Fainting in the toilet
4 hours
Grandpa fainted!!!
The grandson who was in elementary school returned home
Grandpa was found lying in the toilet
What the hell happened?
01
Go back 10 hours ago
Mr. Zhao, 75 years old
It's been a lot in recent days
Chest tightness and panic
I always thought it was a long time since I went out
At home
I also don't want to go to the hospital
I thought maybe it would be fine in a few days
02
4 hours ago
It was noon on this day
Just had a meal
Old Mr. Zhao felt again
The chest is a bit stuffy
Ate it at noon
Several pieces of braised pork
Is it too tired??
Didn't take it seriously
Who would have thought
The chest ached for a full 4 hours
Just when Mr. Zhao went to the toilet
He fainted and fell to the ground
I just happened to meet my grandson coming back from school
Hurry up and call Mom
Family members immediately dial 120
After rescue
Be conscious
Transferred from the emergency department to our hospital
After arriving at the hospital
Diagnosis of acute myocardial infarction
Cardiogenic shock
Vasopressor medications maintain blood pressure
Emergency coronary angiography
Open occlusive blood vessels
However, the patient still has low blood pressure
In shock
03
Transfer to the CCU for rescue
subsequently
Transfer the patient in
CCU
(Cardiac Intensive Care Unit)
Rescue treatment is carried out
Wang Tianbao attending physician
Check on the patient immediately
Oxygen inhalation, ECG monitoring
Physical examination and vasopressor medications maintain blood pressure
Bedside ultrasound evaluates the heart
……
Rescue is underway
There is an anomaly!!
Pericardial effusion, pleural effusion...
Wrong!!!
Wang Tianbao asked Mr. Zhao again
——
How long has it been uncomfortable?
Almost half a month, repeated recurrence, did not expect to be a heart attack...
Wang Tianbao immediately realized
The patient may appear
After acute myocardial infarction
syndrome
Vasopressor medication is maintained
Blood pressure is only 82/45mmHg
Low blood pressure
Is the presence of cardiac tamponade
Obstructive shock was gone
Speak to your family
After the severity of the condition
Proceed immediately
Under ultrasound guidance
Pericardial puncture drainage
Drainage out of about 10 ml
After bloody fluid
The patient's blood pressure is immediate
Increase to 105/52mmHg
After a few minutes the vasopressor stopped
Old Mr. Zhao also felt
The sullenness improved significantly from before
10ml liquid is the key??
Heart attacks can really be fatal
Don't underestimate this 10ml liquid
Don't pull it out
Stuffiness is difficult to relieve
If it continues to increase
The condition may worsen
The experts have something to say! ~
CCU Director
Ma Dongpu reminds everyone
chest pain
A common and yet capable
Life-threatening condition
Chest pain can be caused by many causes
myocardial infarction
It is a common one
Myocardial post-infarction syndrome
Refers to acute myocardial infarction after death
Days to weeks
Fever, pericarditis
Pleurisy, pneumonia, etc
Nonspecific inflammation is characterized by
A syndrome
Includes fever and chest pain
Palpitations, fatigue
Cough, sputum cough
dyspnea
Blood examination reveals leukocytosis
and other symptoms
Patients with large myocardial infarction areas
After the occurrence of myocardial infarction syndrome
The risks tend to be greater
Many patients
After myocardial infarction occurs
Not taken seriously
Do not seek medical attention
The disease has a long course
1-4 weeks after myocardial infarction
Even a few days
May appear
Heart failure, kidney failure
Exhalation or even shock
If cardiac tamponade occurs
Shock manifestations
Urgent pericardial puncture is required
Remember the chest pain center
These keywords
Forward to those around you
May everyone be safe and healthy
National Love Nose Day Free Clinic
Care for children's nasal cavity and protect airway health
Free clinic time
April 9
9:00-11:00am
Free clinic location
Zhengzhou Central Hospital
Outpatient 1st floor lobby
On-site free registration
Rhinitis and sinusitis are free of charge
Nosebleeds, adenoidal hypertrophy, etc
Nasal disease consultation and science popularization
Day
All pediatric patients
No registration fee for outpatient visits!
No anterior nasal microscopy fee!