bookpower Chapter 716
Chapter 716
Luckily, it's just broken heart syndrome!
Lin Feng measured troponin for the patient again and found that it was still in a continuously elevated state.
Although it was not a myocardial infarction, the patient showed chest pain + ECG changes + elevated troponin at the same time, and the situation was quite serious, so he was sent to the care unit.
Pay close attention to changes in the patient's electrocardiogram, troponin, and other indicators.
In order to further rule out whether the patient has other fatal diseases, such as aortic dissection, pulmonary embolism, etc., the patient was given chest and abdominal CT scan + enhancement, and the results were normal.
This made Lin Feng fall into deep thought.
It should be known that at some times, pulmonary embolism and aortic dissection can also show manifestations similar to acute myocardial infarction, especially chest pain. However, the heart and lungs are not separated, and sometimes diseases that affect the lungs will also affect the heart, and all ECG changes are also possible.
Troponin is held by cardiac flesh cells, and elevated troponin often indicates cardiomyocyte rupture and necrosis, but it is not necessarily an increase caused by coronary artery blockage ischemic necrosis (myocardial infarction), and it may also be cardiomyocyte destruction and necrosis caused by other diseases.
For example, myocarditis ....
However, now you will not find the clear cause of the patient for a while, so let's monitor it closely.
Fortunately, the patient's vital signs gradually stabilized, and his blood pressure also rose to 120/80mmHg.
At dinner.
Lin Feng came to the guardianship room.
The patient is seen eating porridge in bed.
Messy hair and stubble beard.
He immediately asked, "How is it?" What is the appetite now? "
Hearsay.
The patient put down the spoon and said to Lin Feng with a faint smile: "Generally, eat two bowls of white porridge and not die of hunger." "
Seeing that the patient's state of mind was very peaceful, Lin Feng immediately said: "You are not a myocardial infarction!" "
"I know. When I came out, I heard what you said. It doesn't matter if it's or not. The patient looked at Lin Feng and said freely.
The patient's answer was unexpected by Lin Feng.
It feels like he sees through the red dust and doesn't care much about anything.
Don't wait for Lin Feng to speak.
The patient said to himself, "I know I must have a problem." But it doesn't matter anymore! A few days ago, my wife divorced me, the children also belonged to her, and the company quarreled with me. Haha, I deserve all this. "
Lin Feng suddenly felt creepy, especially the last two laughs.
Meantime.
It also instantly woke up Lin Feng.
"Broken heart syndrome" !!
Of course, in times of extreme sadness, it is also a huge stress for the heart.
This is likely to cause damage to heart muscle cells.
Severe chest pain and chest tightness followed, similar to myocardial infarction.
However, coronary angiography is normal, not myocardial infarction.
Of course.
This condition is very rare.
Lin Feng had not encountered it, and had only talked about it at a seminar.
"Broken heart syndrome", the scientific name is stress myocarditis.
It is a self-limited disease, although it is more frightening when it occurs, similar to real myocardial infarction, but after all, it is not a coronary blockage, so it does not form a fatal danger.
For example, the heart is like a house.
If it is a real myocardial infarction, it means that the water pipe is blocked and the water is cut off, and soon the house will collapse (the heart is not a real house after all, and ordinary houses will not collapse if they lack water, but the heart of this house will collapse once there is no water (blood)).
The patient's broken heart syndrome is not a problem with the water pipes.
It is similar to being hit hard in the heart, and the strong impact causes some cardiomyocytes to rupture, so troponin will rise.
The consequences of the impact are far lighter than the coronary blockage, and if the impact is not treated, it can be recovered with a good rest, but if the coronary artery is blocked and not opened in time, the entire heart will be wiped out.
Immediately.
Lin Feng said to the patient: "You are not a myocardial infarction, it may be 'broken heart syndrome'!" "
Then I told him about the mechanism and symptoms of the disease.
After listening, the patient was silent.
The name of this disease is not very comfortable to hear.
Of course, it's not really a broken heart, and it's just an emotional diagnosis, not a physical break.
If the heart is really physically broken, the patient will surely die on the spot, and there is absolutely no possibility of survival.
The heart is the blood pump of the human body, if the pump does not rotate, the blood will not move, and the whole body will be ischemic and hypoxic.
People who have cerebral ischemia will faint in 6 seconds.
After 4-6 minutes of hypoxia, irreversible damage and even brain death can occur.
Of course.
Patients are lucky.
After the diagnosis, Lin Feng began to treat the patient conservatively.
It works very well.
The patient's symptoms gradually recovered, and after a few days of treatment, the patient asked to be discharged.
But until the day he was discharged from the hospital, he handled everything by himself.
He seems to be a little unfortunate again!
Life is impermanent, we still have to cherish the present and live well in the present.
.......
Early the next morning.
A middle-aged woman arrives at the hospital accompanied by her son.
In his fifties.
After arriving at the consultation room, the whole person was dizzy.
"Doctor, show my mother quickly, she has a high fever, is full of energy, and vomits." As soon as he entered the door, the patient's son said to Lin Feng anxiously.
Hearsay.
Immediately stepped forward and first touched the patient's forehead.
Brows furrowed slightly.
So hot!
It has to be 40 degrees.
Such a high body temperature.
Immediately let Xiaoru arrange, let the patient be hospitalized, and sent directly to the ward.
Learned from the patient's son.
The patient had a fever a week ago, thinking it was a mild cold, taking some cold medicine, but there was no effect, still fever, and finally the patient's son rushed the patient to the hospital.
During this time, the patient also had nausea, vomiting, and vomiting twice, both stomach contents.
Not for a while.
Xiaoru sent the patient's blood test.
Infection indicators are on the high side.
The blood sugar is also a little outrageously high, reaching 30mmol/L.
After the patient heard that his blood sugar was high, he immediately said: "I usually don't feel high blood sugar!" "
Hearing this, Lin Feng looked at the inspection results in his hand and said with a wry smile: "Big sister! How long have you not been seen a doctor? Your glycated hemoglobin is 11%. This means that your blood sugar has been high in recent months, which is diabetes! "
Hearing about diabetes, the patient was even more surprised, and did not believe that he had diabetes at all.
Lin Feng then described some symptoms.
After listening to it, the patient found that he was completely reunited, and only then did he reluctantly accept the fact that he had diabetes!
。。。