“Have she had a thyroid test?”

Alas. The patient's daughter asked Xie Wanying a sudden question, and there was only one word confused.

Some epidemics usually do not seem particularly harmful to most people, and local people will not check themselves or pay special attention to them. Few people will pay attention to the reminders issued by the national health department to local medical institutions.

At this stage, the country needs time to cultivate national health awareness. So only on one day a small number of patients have severe attacks and go to the hospital to check it out, and then they will know where the problem is.

Hypothyroidism is commonly known as hypothyroidism, which is more common in the elderly, more common in elderly women, and more common in iodine-deficient areas. Like heart failure, it is also a syndrome, that is, syndrome. Hypothyroidism usually has a hidden onset, a long course of the disease, and manifests itself.

The mild, moderate and severe symptoms that appear are diverse in each patient. The mild patient may have no symptoms or manifestations as muscle weakness. Severe patients may have heart failure like the current old lady.

Xie Wanying said to the nurse and the flight attendant: "Change her a mask to inhale oxygen."

More critical and critical patients have a high demand for oxygen, and due to a lack of oxygen, they will unconsciously add the intention of breathing with their mouths to increase the amount of oxygen. Unlike the nasal catheter, the mask can only provide oxygen to the nose and cover it.

The patient's mouth and nose are given a piece of oxygen to the mouth, which is very useful for patients who breathe through oral. The mask covering the patient's mouth and nose is equivalent to a closed space, and oxygen will not run around, which can provide the patient with a relatively stable condition.

The oxygen concentration is also beneficial for the patient's oxygen treatment.

The flight attendant went to get the oxygen mask. Seeing this, the nurse asked Xie Wanying: "Will you get the injection?"

Injection is not possible. She is not a practicing physician who has no prescription rights. Injection requires medicine, and the administration must not be done randomly, otherwise the law will not force anyone to prescription rights. Unlike her cousin's case, beforehand

She communicated with her senior brother that she could first make a medical order that was executed if necessary.

Can't take medicine, can't I get a bag of sugar or saline? The patient has heart failure, not a loss of body fluids. On the contrary, patients with heart failure must control the infusion volume to prevent the increase in blood volume and add another burden to the heart.

Seeing Xie Wanying shook her head, Lu Xin sighed and felt helpless.

In fact, when patients like this, practitioners dare not take rescue medicine easily until the most dangerous time. Heart disease caused by hypothyroidism is different from other heart diseases. Many heart disease drugs should be used with caution, such as usual clinical use.

The use of digitalis cardiac enhancer in this type of patient is prone to poisoning.

How far is the old lady's heart disease? Further examination is needed.

With a stethoscope on, Xie Wanying performed cardiopulmonary auscultation on the patient.

The apex pulsation shifts to the left, and the patient is suspected to have signs of left ventricular enlargement. The condition affects the heart structure and is a relatively serious state, and it is not easy to reverse it. In the future, it may require major surgery in a large hospital.

Listen carefully, the patient couldn't sit down and was forced to lean forward to breathe. Xie Wanying held the head of the listener in her hand and placed it deep inside the patient's clothes, close to the patient's chest wall, from the third and fourth intercostals on the left side of the sternum to the sword.

A sudden, you can clearly hear the high-frequency sound of scratching, covering the heart sound. This is the pericardial friction sound. The reason for this sound is that the pericardial fiber layer becomes inflamed, the pericardial wall layer becomes rough and the pericardial wall layer is attached to the surface of the heart.
Chapter completed!