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In recent days, Mr. Wang has been very busy and he has a large number of manuscripts to deal with.
After working in high intensity these days, his throat is very painful.
The throat often hurts faintly, and the throat feels uncomfortable from time to time.
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Considering that he has been busy recently and the weather is dry, so he drinks a lot of water whenever he has time, thinking that he will feel comfortable soon.
However, a few days passed and he was still uncomfortable.
So he took some anti-inflammatory and throat-moistening drugs from the pharmacy next to him.
at the beginning had a little effect, but soon there was no effect.
That night, due to an emergency in the local area, he was called by his unit to work overtime urgently.
So it was early morning as soon as you work.
The next day, he felt that his throat was extremely uncomfortable, which really affected his work.
So he took a leave and came to the ENT department of the hospital.
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ENT doctor carefully checked:
pharyngeal congestion, edema , tonsillar 2 swelling, and no abnormalities were found in the rest.
Doctor asked Mr. Zhang if he had a cold recently? Mr. Zhang nodded.
may be pharyngitis caused by upper respiratory tract infection . It takes a few days to recover. Go home and take some antiviral and anti-inflammatory and throat-moisturizing drugs. Talk less these days and you will get better soon.
Doctor said to Mr. Zhang.
Although Mr. Zhang’s job is broadcasting, in order to have a better job in the future, he still asked for leave from the station and rested at home with peace of mind.
Three days passed quickly, and Mr. Zhang's symptoms seemed to improve a little.
That night, several of Mr. Zhang's friends came to visit him.
From a long time ago, my friend was very happy, so I had a big drink tonight.
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The more they drink, the more they become, the more they drink, but during the period, Lao Zhang and his friends had some conflicts, so they had a big quarrel.
It was a good party, but it ended up in an unhappy way.
Just as my friend left, Mr. Zhang suddenly felt very uncomfortable in his throat and felt more painful than ever before.
So he quickly took a few sips of cold water. It was okay not to drink it. After drinking a few sips of cold water, he felt dizzy fatigue .
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my wife was instantly frightened. In panic, he called 120 and quickly sent her wife to the hospital.
Mr. Zhao hurried to the ENT department again, and the doctor who treated him happened to be the same doctor as before.
"Doctor, Lao Zhang's sore throat has occurred again, and this time it is more powerful than before. Save him quickly!" Lao Zhang's wife was a little panicked and incoherent.
"It won't hurt so much! Has something been stuck recently? He has eaten fish bones or bones recently?" The doctor asked Mr. Zhang's wife.
"I was having fish with his friend at night. Was it really stuck with fish bones? It would be so easy, why did I feel so uncomfortable suddenly?" The wife was also very strange and looked at Mr. Zhang for no reason.
At this time, Mr. Zhang was so uncomfortable that he couldn't speak, and just kept touching his neck with his hands!
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Doctor quickly showed him laryngoscope , but no major problems were found!
The doctor suggested that Mr. Zhang do a neck ct to see if there is anything stuck in the esophagus.
If a fish pierces the esophagus and causes perforation, it can also cause severe pain in the throat. If this is true, it will be a big trouble and will be life-threatening!
Mr. Zhang's wife immediately went for a neck CT when she heard that there might be danger.
neck CT was completed quickly, and the results showed that no obvious abnormality was seen in
!
It's okay, the ENT doctor breathed a sigh of relief.
After going upstairs and downstairs, Mr. Zhang's condition became worse and worse.
When Mr. Zhang came to the ENT doctor again, he began to feel a little chest tightness and couldn't breathe.
and look ugly!
The otolaryngologist was shocked when he saw it:
is definitely not a simple pharyngitis problem!
The doctor's intuition told her that she had to give Mr. Zhang an electrocardiogram immediately, but there was no electrocardiogram in the ENT clinic?
Wait, I'll be here soon! While comforting Mr. Zhang, the doctor ran to the emergency department quickly and got an electrocardiogram machine .
When the doctor brought the electrocardiogram machine, Mr. Zhao was so uncomfortable that he lay on the ground, gasping for breath!
After the electrocardiogram was performed, the otolaryngologist immediately sweated:
acute lower wall myocardial infarction !
Contact the cardiology department immediately and take the green channel.
Rescue!
Fortunately, Mr. Zhang received timely thrombolysis rescue and treatment and survived.
Afterwards, the otolaryngologist was afraid for several days and had not recovered for a long time:
If it is a few hours later, will Mr. Zhang lose his life?
After that, the otolaryngologist consulted the director of the cardiology department who participated in the rescue:
Why is a pharyngeal pain related to acute myocardial infarction?
Director of Cardiology explained:
1) In fact, there is overlap between the pain in the pharyngeal pain and the pain transmission sites of acute myocardial infarction .
The sensory and motor nerves of the pharyngeal nerves are located from the pharyngeal nerves located on the posterior wall of the pharyngeal nerves.
The pharyngeal contains a large number of vagus nerve fiber bundles from the nerve. What is more coincidentally, most of these vagus nerve afferent fiber devices are located on the surface of the lower wall of the heart.
2) Therefore, when the heart experiences acute myocardial infarction, acute ischemia and hypoxia will occur, producing severe stimulation substances, which will cause the labyrinthous nerves to be strongly stimulated, and the stimulation will be transmitted to the pharynx.
At the beginning, the symptoms were mild, only manifested as pain in the pharynx. As the stimulation worsened, it would manifest as heart symptoms such as palpitations and chest tightness.
3) For Mr. Zhang's symptoms, it just fits the onset process of this special case.
At the beginning, the symptoms were not very obvious, and it was just a paroxysmal attack, which was only manifested as a slight foreign body or discomfort in the pharyngeal area.
However, with a lot of drinking and violent mood swings, the acute aggravation of myocardial infarction was triggered, and symptoms of palpitations and chest tightness eventually appeared.
Fortunately, the rescue in the hospital was timely, so it would be very dangerous if you were at home.
3) Even if you are a cardiologist, if you are not experienced, it will be difficult to deal with these rare cases.
The director of the cardiology department told the otolaryngologist slightly gratefully.
So that's it. The otolaryngologist nodded frequently after hearing this:
is really like a mountain, so you must pay attention in the future.
Anyone with pharyngeal discomfort must first have an electrocardiogram!
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