Ms. Zhang, 45 years old, today is the day of her remarriage.
Three years ago, her husband died in a car accident, and she wanted to die alone, but with the encouragement of relatives and friends. She plucked up the courage to find her other half happily.
On the wedding night, Ms. Zhang relived the long-lost warmth.
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When she got up in the morning, Ms. Zhang suddenly felt a tingling pain in her lower back, and then she instinctively paused.
Maybe it was last night that she twisted her waist, her husband comforted, and at the same time asked her to lie down and massage her a few times, and the husband and wife didn't pay much attention to it.
So I endured the pain and got up.
However, as soon as she turned around, a tearing, sharp pain came directly at her.
Oops. No, I didn't dare to move, Ms. Zhang sighed, and then went straight back to the bed.
The husband had no choice but to comfort Ms. Zhang and then hurriedly went to a nearby pharmacy to buy some medicine.
What ibuprofen, painkiller ointment bought a whole bunch of them, but nothing worked!
There was really no way, her husband led her to a nearby massage parlor for a massage, don't you say, lying down for a while, it seems to have lightened a lot.
Ms. Zhang thought that the matter would end soon, but she did not expect that the real disaster had just begun.
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In the middle of the night, Ms. Zhang was faintly unwell, tossing and turning, and a sharp pain made her suddenly feel a little flustered, chest tightness, and a little out of breath.
At this time, the husband felt that something was wrong and panicked
I don't feel like a simple lumbar sprain, it can't be that there is something wrong with my heart, right?It's not going to be another acute heart attack, is it?Besides, I don't have any drastic actions
The more the husband thought about it, the more scared he became, because his mother died of an acute myocardial infarction, and he also had this feeling of panic and chest tightness before the onset of the disease.
It's only been a few days since he got married, and the honeymoon period hasn't arrived yet, so I'm not so unlucky, the more he thinks about it, the more he thinks about it, the more he feels a burst of hair in his heart!
After that, he hurriedly dragged Ms. Zhang to the hospital.
As soon as the emergency doctor heard about Ms. Zhang's condition, he quickly pulled an electrocardiogram, which showed that the T wave in leads V4-V6 was inverted, and the heart rate was 110 beats!
It is an electrocardiogram of myocardial infarction, but it looks like a change of staleness.
The emergency doctor analyzes the ECG while looking at it, but the symptoms cannot be ruled out whether they are old or new!
Old myocardial infarction?The husband is also depressed, could it be that Ms. Zhang has also had a stalk!
The situation is urgent, and there is little point in pursuing this.
The doctor immediately took blood for Ms. Zhang to check the myocardial enzyme spectrum, myocardial infarction three-in-one, and D2 mer series!
At the same time**Contact all doctors to prepare for thrombolysis and rescue.
The emergency program came out soon and the results showed:
The three-in-one index of myocardial enzyme spectrum, DD2 mer, and myocardial infarction were normal, and new acute myocardial infarction was not supported.
After 15 minutes, the ECG was rechecked again, and there was little change.
A false alarm!You're so nervous, I'm just twisting my waist, how can there be so many things.
Ms. Zhang said, I won't be so unlucky, two heart attacks in 3 years?
After checking that there was nothing serious, her husband also relaxed a little, and then the doctor arranged for Ms. Zhang to do an MRI of the lumbar spine to see if it was an acute sprain of the lumbar muscles.
As a result, Ms. Zhang was placed in a surgical hospital**.
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The first physician considers the diagnosis:
Lumbar sprain?Lumbar disc herniation?Acute coronary syndrome?
Soon, the two of them finished the lumbar MR, and the results showed that there was no obvious abnormality.
The doctor explained:For a simple acute sprain, magnetic resonance may not be fully visible, so don't worry too much.
However, in order to rule out the possibility of another heart attack, the doctor gave her a repeat series of myocardial infarctions and a repeat electrocardiogram.
Later, after confirming that it was not a myocardial infarction, the doctor gave her some drugs to promote blood circulation and eliminate blood stasis and relieve pain.
Late at night, suffocating wards.
Ms. Zhang, who still has charm, snuggled up to her husband's side, drowsy.
However, at this time, the Grim Reaper was quietly approaching Ms. Zhang.
Help, I'm gasping for breath a little hard, it's hard and painful..."Ms. Zhang was suddenly sweating profusely, and she was speechless by a near-death feeling.
At this time, the husband panicked and quickly called the doctor.
What's going on?The doctor was also shocked.
Quickly scanned the ECG again, and it was fine.
When I heard Ms. Zhang's left lung, why couldn't I hear the breath sound in my left lung?I listened carefully again, but I still didn't hear it!
The doctor was a little panicked, and it was better to quickly scan her chest, but no one dared to move her at this time.
In the end, the doctor finally begged the doctor on duty in the radiology department to pull the bedside X-ray machine
Large pleural effusion on the left side!
