Jimu news reporter Chen Lingyan
Correspondent Zhang Quanlu
Ms. Zhang has always had chest pain in the past 1 month, and when she checked it out, she found that it was a pulmonary embolism, and the reason was because she had taken contraceptives for three or four consecutive months. On the 30th, when Ms. Zhang was discharged from the hospital, the doctor reminded that patients with long-term oral contraceptives, due to individual differences and other reasons, some people will form blood clots in the body, so they must strictly follow the doctor's instructions, and after cough, shortness of breath, chest pain and other lung discomfort, they should seek medical treatment as soon as possible.
Ms. Zhang, 35, is from Wuhan, with frequent chest pain in the past month, said that she was pneumonia after examination in a hospital, and after half a month of treatment, her symptoms did not improve at all, and the examination found that it was only a shadow on the left lung, and the right lung also appeared.
When she came to Wuhan Pulmonary Hospital earlier this month, she reported frequent coughing, shortness of breath, and faint pain in her chest. Guo Guangyun, chief physician of the respiratory ward of the hospital, carefully studied ms. Zhang's relevant examination results, and after asking about the medical history and medication history, Guo Guangyun believed that the patchy shadow on her lungs was not like an infectious lesion, but more like a blood vessel blockage in the upper lungs and the lack of nutrition.
"Because the blood vessels are not working, the blood cannot be served just as the water in the field cannot be watered, and the crops wither." Guo Guangyun arranged a lung enhancement CT examination for Ms. Zhang, and the results confirmed her estimate. From the enhanced CT image, it can be clearly seen that there are multiple blood clots in the branch arteries of Ms. Zhang's left and right lungs. The patchy shadow on the original image happens to be the distal area where these branch arteries are connected. The blood from the upstream is blocked, and the downstream ischemia isung, which is the reason for Ms. Zhang's cough and chest pain.
"You have a pulmonary embolism." Guo Guangyun told Ms. Zhang.
"I'm only in my thirties, how come I have a pulmonary embolism?" Ms. Zhang was puzzled.
During the inquiry, Guo Guangyun found that Ms. Zhang had been taking oral contraceptives for three or four consecutive months to treat gynecological diseases. This is the high risk factor for pulmonary embolism.
After symptomatic treatment, the blood clots in ms. Zhang's blood vessels in her lungs were quickly eliminated, and the patchy area on her lungs gradually returned to normal. On the 30th, Ms. Zhang recovered and was discharged from the hospital.
Guo Guangyun said that patients with long-term oral contraceptives, because of individual differences, some people will form blood clots in the body. Therefore, if long-term oral contraceptives are necessary for treatment, such patients must be vigilant, and once there is lung discomfort such as cough, shortness of breath, chest pain, etc., they should immediately go to the hospital to exclude thrombotic factors.
In addition to long-term oral contraceptives, there are also some daily behaviors that are also easy to lead to thrombosis, such as long-term sedentary, long-term curled up in transportation, or long-term bed rest, etc., are easy to form blood clots. Once a blood clot is formed, it will travel in the human body with the blood circulation, and once it is stuck in the pulmonary artery, it will form a pulmonary embolism.