At 8:49 a.m., a 120 ambulance drove into the Shanghai Tenth People's Hospital, and Aunt Wu in the car had been dizzy and nauseous for the past three days.
Aunt Wu suffers from high blood pressure and had a cerebral infarction before, but fortunately, the doctor was timely and there were no obvious sequelae. In the past three days, she has been feeling dizzy and nauseous, and she still feels unwell after waking up today, so she rushed to the hospital for emergency treatment.
After arriving at the hospital, she underwent blood routine, magnetic resonance imaging and other related examinations, and the results showed that the dizziness was caused by blood pressure fluctuations.
Yesterday afternoon, Aunt Guo's left limb suddenly became numb and weak. Could it be a stroke? The family was so anxious that they quickly dialed 120 and accompanied her to the emergency department.
When she arrived at the hospital, Aunt Guo's left limb was numb and weak for about half an hour, and she was a little dizzy. The doctor performed a CT scan, combined with the patient's symptoms, and the initial diagnosis was stroke, and intravenous thrombolysis was immediately performed.
Chen Yuanzhuo said:
The number of patients with cardiovascular and cerebrovascular diseases such as myocardial infarction and stroke, upper respiratory tract infection, pneumonia, and acute attack of chronic artery generally increases. Moreover, judging from the previous reception, the elderly are more affected and their condition will be more serious, so there will be a significant increase in the number of patients sent over by 120. ”
When the temperature plummets, there is generally no immediate change in the number of emergency visits, but a small spike in visits a few days later. Chen Yuanzhuo said that at present, there is no significant change in the hospital's emergency volume and ambulance volume, and at the same time, it was also in the high incidence season of respiratory diseases, so the change in the number of visits is not obvious. It is expected that in another two or three days, there will be a significant increase in the number of patients who are affected by the change in temperature.
Our intuitive feeling is that since the past weekend, the overall trend of medical treatment has entered the rhythm of winter, that is, the number of patients with chronic diseases has begun to increase, and the number of patients with chronic diseases has also become more severe, so the number of patients under observation has increased. At noon today, 135 patients were observed in real time, and there were more people in the emergency room. ”
The temperature plummeted, and there was a high incidence of cardiovascular and cerebrovascular diseases and respiratory diseases. Some of the patients who came to the clinic before experienced discomfort after being stimulated by the cold wind when exercising in the park during the cold winter months. There are also people who do not pay attention to monitoring their blood pressure when the temperature drops, and when they come to the doctor, they still think that their blood pressure is well controlled, but a check finds that their systolic blood pressure is more than 200.
Chen Yuanzhuo reminded that patients with high blood pressure should pay special attention to monitoring blood pressure in winter, and it is recommended to measure blood pressure once in the morning and evening, and record data to see the trend of blood pressure changes, and then adjust the dose of antihypertensive drugs according to the situation. In addition, cold stimulation causes the human sympathetic nervous system to be excited, which can also induce cardiovascular emergencies, so pay attention to keeping warm and try not to go to very cold places or stay for a long time.
For people with a history of cardiovascular and cerebrovascular diseases, such as those who have had cerebral infarction or myocardial infarction and have had stents, as well as people with high-risk factors such as hypertension, diabetes, and hyperlipidemia, if they suddenly feel dizzy, headache, chest tightness, etc., they should be more careful in winter. These people are affected by factors such as blood pressure changes and sympathetic nerve excitation in winter, and the probability of developing the disease is much higher than that of others. ”
The sudden drop in temperature will also affect the body's immunity, and the cold air will directly irritate the respiratory tract, which will also increase the occurrence of some respiratory diseases.
Chen Yuanzhuo said that the elderly and people with chronic underlying diseases should pay special attention to cold protection and warmth, and try to avoid staying outdoors for a long time. Wear a mask when going out to reduce the direct irritation of the respiratory tract by cold air, especially for some patients with old slow bronchia and emphysema, and be careful of colds.
If there is a rare amount of sunshine in winter, the number of people who go to the park to bask in the sun will also increase. Chen Yuanzhuo reminded that sometimes although the sun is shining, the outdoor temperature is actually very low, especially when it is still windy, and it is necessary to pay attention to the "illusion of warmth". Therefore, in this case, it is also recommended not to stay outdoors for a long time, but to choose to bask on the balcony of your home.