The emergency room is not idle in the middle of the night, and patients are brought in from time to time. Only a slow and leisurely uncle who walked into the clinic was a little different.
As soon as he sat down, he told the doctor that he suddenly felt a stomachache when he slept at night and wanted to prescribe some anti-inflammatory drugs to eat.
The emergency doctor asked the patient in detail, and the uncle said that he had eaten Bohol pills. Now my stomach hurts, and I don't have much strength.
The emergency doctor followed the procedure and gave the uncle a physical examination. Explained the reason to the uncle, asked for consent and did an electrocardiogram.
The results of the ECG came out: ST-segment depression
The doctor found that something was wrong and sent the uncle's picture to the chest pain group. It could be myocardial ischemia! Contact the Cardiology Department.
I heard that I still need to have a blood test? Uncle couldn't hold back at once, and his emotions exploded. "Don't I just have a stomachache?" Prescribing an anti-inflammatory drug is over, what is there to check? ”
The doctor quickly explained to uncle that there was a problem with his report. The blood is drawn to see if it is a heart vascular disease. Stomach pain is not as simple as gastroenteritis!
Uncle was even angrier when he heard it. What stomach pain can be related to the heart? I saw that your hospital wanted to do more examinations, and finally said that it was okay.
The anti-inflammatory medicine he wanted did not arrive, and the uncle turned his head and left. Doctors can't stop it. The family members stood aside, did not say a word, and followed.
Seven hours later, the patient who was sent to the hospital again was diagnosed!
Early the next morning, Uncle was taken to the hospital by ambulance again. At this time, his blood pressure was 82/50mmHg, and he was unconscious.
What's going on here?
It turned out that the uncle's illness worsened after last night's angry and homecoming. He began to have chest tightness. Thinking of the doctor's words, this began to be afraid. Uncle took some heart-saving pills, and slapped himself hard, trying to open up the blood vessels.
But none of this worked. In the morning, Uncle's condition was so severe that he needed to call 120 ambulances. When he arrived at the hospital, he was diagnosed with acute myocardial infarction!
During the operation, it was found that the patient's right coronary blood vessel was blocked and the left coronary artery was narrowed. Myocardial infarction coupled with heart failure, the mortality rate of patients suddenly soared!
At this time, the family's crying in a mess does not play any role. The first aid measures were not done well, and the illness was too delayed.
Obviously it is a heart attack, why does it hurt my stomach?
Heart attack is bound to have chest pain? Chest pain must be a heart attack?
If you think so too, you may not know much about the chest pain centers in hospitals.
The symptoms of many high-risk diseases are chest pain. It may be pneumonia, it may be angina, it may be aortic dissection and so on. The Chest Pain Center can quickly identify which disease the patient is and treat it as early as possible.
And the sore spot of myocardial infarction is not only in the chest. The stomach, back, and neck are all multiple areas.
There are also myocardial infarction patients who just feel that their chest is stuffy, can't breathe, and don't have pain. If everyone is like the uncle, they become their own doctors and refuse reasonable examinations, it is really likely to delay the disease!
The 2 fatal mistakes that many people have made, have you made them too?
01 Refusal to do the examination during the emergency department
When many people go to the emergency room, they will have a doubt. I only have where I'm uncomfortable, and how does the doctor want me to do a bunch of tests?
What tests may be done in the emergency department?
In general, electrocardiogram, blood routine, chest CT, and myocardial enzymes are more common items. It is important to note that some patients may have to do the same project several times in a short period of time.
For example, some patients suspected of having heart disease may have to do an electrocardiogram several times. This is because the onset time is short and dynamic changes need to be observed.
Myocardial enzyme examination can also detect myocardial infarction, area of infarction and so on.
02 Open the blood vessels by patting
When many people feel that their hearts and blood vessels are uncomfortable, they are also very afraid, and they feel that slapping hard may also be a first aid measure.
Slapping hard not only has no practical effect, but it is more dangerous!
This is because, when slapped hard, the oxygen consumption of the heart muscle will increase, which may lead to sudden death!
Dr.X said
The matter of illness is not a headache, but a foot pain. And the symptoms of various diseases are very similar, with a certain degree of concealment. Life and death are often in an instant. If patients can trust the doctor's professional judgment, sometimes it can really play a big role!