The third day of the Chinese New Year was originally a day of family reunion, happy reunion, and happy New Year's greeting, but for Mr. Du's family, it was indeed a day of great sorrow, because on this day Mr. Du died suddenly due to acute pulmonary embolism, only 35 years old...
Mr. Du is usually a keen sportsman and has a cheerful personality, and broke his foot and neck when playing basketball a month ago. Originally it was just an ankle ligament injury, when the foot and neck were very swollen, the doctor gave him a plaster cast, let him rest at home, and instructed him to pay attention to rehabilitation training and come to the hospital regularly for review.
Mr. Du seems to have forgotten the doctor's words after returning home, due to the cold weather, he has been lying flat at home, did not get up to train, did not go to the hospital for review, did not expect that on the morning of the third day of the New Year, suddenly chest pain, breathing difficulties, and then fainted!
The family immediately called 120, after being sent to the hospital, emergency electrocardiogram, blood gas analysis, D-dimer and other examinations, the doctor diagnosed him as an acute pulmonary embolism, after full rescue, it is extremely regrettable that he still failed to save Mr. Du's life.
The doctor said: The bane of Mr. Du's sudden death is related to these mistakes
Why is it that such a small disease as Wei Foot causes Mr. Du's sudden death from acute pulmonary embolism? The doctor said that the reason was that he was bedridden for a long time after the foot, which induced thrombosis, which eventually led to acute pulmonary embolism!
Doctors point out that there are three main causes of venous thrombosis: slow blood flow; vascular endothelial damage; and increased blood viscosity. Mr. Du was bedridden for a long time and failed to follow the rehabilitation training prescribed by the doctor, resulting in slow blood flow and thrombosis, which was the bane of the disease!
In addition, after the operation, the doctor suggested that Mr. Du go to the hospital regularly for a lower limb venous ultrasound examination, but he thought he was young and did not care, so he did not go to the hospital for re-examination. If you go to the re-examination, the doctor will find the abnormal indicators of the blood clot in time and can diagnose and treat it in time, which may save his life.
Doctors remind: do not make these mistakes after trauma such as foot injuries, so as not to avoid pulmonary embolism!
Acute pulmonary embolism, although its incidence is not as high as cerebral infarction and myocardial infarction, but the onset of the disease is more urgent, the treatment is more difficult, and the mortality rate is higher! Common causes of pulmonary embolism are:
1) Bedridden for too long
We know that the blood system is always circulating, it is mainly composed of arteries and veins, arterial blood flow rate is faster, and venous blood flow rate is slower than arterial blood, if the blood in the veins form abnormal clotting, it will cause venous return disorders. In general, this reflux disorder tends to occur in our lower limbs, which is what we often call deep vein thrombosis of the lower extremities.
If the blood clot formed by the vein falls off, it will reach the lungs of the gas exchange with the blood flow through the heart, the lungs will be close to the heart, if blocked, the pressure of the heart pumping into the lungs will rise sharply, and due to pulmonary artery embolism, the blood can not complete the gas exchange, the body will be deprived of oxygen, the first to be affected is also the heart and brain. Patients will soon develop respiratory and circulatory failure and die.
2) Sedentary
Not only bed rest can lead to the formation of deep vein thrombosis, but sitting for a long time can also lead to poor venous blood circulation, which slows down blood flow in the lower extremities and increases the risk of deep vein thrombosis.
People who often travel by long-distance plane, car, and train have a 2 to 4 times higher risk of deep vein thrombosis than the average person! This must be vigorously publicized, because many such people ignore these, they not only sit for a long time, their feet can not be straightened, coupled with the inconvenience of going to the toilet on the way, the water is also drunk less, the blood viscosity will be higher, the blood circulation is not smooth, naturally easy to cause blood clots!
3) High-risk groups are not screened
For people who have recently had surgery, especially lower limb surgery, malignant tumors, chemotherapy and other people who are assessed by doctors at high risk of venous thrombosis, they need to go to the hospital regularly for review, and if they have deep vein thrombosis, they can be treated in time.
epilogue
In short, Mr. Du's tragedy has sounded a health alarm for us, pulmonary embolism often occurs without warning, and may even have thrombosis formed when the patient is resting, and some even appear symptoms after a few days, often delaying the timing of treatment. Therefore, prevention is more important, if you want to prevent pulmonary embolism, you must avoid lying down for a long time, sitting for a long time, and for patients with deep vein thrombosis risk factors such as trauma, you should pay attention to regular review, which is the lesson of Mr. Du's unfortunate death to us, and it must be avoided.
bibliography:
LI Xiaoqiang,ZHANG Fuxian,WANG Shenming. Guidelines for the Diagnosis and Treatment of Deep Vein Thrombosis (Third Edition)[J]. Chinese Journal of General Surgery,2017,09:807-812.
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