou Mo nodded firmly: "I can let you in if I need to."
The wife can only give up.
Zhou Mo entered the emergency room,
at this time,
Nurses are connecting a middle-aged patient to an ECG monitor and doing an electrocardiogram.
Zhou Mo breathed a sigh of relief when he saw that the middle-aged patient and the middle-aged man were conscious.
Zhang Mei stood by the bed and began to ask:
"Can you tell me what's going on with you now?"
"My surname is Zhang and I am a lawyer."
The middle-aged patient began to speak.
The rules are fairly clear.
But it's just clutching his chest, intermittently, a little painful.
"I have dealt with many big cases before, and even helped the leaders of your hospital in lawsuits, and I am very familiar with many of your leaders."
Zhou Mo: "..."
At this time, what relationship are you talking about?
Quickly explain your illness!
"Because of work, I often need to stay up late."
"So my health is not very good, but I often go to the hospital for physical examinations, and I haven't found any major problems, that is, sub-health and the like, high blood pressure, high blood lipids, I don't care about it, after all, high blood pressure... Barabara …”
Zhang Mei interrupted directly: "Sir, I can say it simply... Of course I have to say it..."
Middle-aged patient: "Uh... good!"
"One night two years ago, when I was sorting out information, I suddenly felt some chest tightness and pain."
"It's just a sting."
"At the time, I thought it was due to being too tired to stay up all night, so I didn't care, but the pain in my chest got worse and worse, and it was like someone was hitting with a hammer."
Saying that, the middle-aged patient's face showed a painful expression.
He was used to being pampered, and he never suffered much, and the chest pain that day was still fresh in his memory to this day.
"I went to the hospital that night and was diagnosed with coronary heart disease (atherosclerosis, ischemia)."
High blood pressure, high blood lipids, obesity, and uncomfortable living habits are often the causes of coronary heart disease.
while middle-aged patients
The middle-aged patient gave a wry smile.
"Although the physical examination showed that my heart was not very good, I didn't pay much attention to it. I didn't expect it to turn into coronary heart disease."
Zhou Mo asked, "Is there any follow-up treatment after the diagnosis? Take medicine?"
Although coronary heart disease is not very serious, it can be fatal if there is no late treatment.
Taking medicine for a long time is the best way.
can effectively reduce the risk.
Hearing Zhou Mo's words, the middle-aged patient gently shook his head.
"Because the diagnosis was mild at the time, and I was dealing with a big case, there was no hospitalization."
"However, I took the medicine on time. After taking the medicine, the symptoms of chest pain and chest tightness were relieved, and there was no further hospitalization."
In fact, at the beginning, he still took medicine on time, but then he often forgot to take medicine when he was busy with work.
However, during this period of time, he was promoted to the position of director in the office, and ordinary small cases no longer need to be handled by himself.
For larger cases, there are also multiple assistants to help, so the work pressure is much lighter.
Therefore, during this period of time, he rested relatively well, and he rarely committed coronary heart disease again.
"But at around three o'clock this afternoon, I was in a company meeting when I suddenly felt chest pain and I couldn't breathe."
"At that time, I urgently terminated the meeting and went back to the office to take some medicine for coronary heart disease, but nothing improved."
"And the pain in my chest was getting worse and worse, like someone put a big rock on my chest and smashed it with a hammer."
"I thought it was really bad, so I rushed the ambulance and came to the hospital."
Calling the 120 ambulance is the right thing to do.
Many people may want to come directly by car, but it is not correct.
If your heart stops halfway through, you're in trouble.
And if you dial 120, there will be some basic emergency equipment in the car, in case a middle-aged patient falls ill, you can also provide first aid.
Zhang Mei asked, "How long has it been in pain this time?"
The middle-aged patient thought about it and replied, "This time it will take more than 40 minutes."
As he said that, a painful expression appeared on his face, and a layer of cold sweat appeared on his forehead.
"Usually, the chest pain can be relieved by taking some medicine, and it can be relieved even after a few minutes without taking medicine, but this time is different. UU Reading www.uukanshu.com"
"The pain isn't going down, it's getting more and more painful."
Zhou Mo asked from the side: "Is it painful and stuffy like a stone pressing on my chest, I can't breathe, and every breath is very difficult."
The middle-aged patient nodded again and again: "Yes, yes, doctor, you are right, that's how it feels."
Zhou Mo: "What medicine did you take?"
Middle-aged patient: "Nitroglycerin."
Then he clutched his chest and said, "I'm so uncomfortable, doctor, can you give me some medicine to make me feel better?"
talking.
Sweat started to appear on his forehead, and his face looked very painful.
at this time,
The ECG monitor has been connected.
160/90…
It is normal for a patient with a history of hypertension.
In this case, it should be possible to give nitroglycerin to middle-aged patients.
After containing nitroglycerin, the effect can be started in 1-2 minutes, the peak effect is reached in 3-10 minutes, and the duration is 20-30 minutes.
"When did you take nitroglycerin?"
"When you come..."
"How long?"
"Half an hour..."
Zhang Mei nodded and began to instruct the nurse to give the patient nitroglycerin.
Zhou Mo continued to ask.
"In addition to coronary heart disease, high blood pressure, and high blood lipids, what other diseases do you have?"
"Have you had any heart surgery?"
Detailed information is very necessary to know before treating middle-aged heart patients.
Especially with regard to the heart, otherwise a little negligence may lead to the death of a middle-aged patient.
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