Director of "Time Steal" died unfortunately. What signals are there in heart disease?
Author:Dahe Health News Time:2022.07.05
According to Hong Kong media, Luo Qirui, a well -known Hong Kong director and screenwriter, died on July 2 at the age of 69. It is reported that he died on his way to the hospital due to sudden heart disease.
Picture intercept Weibo
Luo Qirui was born in 1952 and graduated from the Department of English Department of the University of Hong Kong and the Department of Film in New York. In 1981, he directed his first TV series "Farewell My Concubine", and then filmed a number of classic movies with high reputation, including "Fairy Tale of Autumn" And "Seven Little Blessings", "City of Glass" and "Time Stealing".
Picture source Weibo
On July 2nd, Luo Qirui called an ambulance at home because of his heart discomfort, but he died on the way to the doctor. Before that, Luo Qiri's body was not abnormal, but he did not expect to die suddenly.
The results of the Zhengzhou CDC in response to the results of the monitoring data of the residents 'death in Zhengzhou City in 2017, the dirty disease center of Zhengzhou residents' general crowd was ranked first.
On June 23, the "China Cardiovascular Health and Disease Report 2021" (hereinafter referred to as the "Report") was released in Beijing.
The report shows that in my country, cardiovascular disease has accounted for 40 % of the cases of cardiovascular disease, and the number of cardiovascular diseases in my country is up to 330 million people. in:
Hypertension of 245 million, 13 million strokes, 11.39 million coronary heart disease, 8.9 million heart failure, 5 million lung heart disease, 4.87 million atrial fibrillation, 2.5 million rheumatic heart disease, 2 million congenital heart disease, lower limb arterial diseases 45.3 million, cardiovascular disease prevention and control situation is still severe.
Once the heart of the human "engine" is a problem, the blow to the human body is devastating.
Prefer of Heart Diseases
Heart disease often has some signs before the attack, but specific symptoms often vary from person to person. Some people are not obvious due to their symptoms or lack of sufficient understanding.
There are four major signals before the attack: heart disease:
Symnomyal and chest pain
The sides of the mandibular bone are painful, and sometimes spread to the side or bilateral side of the neck.
Chest pain, this is a very typical signal, feels pressure or pain on the chest, and lasts more than 2 minutes. The chest pain can be diffused to the forearm and shoulders. Essence
Although the pain is not serious, it is difficult to raise your hands and lift your arms. Pain is generally blunt pain, not drama, and it does not spread to the wrist and fingers. It is usually limited to the inner side of the forearm. This should be distinguished from cervical spondylosis.
Stomach pain
Some people have suffered from stomach diseases, so it is easy to confuse stomach disease and heart disease.
Unlike ordinary stomach diseases, stomach pain caused by heart disease rarely occurs with colic and drama pain, and tenderness is not often there. It is just a feeling of dullness and fullness. Sometimes it is accompanied by a dull pain, hot burning sensation and nausea. Sweetness may be sweated.
☞ breathing rapid
In addition to common symptoms, some patients with heart disease will also cause shortage of breathing and "insufficient breath". After sitting for a few minutes, his breathing seemed to return to normal, but when the patient walked around, breathing began again. This breathing is often ignored, especially the elderly with lung disease.
☞ Excessive fatigue
After normal activities, I feel serious systemic fatigue, and even the strength of walking.
About 20%of patients with heart disease have a relatively "calm" period before the attack. This period is often not noticeable. Many patients recall it afterwards. There is a strange feeling.
If the above situation occurs, experts suggest: First of all, pay attention to observation. If the symptoms last more than 15-20 minutes, no matter how mild pain or discomfort, the doctor should be diagnosed.
Some people feel that they have no history of heart disease, so they do not cause enough vigilance. In addition, people over the age of 40 should have a specialty examination of the heart every year, even if it is a very simple ECG, blood lipids, blood pressure, and blood sugar is much better than not at all.
Dreatment of Heart Diseases
Blindly will kill people
方 方 ☞ ☞ ☞ ☞ ☞ ☞ ☞ ☞ ☞ ☞, wrong!
This medicine only has a controlling effect on the seizures of angina pectoris, and it has not proven to play a role in sudden heart disease.
The oral port contains 2 tablets of nitroglycerin tablets, wrong!
This medicine is suitable for patients with angina pectoris. After taking it, it can reduce blood pressure and diastolic blood vessels. However, the rumor is allowed to take two tablets at a time. The dose is too large, which is prone to hypotension, resulting in syncope patients. In addition, nitroglycerin tablets should be contained under the tongue, and swallowing into the stomach cannot work.
司 Chew 3 pieces of aspirin, wrong!
This drug is an antisper drug and is suitable for patients with myocardial infarction.
If the patient's chest pain is caused by other diseases, the risk of bleeding will be increased after taking. Moreover, aspirin has slowly worked, and then absorbed by the digestive tract after taking it. Generally, it can take effect after two hours.
Don't lie down, wrong!
When some myocardial infarction patients occur, the position of sitting and lying can reduce the blood volume of veins and reduce the burden on blood pressure, but this method is only used to treat the treatment of patients with acute left heart failure.
General patients with sudden heart disease will affect the blood supply to the brain and increase danger. The position of flat lying should be used to reduce physical consumption.
Patients with heart disease of these two medicines must be carried with them!
