Chapter 1534 【1534】Strange Patient

This is on a plane, not on flat ground, so I can't find another doctor or take a taxi to the hospital at any time.

"Sister, you go." Leilei grabbed her mother's hand to prevent her from grabbing her sister's clothes. Her sister's words just now made her a lot stronger.

Lei Lei's mother was so angry that she could only sit back on the chair first. After a while, she looked around with the same curiosity as the other passengers on the plane. What kind of patient will it be this time?

When her daughter was sick just now, no one said she was sick.

Adults have a higher tolerance for pain than children. Especially some hard-working elderly people often endure minor illnesses and pains into serious illnesses, just to keep their family members from worrying. The old lady could bear it to the point of dying, and she was discovered by her daughter who was with her.

Walking quickly to the side of the elderly patient, Xie Wanying took a look at the patient, and the alarm bell rang, feeling as bad as the nurse.

"Should we let her lie down?" The flight attendant again offered the same suggestion as before, thinking that this time the patient was seriously ill, so he should have to lie down.

"No, she won't be able to lie down." Xie Wanying and the nurse said in unison.

Patients with heart failure cannot lie down. There is a medical term to describe this special performance called orthopnea.

To explain this phenomenon, we need to understand what heart failure is. Heart failure is not an independent disease, but a group of clinical manifestations, a typical symptom group that will appear when many cardiovascular diseases develop to a certain extent. The causes of these symptoms have been studied by medical scientists through the study of the physiological structure and function of the human body. They have found that the systolic and diastolic functions of the heart of these patients are impaired compared with normal people. The decrease in venous blood to the heart is called a decrease in blood return to the heart in technical terms. The reduction in the amount of blood returning to the heart causes the venous blood that cannot return to the heart to stagnate in the venous system of the human body. The blood pumped by the heart to the arterial system of the human body decreases accordingly, showing insufficient arterial perfusion.

According to the principle mentioned above, the heart function of patients with heart failure is not good, and the normal venous blood return will increase the burden on the heart if they lie flat. , Let your heart feel better. This is where orthopnea comes in.

It can be seen that edema of both lower extremities is also one of the common symptoms of heart failure patients.

The old lady waved her hand and said that there is no need to lie down. Obviously, she has difficulty breathing and cannot lie down. This is the manifestation of orthopnea due to acute heart failure.

The nurse rolled up the patient's trouser legs, exposing the patient's ankle.

If there is edema and the skin around the ankle is weak, the medical staff will know all about it by looking at it and touching it.

The old lady was strange, she was fat, but the medical staff's fingers pressed on her skin, and there was no indentation usually seen with edema.

Lu Xin felt like scratching her head.

Xie Wanying was a bit confused about the patient's situation, and only listening to the local accent of the old man's daughter could confirm certain things.

The area of ​​a domestic province is not small, and it can be equivalent to a small country internationally. There are differences across the province, each with its own local accent and customs. For doctors, identifying where the patients come from is not to treat patients differently, but to help doctors identify whether it is an endemic epidemic.

Each place has its own epidemic diseases due to differences in climate, soil, diet and sources.