This is on a plane, not on the ground. You can't find other doctors or take a taxi to the hospital at any time.
"Sister, you go." Leilei grabbed her mother's hand and prevented her mother from grabbing her sister's clothes. Her sister's words made her stronger.
Leilei's mother was so angry that she could only sit back on the chair. After a while, she looked around curiously like 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. In particular, some hard-working elderly people often endure minor illnesses and pains into serious illnesses, just to prevent their families from worrying. This old woman had to endure it until she was almost exhausted, and was discovered by her daughter who was accompanying her.
Walking quickly to the elderly patient, Xie Wanying took one look at the patient, alarm bells rang, and she felt as bad as the nurse.
"Should she lie down?" The flight attendant once again made the same suggestion as before, thinking that this time the patient was seriously ill and needed to lie down.
"No, she can't lie down." Xie Wanying and the nurse said in unison.
Heart failure patients cannot lie down. There is a medical term to describe this special phenomenon called orthopnea.
To explain this phenomenon, we need to first understand what heart failure is. Heart failure is not an independent disease. It is a group of clinical manifestations. Many cardiovascular diseases will present a group of typical symptoms when they develop to a certain extent. The causes of these symptoms have been studied by medical scientists through the physiological structure and function of the human body. They have found that the systolic and diastolic functions of the heart in such patients are impaired compared with normal people. Some have both or one of the two, causing symptoms of symptoms. The venous blood flow to the heart decreases, which is called a decrease in the amount of blood returned to the heart. The reduction in blood return to the heart causes venous blood that cannot return to the heart to become stagnant in the human venous system. The blood pumped by the heart to the body's arterial system is reduced, showing arterial hypoperfusion.
According to the principle mentioned above, the heart function of patients with heart failure is no longer good. If they lie down, normal venous blood return will increase the burden on the heart. The patient cannot accept it, so the patient will behave like he has to sit up to allow the returned heart blood to be stored in the lower limbs. , make your heart feel more comfortable. This is where orthopnea comes from.
It can be seen that edema of both lower limbs is also one of the common symptoms of heart failure patients.
The old lady waved her hand and said there was no need to lie down. It was obvious that she had difficulty breathing and couldn't lie down, which was a symptom of acute heart failure and orthopnea.
The nurse rolled up the patient's trouser legs to expose the patient's ankles.
If there is edema and the skin around the ankle is weak, the medical staff can tell by looking, touching and pressing it.
The strange thing about this old woman is that she is fat, but when the medical staff pressed their fingers on her skin, there were no indentations usually seen in edema.
Lu Xin felt like scratching her head.
Xie Wanying was a little confused about the patient's condition. Just listening to the local accent of the old man's daughter could confirm certain things.
The area of a province in China is not small, and it can be equivalent to a small country in the world. There are differences across the province, each with their own local accents and customs. For doctors, identifying the specific place where the patient comes from is not to treat patients differently, but to help doctors identify whether it is a local epidemic.
Each place has its own epidemic species due to differences in climate, soil, dietary sources, etc.
