內容目錄
Daily Business Daily News Mr. Lin, 56 years old, is an online car-hailing driver who drives an average of 15-20 hours a day. In order to reduce the frequency of going to the toilet, he drank less or even no water; in order to refresh himself, he also smoked from time to time. Some time ago, due to long-term bad habits, Mr. Lin suffered a pulmonary embolism and was directly admitted to the ICU.
My life is hanging by a thread. Pulmonary embolism has reached the “high risk” level
“On New Year’s Eve, I slept in the car for a while, my legs were crossed, and I woke up with pain in my right calf. I thought it was twisted, so I didn’t take it seriously.” Mr. Lin said that he has been feeling dizzy and chest tightness from time to time recently. One night at the end of last month, he suddenly lost consciousness at home and woke up to find himself lying on the ground surrounded by vomiting He was shivering all over, so he quickly dialed 120.
Sun Xiang, director of the ICU of Zhejiang Greentown Cardiovascular Hospital, introduced that Mr. Lin was in shock when he was sent to the hospital. After consultation with doctors in the emergency department, cardiology department and ICU, he considered the possibility of embolism.
The CT image of the pulmonary artery showed that Mr. Lin did indeed have a large area of pulmonary embolism in his chest, and it was the most dangerous pulmonary artery thrombus, and he could stop breathing at any time. After the diagnosis was confirmed, the ICU team immediately performed drug thrombolysis. After targeted treatment, Mr. Lin’s physical signs became stable, and he finally turned the corner.
Prevent pulmonary embolism to avoid prolonged sitting
Wang Shen, director of the Cardiology Department of the hospital, introduced that pulmonary embolism is one of the acute cardiovascular syndromes, and its incidence is second only to myocardial infarction and stroke. If pulmonary embolism is not diagnosed and treated in time, the mortality rate is as high as 30%-40%.
“When people sit still for a long time in a small space, it is easy to block the blood flow of the lower extremities, and the probability of forming deep vein thrombosis is greatly increased. The thrombus is formed in the lower extremities, and as the blood flows into the pulmonary circulation, the main trunk of the pulmonary artery will be blocked. Or the branch is blocked.” Wang Shen reminded that many people may feel that “pulmonary embolism” is far away from themselves, but in fact long-term sedentary or bedridden people, the elderly, pregnant women, patients after tumor surgery, long-term oral contraceptives and lower extremity trauma The patients are all high-risk groups.
Wang Shen introduced that 95% of pulmonary emboli originate from the deep veins of the lower extremities. The affected limbs of patients with deep vein thrombosis of the lower extremities are often accompanied by swelling, thickening, pain or tenderness, skin pigmentation, and the affected limbs after walking. Increased swelling or pain. If these situations occur, you should seek medical attention in time. At the same time, pay attention to the following points in daily life:
1. Pay attention to hydration. It is best to add 200ml of water every hour, and avoid alcohol and caffeinated beverages.
2. Avoid staying in a fixed position for a long time, and do 3-5 minutes of foot exercise every hour, including toes, toes and knees.
3. Wear loose and soft clothes and shoes as much as possible during long-distance traffic. Don’t just sit and sleep. When driving by yourself, you should get off the bus for 2-3 hours and move your limbs.
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