Just returned from the emergency room, my old patient number disobeyed and fell ill again.
He ate about ten big lanterns, and then he was bloated, chest tightness, and gasped. His family took him to the hospital, and his whole body was soaked with sweat. I couldn't say anything, I was whistling and panting. Blood pressure 230/120 mmHg, heart rate 140 beats/ min, blood oxygen 88%, a typical acute left heart failure.
Acute left heart failure is not lighter than myocardial infarction, and acute left heart failure will die within a few hours if it is not rescued in time.
Uncle Dong is 73 years old this year, and we rescued him 2 years ago because of an acute myocardial infarction. At that time, the blood vessels were opened, but the area of myocardial infarction was too large, and there was heart failure at that time.
Then hospitalized for 14 days, the condition was stable and discharged, when discharged from the hospital specially printed a discharge guide for the old man, detailed instructions, how to take medicine, how to review, how to pay attention to daily life, and leave contact information for follow-up consultation.
And repeatedly explain, can not be big activities, can not stay up late, stool can not be forced, can not overeat, take medicine on time, chest tightness and breath holding aggravation if timely medical treatment.
But unexpectedly, at noon today, I ate a dozen or so lanterns the size of sugar oranges. At the beginning, he gave him 4, the old man ate it, said not enough, 4 was not enough to plug the teeth, and then gave 4 more. After eating, but also, the family resolutely did not give him, saying that there is no, and it will be uncomfortable to eat and digest again. The old man was angry, saying that he was reluctant to eat a few of your Lanterns, and if he didn't eat himself, he would go out and buy it. Just snowed, the road is very slippery, this old man himself has a heart disease, no one dares to provoke him, and finally there is no way to give the old man a few more.
But did not think, after eating the stomach swelling severely, has been uncomfortable, after a while, feel the chest tightness and breath holding strong, shortness of breath, severe breathing, family to see that it is going to be bad, hurry to send him to the hospital.
Uncle Dong was whirring and panting, blood pressure was 230/120mmHg, heart rate was 140 beats/min, blood oxygen was 88%, a typical acute left heart failure. I stood at his bedside, directed the rescue, gave morphine, nitroprus sodium, furosemide and other comprehensive treatment, rescued for 30 minutes, his blood pressure dropped to 130/70mmHg, heart rate dropped to 86 beats / minute, blood oxygen rose to 97%.
The condition gradually stabilized, and he was finally able to speak: Dr. Wang, save me again.
As he spoke, he also drew a thumb.
I said: "You quickly stop talking, maintain physical strength, listen to me, you have a heart attack itself has heart failure, and eat so much, can you induce heart failure?" ”
Hehehehe
I joked, "You're going to do this again, but there's no more time, so be hospitalized first." ”
He was then settled in the hospital.
We have said many times that patients with heart disease such as myocardial infarction or heart failure must not overeat and eat too much, especially these indigestible foods, which will increase the burden on the gastrointestinal tract, which in turn will increase the burden on the heart, and will induce myocardial infarction or induce acute heart failure.
Lantern or tangyuan are foods based on glutinous rice and sugar, and sometimes they also increase oil and some accessories, which is not easy to digest. Eating so many Lanterns at once, do you think the gastrointestinal tract can stand it? If the gastrointestinal burden increases, then the burden on the heart will also increase accordingly, and the amount of blood returned to the heart is reduced, which is easy to induce ischemia and induce heart failure.
Eating too much at once, especially when this kind of indigestion, overeating, this is the main reason for Uncle Dong's heart failure this time.
Yesterday, I also saw a 26-year-old woman in the emergency room with an empty stomach blood glucose of 16.5 mmol/L. This lady these two days of panic, no energy to see the doctor, found out that the blood sugar is so high, she has been emphasizing: I have been found that the blood sugar is a little high, I have not eaten sugar for half a year, these days to eat the tangyuan are yogurt filling, red fruit filling are sugar-free tangyuan, this blood sugar is still so high?
Lantern Festival, by the way to give you a few popular science about the health of the Lantern:
1. Although sugar-free Lantern or sugar-free tangyuan is known as sugar-free, it does not affect blood sugar.
Lantern / Tangyuan is made of glutinous rice, glutinous rice glycemic index (GI) is close to 100, generally less than 55GI food is low glycemic index food, relatively safe for diabetics. Higher than 75GI has a greater impact on blood sugar, this glutinous rice lantern / tangyuan, although there is no sucrose, but the ability of this glutinous rice flour to raise blood sugar, is not smaller than sucrose, so even if it is sugar-free tangyuan can be eaten casually.
The female patient herself has diabetes problems, thinking that eating a sugar-free lantern will be fine, and as a result, she did not expect that the fasting blood sugar was 16.5mmol/L.
2, the Lantern has just been cooked, especially hot, do not rush to eat, so as not to burn the esophagus.
WHO has already included food or water above 65°C in Category 2a carcinogens. Of course, not only is the Lantern/Tangyuan too hot to eat, but the food or water that is too hot in our daily life cannot be eaten/drunk.
3, children and the elderly eat lantern, must be careful, so as not to block the airway, it is best to cut them open to eat.
Children or the elderly have poor autonomy, some small tangyuan is very smooth, sometimes children or the elderly will accidentally swallow a whole tangyuan, at this time it is easy to block the airway, dangerous.
Once a foreign body is found blocking the airway, it must be rescued immediately, and it is difficult to be rescued once delayed.
At this time, one will be used: the Heimlich first aid method or the "scissor stone cloth" method. Hold the airway obstruction from behind, quickly find the position of the injured person's umbilicus, the left hand is "scissors" above the umbilicus, and then the right hand clenches a fist into a "stone" on top of the "scissors", and then replaces the left hand with a "cloth" to wrap the "stone", and the feet are supported one after the other to borrow the upper force, repeatedly impacting upwards and forwards, until the foreign body comes out of the throat.
4, the Lantern itself is high in calories, try not to fry and eat.
Lantern / Tangyuan itself is a high-calorie food, if fried, it is undoubtedly more detrimental to good health. (Of course, it doesn't hurt to eat one or two once in a while, but you can't always eat them.) ）
5, drink some Lantern soup, the original soup into the original food, after eating, it is best to go out to hang out and consume food, conditionally look at the lamp, guess the riddle, this year is over.
Lantern Festival, eat two or three Lantern Reunion, happy, but do not eat more. Now we have no shortage of food, usually we can buy Lantern / Tangyuan in the supermarket, want to eat at any time to buy, unlike the previous year to eat once a year, so there is no need to eat so much.
Especially people with three highs or cardiovascular disease, they should not eat more.
By the way, please ask you a question, you said that this Lantern and Tangyuan, what is the difference, please leave a message to tell me!