After the myocardial infarction, insist on "a few more times", the man missed the best time to treat

The Yangtze River Daily Da Wuhan client June 29th. After the elderly myocardial infarction, he still insisted on playing 6 hours of mahjong until he fell on the table and was taken to the hospital for rescue. However, the best time to treat the best treatment at this time. The rescue turned to danger, but myocardial muscle had been killed in large areas.

Mr. Zhang, 65, suffers from a variety of chronic diseases such as hypertension, diabetes, and renal dysfunction. He began to receive dialysis therapy in April this year. Although his health is not good, he has not been able to stop Mr. Zhang's enthusiasm for playing Mahjong.

At 8 pm on June 20, Mr. Zhang, who was in the battle, suddenly felt chest pain, chest tightness, and cold sweat, but he did not care about his head and continued to play cards. At about 3 am on the 21st, the brand friend found that Mr. Zhang was pale and sweaty, and he was unconscious. He was busy calling him 120 and sent him to the Gutian Hospital of Wuhan Fourth Hospital for treatment.

In the emergency department of the hospital, the doctor diagnosed Mr. Zhang suffering from acute myocardial infarction after examination, and opened the green channel of the chest pain center for rescue. At this time, Mr. Zhang had a shock and heart failure. The heart rate was as high as 130 times per minute. He also merged with pulmonary edema and respiratory failure, which was dangerous at any time.

"The treatment of acute myocardial infarction must be cured. The patient dragged it for 6 hours to seek medical treatment. He had missed the best time to treat." The hospital's severe medical doctor introduced that the patient's life signs were unstable and could only adopt intensive medicine first. The tracheal intubation, ventilator auxiliary ventilation, and the blood purification beside the emergency bed, after the life signs are stable, then intervene in it, and place the bracket to open up the blocking blood vessels. In the end, after 5 days of positive rescue, Mr. Zhang turned to danger.

Director Xu Tao, Director of the Department of Critical Medicine of the hospital, introduced that acute myocardial infarction is a common acute and critical illness that occurs in middle -aged and elderly people. Symptoms show sudden chest pain and chest tightness. Rest and take nitroglycerin cannot be relieved. After 20 minutes of myocardial infarction, myocardial ischemia and necrosis, and the area of ​​myocardial necrosis is proportional to the period of interruption of blood flow. If the treatment is delayed, even if the blood flow is restored through the reconstruction of blood, the necrotic myocardium cannot be reversed, and the surgical effect will be greatly reduced. Therefore, once myocardial infarction occurs, it is necessary to scramble for effective treatment. In addition, if the elderly suffer from chronic renal insufficiency, they should pay attention to rest. Excessive fatigue can lead to various serious complications such as heart failure. (Changjiang Daily reporter Wuye Correspondent Bi Chuanhua Chen Mengyuan)

[Edit: Yu Lina]

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