This doctor is great

Chapter 226

Zhang Mei and Zhou Mo pushed the middle-aged patient to the emergency room.

Although no middle-aged patients have been diagnosed yet, middle-aged patients with heart problems like this cannot tolerate the slightest negligence.

The middle-aged patient was pushed into the emergency room.

close the door,

Zhou Mo blocked the middle-aged patient's wife and said, "Family members cannot enter the emergency room, so you wait outside first."

Why can't family members enter the emergency room?
Because the middle-aged patients in the emergency room are generally in serious condition and may die at any time.

And if there is a family member, shouting at the doctor, begging for help, or hugging his legs for help, or crying and shouting, all kinds of obstacles...

That is a great hindrance to the tasks of saving lives of doctors and nurses.

The wife froze for a moment: "Can't I go in?"

Zhou Mo nodded firmly: "I will let you in later if necessary."

The wife can only give up.

Zhou Mo entered the emergency room,
at this time,

Nurses are connecting middle-aged patients with ECG monitors, and then doing electrocardiograms.

Zhou Mo was relieved to see that the middle-aged patient, the middle-aged man, was conscious.

Zhang Mei stood by the bed and began to ask:
"What's your situation now, can you tell me?"

"My name is Zhang and I am a lawyer."

The middle-aged patient began to speak.

The order is fairly clear.

But just clutching his chest, intermittently, a bit painful.

"I have handled many big cases before, and even helped the leaders of your hospital to fight a lawsuit. I am very familiar with many of your leaders."

Zhou Mo: "..."

It's all this time, what relationship are you talking about?
Hurry up and explain your illness!
"Because of work reasons, I often need to stay up late."

"So my health is not very good, but I often go to the hospital for physical examination, and I didn't find any major problems, that is, sub-health, high blood pressure, high blood fat, I didn't take it to heart, after all, high blood pressure... Barbara..."

Zhang Mei directly interrupted: "Sir, if you can be simpler, please say it briefly...Of course I still have to say what should be said..."

Middle-aged patient: "Uh... good!"

"One night two years ago, when I was sorting out the materials, I suddenly felt some chest tightness and chest pain."

"It's just a stabbing pain."

"At that time, I thought it was caused by staying up late and being too tired, so I didn't pay attention to it. However, the pain in my chest became more and more severe, and finally it was like someone was hitting me with a hammer."

A painful expression appeared on the face of the middle-aged patient.

He was used to being pampered and pampered, so he didn't suffer much. The chest pain that day was still fresh in his memory to this day.

"I went to the hospital that night and was diagnosed with coronary heart disease (atherosclerosis, ischemia)."

Hypertension, hyperlipidemia, obesity, and unhealthy living habits are often the causes of coronary heart disease.

And middle-aged patients

The middle-aged patient smiled wryly.

"Although the previous physical examination found that my heart was not very good, I didn't pay much attention to it. I didn't expect it to become a coronary heart disease."

Zhou Mo asked: "Is there any follow-up treatment after the diagnosis? Take medicine?"

Although coronary heart disease is not very serious, it can be fatal if there is no later treatment.

Taking medicine for a long time is the best way.

Can effectively reduce the risk.

Hearing Zhou Mo's words, the middle-aged patient shook his head slightly.

"Because the diagnosis was mild at the time, and I was dealing with a big case, there was no hospitalization."

"However, I took the medicine on time, and the symptoms of chest pain and tightness were relieved after taking the medicine, so I didn't have to be hospitalized again."

In fact, at the beginning, he still took medicine on time, but later he often forgot to take medicine when he was busy with work, fishing for three days and drying the net for two days, intermittently.

However, during this period of time, he has been promoted to the position of supervisor in the firm, and he no longer needs to handle ordinary small cases by himself.

For relatively large cases, there are multiple assistants to help, so the work pressure is much lighter.

Therefore, during this period of time, he rested better, and rarely suffered from coronary heart disease.

"However, at around three o'clock this afternoon, I was in a meeting at the company when I suddenly felt chest pain and felt out of breath."

"At that time, I urgently terminated the meeting and went back to the office to take some medicine for coronary heart disease, but there was no improvement."

"And I felt more and more pain in my chest, as if someone put a big rock on my chest and smashed it with a hammer."

"I thought it was too late, so I hurried to the ambulance and came to the hospital."

It is correct to call 120 ambulance.

Many people may want to come directly by car, but it is not correct.

If the heartbeat stops halfway, it will be troublesome.

And if you dial 120, there will be some basic emergency equipment in the car. In case a middle-aged patient gets sick, first aid can also be given.

Zhang Mei asked: "How long has it been in pain this time?"

The middle-aged patient thought for a while and replied: "This time it will take more than 40 minutes."

As he spoke, a painful expression appeared on his face, and a layer of cold sweat emerged from his forehead.

"Usually when I have chest pain, I can take some medicine to relieve it, and it can even be relieved after a few minutes without taking medicine, but this time it is different."

"The pain didn't decrease, it just got worse and worse."

Zhou Mo asked from the side: "Is it painful and stuffy like a stone pressing on your chest, feeling like you can't breathe, every breath is very difficult."

The middle-aged patient nodded again and again: "Yes, yes, doctor, you are right, this is the feeling."

Zhou Mo: "What medicine did you take?"

Middle-aged patient: "Nitroglycerin."

Then he covered his chest and said, "I'm so uncomfortable, doctor, can you give me some medicine to make me feel better?"

talking.

Sweat began to appear on his forehead, and his face looked very painful.

at this time,

The heart rate monitor is connected.

160/90...

It is normal for a patient with a history of hypertension.

In this case, it should be possible to administer nitroglycerin to middle-aged patients.

含化硝酸甘油之后，1-2分钟就可以起效，3-10分钟达到作用高峰，且持续时间为20-30分钟。

"When did you take the nitroglycerin?"

"When we come..."

"How long?"

"Half an hour..."

Zhang Mei nodded, and began to instruct the nurse to give the patient nitroglycerin.

On Zhou Mo's side, he continued to ask.

"Apart from coronary heart disease, high blood pressure, and high blood lipids, what other diseases do you have?"

"Have you had heart surgery?"

Before treating middle-aged heart patients, it is very necessary to know the detailed information.

Especially about the heart, otherwise a little negligence may lead to the death of a middle-aged patient.

(End of this chapter)