Source: [Shenyang Daily - Shenyang Network]
Recently, 120 emergency personnel met an old man in his 70s when he was visiting the hospital. He had a history of varicose veins and thrombosis in the lower limbs. After getting up in the morning, he suddenly suffered from chest tightness and difficulty breathing. After resting, the symptoms were slightly relieved, but they did not pay attention to it. After about 1 hour, the symptoms worsened, fainted, and sweated all over the body. The family immediately called 120 emergency number. The Han Yaru's emergency team from the Hunnan Branch of Shenyang Emergency Center quickly went to the scene. Combined with analyzing the patient's previous medical history, physical examination and auxiliary examination, it was highly suspected that it was pulmonary thromboembolic disease (PTE). Han Yaru knew the risks of this disease and led the emergency personnel to provide on-site treatment to the patient and quickly transferred him to the nearby hospital. After timely treatment, the patient has now become safe.
First aid workers remind that pulmonary thromboembolic disease is called "invisible killer", and its risk is similar to myocardial infarction, cerebral infarction , and is prone to sedentary groups, post-tumor groups and the elderly.
Urgent: The patient's symptoms had worsened when the medical staff arrived
Han Yaru told reporters that when they arrived at the scene on the day of the incident, they saw that the patient in his 70s had worsened symptoms, accompanied by fainting and sweating all over his body. According to family members, the elderly have a history of varicose veins and thrombosis in the lower limbs. At the first aid site, through physical examinations and auxiliary examinations, the doctor highly suspected that he was suffering from pulmonary thromboembolic disease. This disease requires special treatment, and there are no relevant drugs and relevant testing equipment on the ambulance. The doctor can only monitor vital signs, give oxygen, open intravenous access as soon as possible, and then send the patient to the relevant hospital for systematic treatment as soon as possible. In the ambulance, the patient's condition slowed down after timely treatment.
Viewpoint: This "invisible killer" is very dangerous
Han Yaru is an emergency "recruitment". Recalling her experience of visiting this time, she sighed that the disease that she had only seen in books before is actually present in front of her, which is really a test for her. Fortunately, she memorized the first aid process and the patient has now turned into danger after timely treatment. Han Yaru said that acute pulmonary embolism is not well known to the public, and judgment on the emergency site is not easy and is very easy to be ignored. It is like an "invisible killer" that threatens the life and health of patients. When the disease occurred, some people had no symptoms, they were just a little gasping and experiencing difficulty, while others were just suddenly feeling weak and their symptoms were not obvious. They were not known to the public as myocardial infarction and cerebral infarction, but the degree of danger was not bad at all.
Explanation: What is pulmonary thromboembolic
Doctors introduced that pulmonary thromboembolic is a disease caused by thrombosis from the venous system or right heart blocking the pulmonary artery or its branches, which is mainly clinical and pathological characteristics.
Risk factors for pulmonary thromboembolic disease mainly include primary (hereditary) and secondary. Among them, secondary risk factors include age, smoking, pregnancy/puerperal period, malignant tumors, obesity, braking/long-term bed rest for various reasons, long-distance air or bus trips, increased blood viscosity, trauma/fracture, postoperative surgery, oral contraceptive pills, etc. This newspaper has reported many cases of pulmonary thromboembolic disease. A 30-year-old man was lying in bed for one month after spraining ankle, causing pulmonary thromboembolic disease; an 80-year-old man was admitted to the hospital for surgery for bladder cancer and . The operation was very successful, but during the postoperative care stage, he developed pulmonary thromboembolic disease because he did not take drugs to prevent thrombosis. Later, because he did not undergo anticoagulant treatment and thrombolysis treatment, the old man died one month after the operation.
Reminder: There are these common manifestations of pulmonary thromboembolic disease
The symptoms of pulmonary thromboembolic disease are diverse and lack specificity, but the common manifestations are as follows:
1. Unexplained dyspnea and shortness of breath, especially after activity. 2. Chest tightness, chest pain, or palpitations, . 3. Cough, irritability and anxiety. 4. Coughing blood, it is more common in small amounts. 5. Disiased. 6. Long-term weakness.
Treatment: mainly anticoagulant therapy and thrombolytic therapy
1. Anticoagulant therapy: The basic treatment method for pulmonary thromboembolic disease can effectively prevent thrombosis from re-forming and recurrence, creating conditions for the body to exert its own fibrinolytic mechanism to dissolve thrombus.Commonly used drugs include ordinary heparin, low molecular weight heparin , fundaldecano sodium, warfarin, rivaroxaban, dabigatran ester, etc.
2. Thrombolytic treatment: mainly suitable for high-risk (large-area) cases of pulmonary thromboembolic disease (including obvious dyspnea, chest pain, hypoxemia , etc.). For some intermediate-risk (sub-large-area) pulmonary thromboembolic diseases, thrombolysis can be considered if there are no contraindications.
3. Others: pulmonary artery catheter decomposition and thrombosis aspiration, pulmonary artery thrombosis removal, placement of vena cava filters, and treatment of chronic thromboembolic pulmonary hypertension (CTEPH).
Prevention: The following 5 points need to be done well
1. Quit smoking, lose weight, and develop good living habits. 2. Work from home and avoid sitting for a long time, get up and exercise every 1-2 hours, and maintain regular physical exercise. 3. Drink water in moderation, 1.5L-2L per day. 4. Minimize oral contraceptive drugs. 5. Suffer from underlying diseases and high-risk factors, pay close attention to physical changes, detect early, and treat early.
Shenyang Evening News and Shenyang Daily All Media Director Reporter Wu Qiang
Picture provided by 120
This article comes from [Shenyang Daily-Shenyang Network] and only represents the author's views. National Party Media Information Public Platform provides information release and dissemination services.
ID: jrtt