者 Patients with coronary heart disease need to carry nitroglycerin with them
When angina pectoris is acute, nitroglycerin is preferred, and 1 tablet can be served under the tongue immediately, and it can take effect in 1 to 2 minutes. If the pain is not relieved, one tablet can be repeated every 5 minutes. If it lasts for 15 minutes and has a total amount of 3 pieces of pain without relief, it is likely that myocardial infarction is more critical, and the people around you should call 120 immediately.
丸 丸 ☞ 高 高 ☞ is more effective among high -risk groups
Quick -effective savior pills are mainly used for high -risk people with heart disease, such as high work pressure, high blood lipids, and suspected patients who have had angina pectoris before.
When chest tightness, chest discomfort, and left shoulder acid sinking symptoms, you can quickly serve the quick -acting savior pill. Generally, 4 capsules are effective for 5 minutes after service. If you do not alleviate it after 10 minutes, you can take it as appropriate. If you take two continuous use of the effect, you should call 120 immediately.
禁 Nitrate glycerin has taboos
If there are taboos with nitroglycerin, such as severe anemia, glaucoma, intracranial pressure, hypertrophic obstructive myocardial disease or allergic to nitroglycerin, you can choose quick -acting savior pills. In addition, if there is no nitroglycerin around, you can take the quick -acting savior pill.
同时 Try not to take them at the same time as much as possible
Many people think that both medicines are dual insurance. In fact, it may make it difficult for the drug effect to control, it is also easy to cover up the risk of bad prognosis.
There is no medicine around you, so save live!
In daily life, if you have a heart disease and have no medicine, what should I do?
Dr. Zhang Jie, Department of Cardiology, Zhengzhou Seventh People's Hospital, gives different suggestions in two different scenarios:
When the patient is alone
Symptoms such as severe chest pain and whole -body convulsions have occurred, and there are no drugs at hand. You should first call the first aid phone to stabilize your emotions, then take a deep breath and cough hard.
When coughing, it should be like coughing deep in the chest cavity. After each cough pause for about 2 seconds, inhale and repeat the cough until the ambulance arrives or restores normal before stopping.
Deep breathing before coughing can inhale oxygen into the lungs, and the movement of hard coughing seems to squeeze the heart, promote blood circulation, and help restore normal pulse.
In the case of someone around the patient, the following methods can be used for first aid:
Keep your breathing smooth. The rescuer should first open the window to ventilate, keep the indoor air fresh, and then place the patient's ventilation place to unlock the patient's collar, raise the patient's jaw upwards, and be on the head, which will help keep the respiratory tract open. If there is vomit in the oral cavity of the patient, it should be removed in time to avoid blocking breathing. In addition, if the patient is an elderly person wearing a denture, the dentures should be removed.
Artificial breathing. If the patient has poor breathing, artificial breathing can be used for first aid.
The rescuer first lay down the patient flat, then leaned over with his hand holding the patient's forehead to fix, and then pinched his nostrils with your thumb and index finger, took a deep breath, blowing the patient with a mouthpiece, each time the blow was blowing, and each time it was blown up After qi, let go of the patient's nostrils and exhale it.
Blow 12 to 16 times per minute, and repeat this action.
Artificial respiration can give patients sufficient oxygen to stabilize the condition and win the time for medical staff to rescue the time.
Master the correct method of cardiopulmonary resuscitation
Used at critical moments
"Mastering the correct method of cardiopulmonary resuscitation, you can really save people's life at a critical moment." Zhang Jinying introduced that the survival rate of cardiac arrest was very low. The key to the success of rescue was the treatment of cardiopulmonary resuscitation as soon as possible.
When a patient with cardiovascular disease unexpected accidents, the most regrettable approach is that patients have stopped cardiac arrest, and their families are blindly waiting for the doctor or sending the patient to the hospital instead of the cardiopulmonary resuscitation immediately. 40%~ 60%of the patients are disconnected.
Patients with cardiovascular disease suddenly occurred in the cardiac arrest. Most of them were caused by ventricular fibrillation. Family members should make up. After a twice or twice, they immediately placed the patient in a hard board bed to do the heart compressor and artificial breathing. Essence
The specific operation is:
Put the root of the palm of one hand in the middle of the rescuer's chest, that is, the two nipples connect the midpoint, then stack the other hand up, the two fingers are intertwined, the arms are straight, and the body weight is vertically vertically downward. Press, the depth is five to six centimeters, how deep the press, how high the rebound is, the frequency is 100 ~ 120 times per minute.
A cycle of heart compressing 30 times and 2 artificial breathing.
The ambulance should be placed on the right side of the patient, and the left hand is placed on the forehead of the patient, so that the patient's head is tilted backwards. The family's right hand is placed in the patient's jaw to increase the mandibular bone forward. Essence
120 should be called immediately while performing cardiopulmonary resuscitation. Zhang Jinying emphasized that the acute myocardial infarction is not far away from us, and sudden death is by our side. Early first aid, grasping sudden death of emergency gold 4 minutes is an important node to save life.
In clinical work and real life, we often encounter sudden heart death. In this case, the correct cardiopulmonary resuscitation as soon as possible is the key to rescue patients.
The patient's cardiac arrest will be lost for 5-10 seconds and falls to the ground; the whole body twitching will occur in 30 seconds; the pupils will be scattered and without autonomous breathing; the cerebral edema will appear in 3 minutes; the brain cells will start at 4 minutes. Death; 8 minutes of brain death and entering plant state. For patients with cardiac arrest, time is life.
The heart arrest will die within 10 minutes after the onset of the onset, and the rescue success rate will be almost 0 within 10 minutes.
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