It will really be angry!The seventy -year -old man and his son quarreled almost death

Author:Hunan Chest Hospital Time:2022.09.02

In daily life, family members will inevitably bump together. Occasionally rubbing, everyone is commonplace and is accustomed to it. But on August 28, the 72 -year -old man in Changsha had argued with his son, causing unable to breathe, severe chest pain, and almost lost his life.

Old man quarreled with his family to quarrel with pneumothorax and pulmonary embolism.

Uncle Zhang, who lives in Ningxiang, Changsha, is 72 years old this year. Half a month ago, because of accidental cold, he had symptoms of fever. He and his family did not attach special attention. He thought it was a normal cold and fever. The symptoms of discomfort have intensified. The family was very worried about the situation of Uncle Zhang and took him to the local hospital for treatment. After the CT of the chest CT, the results showed "lung infection and suspected tuberculosis". After a few days of treatment in the local hospital, the effect was not good. Treatment, the family took Uncle Zhang to the second department of the Department of Chest Hospital in Hunan Province.

However, during the hospitalization, Uncle Zhang quarreled because of his trivial matters and his son, and Uncle Zhang, emotional, smashed his mobile phone on the hospital bed to vent his unhappiness. This smashing, the mobile phone was not broken, but Uncle Zhang had severe chest pain. Uncle Zhang, who wanted to calm down his deep breath, feels more and more laborious. The patient in the same room quickly pressed the call bell to find the medical staff.

"The patient's emotional excitement induced the pneumothorax and needed an emergency puncture!" The medical staff rushed to Uncle Zhang's bed for the first time, and found that his breathing was rapid, his lips were stingy, the percussion of the right lung showed drums, and spontaneous pneumothorax appeared. first-aid.

After the oxygen absorbing and closure of the thoracic cavity, Uncle Zhang's breath has been significantly improved, but the feeling of chest pain is still unabated. The physical discomfort made Uncle Zhang, who was so popular, was even more irritable, and he kept he was about to be discharged from the hospital.

"Uncle Zhang, don't move your breath first. Just this situation is caused by your emotional fluctuations. Now you need to cooperate with us to complete the inspection to help you do further treatment and help you relieve the pain ..." After medical staff Patiently persuaded with his family, Uncle Zhang gradually calmed down and cooperated with the relevant emergency inspection projects of the electrocardiography and blood biochemicals beside the bed.

Combined with the analysis of the test results, medical staff highly suspected that there were more than 30 years of age and alcohol for more than 30 years. The subsequent pulmonary CTA examination further verified the judgment. After treatment such as anticoagulation, Uncle Zhang's condition was effectively controlled.

Doctors: Pneumonia and pulmonary embolism harm is very common in patients with basic diseases

Uncle Zhang, who became stable, said with a stable manner: "I didn't expect to have such serious consequences. Fortunately, in the hospital, the doctors were treated in a timely manner. If this happened at home, it would be troublesome!"

"In the future, I really can't move anymore. When I get older, pay attention to the body." Uncle Zhang's son asked the doctor in the inspection house, why this happened, and what would pay attention to what the elderly needed to pay attention to in the future.

Li Qian, deputy director of the Second Department of Chest Hospital of Hunan Province, introduced that the severity of the symptoms of pneumothorax seizures is related to the amount of gas and the degree of lung compression. The elderly have spontaneous pneumothorax. In the early stage, due to the less lung compression and the less gas volume, mild chest pain, breathing difficulties, and even no obvious symptoms. When the amount of gas increases and the lung tissue is significantly compressed, the patient often feels severe breathing difficulties and is accompanied by severe chest pain. Once such symptoms occur, you should go to the consultation in time. After pneumothorax, timely treatment is the key to treatment.

Pulmonary embolism is a general name of a group of diseases or clinical syndrome caused by the endogenous or exogenous embolism to block the pulmonary artery or its branch. Embolism, tumor embolism, etc. The elderly, especially those with cardiovascular and cerebrovascular diseases such as hypertension and coronary heart disease, are high -risk diseases who belong to pulmonary embolism.

Li Qian emphasized that some embolism may not have symptoms, and some will have short breathing, chest pain or hemoptysis, and large -scale embolism may endanger life. However, due to the clinical symptoms of no different differences in pulmonary embolism, it is often difficult to diagnose as soon as possible, and it is easy to delay treatment. Therefore, if unknown causes have short respiratory, chest pain, or hemoptysis, you need to seek medical treatment immediately.

Author: Yang Jiamin Li Qian

Image: Information map

Editor -in -chief: Chen Yanan

Review: Tang Xiongqi

Produced: Hunan Provincial Chest Hospital

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