* Sudden pleural effusion?I didn't have it when I was first admitted to the hospital.
Urgently contact a respiratory physician and immediately chest puncture, which is not only a diagnosis, but also a relief for Ms. Zhang's symptoms.
All of them held their breath!
A needle went down, it was full of red blood, and the doctor was stunned:
Where did so much blood come from?
Fortunately, after about 1,000 milliliters of dark red bloody fluid was withdrawn, her symptoms improved.
A little common sense knows that there is a high suspicion of a ruptured arterial dissection, and the amount of bleeding can be very large!
Thoracic and abdominal aortic CTA must be performed urgently, and if the diagnosis is confirmed, surgery must be performed immediately, and a delay of one minute may lead to death, the doctor told Ms. Zhang's husband in a hurry.
The husband was instantly blindfolded: What's the matter, how can this be!
The doctor accompanied him to the CT room and nervously looked at the machine that was about to finish scanning.
Critical value!The doctor on duty in the CT room looks at the doctor.
Acute thoracoabdominal aortic dissection!!
There is not the slightest doubt about the diagnosis.
No wonder she suddenly has such a severe pain in her lower back, now your wife is very dangerous and could die at any time, because the case fatality rate of this disease is very high, and her condition is very serious!
At this time, the doctor who was talking to her husband was also a little panicked and told her husband.
If you want to survive, you must fight to the death, but no one dares to guarantee it, you should sign it quickly!
A desperate struggle with death begins immediately.
Emergency surgery is needed, but the operation is very difficult, and he may not be able to get off the operating table at any time, the surgeon told him before the operation.
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His mind went blank for a while, but he could only sign the informed consent form for surgery with trembling.
In the operating room, thrilling!
Outside the operating room, you can hear a single hair falling quietly.
Fortunately, God has the virtue of a good life.
Ms. Zhang's broken tumor was successfully removed and the blood vessel was successfully replaced.
You almost went to see God, if you were a minute late, maybe this life would be gone" After the postoperative round, the doctor finally told Ms. Zhang the truth.
Half a month later, Ms. Zhang got better and was discharged from the hospital.
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Pleural effusion in patients with thoracic aortic dissection may be caused:
1.Increased resistance to blood flow: After a ruptured thoracic aortic dissection, blood flows through the dissection with a delay due to a tear in the dissection, increasing resistance to flow. This increased resistance to flow leads to increased pressure in the chest cavity, which in turn encourages blood to build up in the chest cavity.
2.Vessel wall rupture: After a ruptured thoracic aortic dissection, the pressure in the thoracic aorta increases dramatically, causing the dissection to tear further and form a larger tear. At this point, a large amount of blood passes through the dilated dissection and enters the chest cavity, forming a pleural hemoplenum.
In addition to the above two causes, there are some other factors that contribute to hemopleuralism:
3.Intimal injury: When a thoracic aortic dissection ruptures, blood in the dissection rubs against the wall of the dissection, resulting in damage to the intima of the blood vessels. Damaged lining of blood vessels can cause bleeding, allowing blood to leak into the chest.
4.Blood vessel rupture: After a thoracic aortic dissection ruptures, the blood pressure in the dissection increases dramatically, rupturing the blood vessels in the dissection. Blood flows out of the ruptured blood vessels and into the chest cavity.
5.Rupture of perivascular tissue: After a ruptured thoracic aortic dissection, blood within the dissection can also cause a rupture of the surrounding tissue, which can cause blood to leak into the chest cavity.
6.Thrombosis: After a ruptured thoracic aortic dissection, clotting factors in the blood may also be activated, forming a blood clot. The formation of blood clots can block blood vessels, leading to bleeding or hemopleural.
It is important to note that hemopleura is a complication of ruptured thoracic aortic dissection, and if this occurs, medical attention should be sought immediately for appropriate treatment.
1.Blood compresses nerves: Hemopleurum causes increased pressure in the pleural cavity, which in turn increases pressure on surrounding structures. Low back pain occurs when blood compresses nerve roots in the lumbar spine or other nerves associated with the lower back.
2.Thrombosis: After a ruptured thoracic aortic dissection, clotting factors in the blood are activated, forming a blood clot. If a blood clot blocks a blood vessel near the pelvis or lumbar spine, it can lead to ischemia or necrosis, causing low back pain.
3.Psoas muscle traction or inflammation: Pleural hemopleura can cause increased pressure in the pleural cavity, causing abdominal organs to shift downward and compress the muscles and tissues in the lower back.
This stretching or inflammatory response can also cause low back pain.
Low back pain is one of the common symptoms of ruptured thoracic aortic dissection, but it may also be related to other **, so if there are symptoms of low back pain, you should seek medical attention in time for an accurate qualitative diagnosis and **.
Life is not easy, do it and cherish it, please cherish the people you love and those who love you in front of you.