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Returning to work after the holidays, many people died suddenly after taking long-distance trains! Emergency reminder from doctor
Guangming.com2024-02-24 07:32
With the end of the Spring Festival holiday
Everyone also started to return to work one after another
How long did your return journey take?
According to Guangzhou Daily
Learned from many medical institutions in Dongguan
On my way back to work after the recent Spring Festival holiday
Many people appeared because they had to sit in the car for a long time.
Patients with acute pulmonary embolism
Three people died unfortunately
Continuous driving time is 20 to 30 hours
More than 20 hours of long-distance bus ride
Ms. Ao suddenly fainted after getting off the car
On the morning of February 17, the eighth day of the first lunar month, 47-year-old Ms. Ao rushed from her hometown in Zunyi, Guizhou to Houjie Town, Dongguan City after taking a long-distance bus for more than 20 hours. After getting off the bus and not walking far, she suddenly fainted, became confused, and refused to respond. The fellow villagers who were traveling with her quickly dialed 120.
When emergency personnel from Houjie Hospital arrived at the scene, she had no breathing and heartbeat. The medical staff immediately performed cardiopulmonary resuscitation and immediately transferred her back to the emergency department of the hospital, where they administered a series of rescue measures including continuous chest cardiac compressions, endotracheal intubation, and ventilator-assisted ventilation.
After 26 minutes, her heartbeat resumed, but her blood oxygen was low, her heartbeat was unstable, and her heartbeat continued to stop repeatedly.
Li Jinting, director of the Department of Emergency and Critical Care Medicine at Houjie Hospital, said that the patient's lower extremity venous color ultrasound showed lower extremity venous thrombosis, and the electrocardiogram showed complete right bundle branch block. Based on the medical history, it was diagnosed as acute pulmonary embolism caused by long-term driving, which is also known as "economy class syndrome" .
The hospital made every effort to treat her and provided her with interventional treatment with the assistance of a cardiopulmonary resuscitation machine and a ventilator. After the operation, he was sent to the Department of Emergency and Critical Care Medicine for continued treatment. The patient's heartbeat and blood oxygen gradually returned to stability, but he remained in a deep coma with fixed pupil dilation. He was considered to have ischemic-hypoxic encephalopathy, which is difficult to reverse .
On the morning of February 20, Ms. Ao’s husband, who rushed to Dongguan from his hometown in Guizhou, decided to transfer her back to his hometown. On February 21, Ms. Ao was confirmed dead.
More than 30 hours of long-distance bus ride
Ms. Yang fainted and fell to the ground after getting off the car.
In the emergency ICU of Dongguan People's Hospital, Ms. Yang, a 49-year-old female worker who has worked in a shoe factory in Dongguan for more than 20 years, has not yet passed the critical period.
On February 18, at about 11 a.m. on the ninth day of the first lunar month, she took a long-distance bus from her hometown in Huaihua, Hunan, for more than 30 hours back to Dongguan. The bus dropped her off when it passed the Dongguan People's Hospital bus station. Unexpectedly, after getting off the car and walking a few steps, she fainted and fell to the ground, unconscious. Passers-by quickly called 120.
After receiving the order, the Municipal People's Hospital immediately dispatched the vehicle. Medical staff rushed to the scene and found that the patient was unresponsive to calls, had no pulse, and was breathing like a sigh. They immediately implemented effective cardiopulmonary resuscitation and then transferred him to the emergency room for tracheal intubation and pushing. Adrenaline injection, fluid rehydration and other treatments.
After emergency consultation in the emergency ICU, it was considered that the patient had respiratory and cardiac arrest. Despite continuous cardiopulmonary resuscitation and large doses of vasoactive drugs, he still had repeated episodes of ventricular fibrillation, occasional spontaneous heart rate, and weak heartbeat. Dr. Fu Chunlai, director of the Emergency Medicine Center, instructed to activate the "life-saving tool" "ECMO.
ECMO was started at 12:12; ECMO was successfully operated at 12:32. After the ECMO was started, the emergency team performed brain CT and lung CTA examinations on her, which revealed pulmonary embolism. ——She also suffered from acute pulmonary embolism caused by sitting in the car for a long time, which is also known as "economy class syndrome".
That afternoon, Dr. Guo Suxia, director of the Department of Cardiovascular Medicine at the Municipal People's Hospital, led doctors Zhang Xiaoming and Wu Zhihao to perform "pulmonary angiography + thrombectomy". During the operation, it was seen that the distal left and right pulmonary trunks and multiple distal pulmonary embolisms were found, with the left lower pulmonary artery The embolism is obvious.
On February 20, ECMO was successfully evacuated. However, Ms. Yang's condition was really critical and her brain hemorrhage was severe and irreversible. On the morning of February 22, the family members had no choice but to give up treatment.
Ms. Yang's husband, who came from his hometown in Hunan after the incident, signed his name tremblingly with tears in his eyes. Their daughter works in Guangzhou and did not go home for the Spring Festival this year. She originally thought that she would visit her mother when she returned to Dongguan, but now she is like this. She is at a loss and in unbearable grief.
Dr. Fu Chunlai said that two days ago, a patient in Qiaotou Town, Dongguan City suffered a cardiac arrest due to pulmonary embolism while riding in a car for a long time, and ultimately died after ineffective rescue.
12 hours of car ride
Ms. Liu fainted as soon as she got off the car
In contrast, Ms. Liu, a 56-year-old female worker, is luckier.
At about 8 a.m. on February 19, she took a 12-hour bus ride from Yongzhou, Hunan, back to Gaobu Town, Dongguan City. She fainted as soon as she got off the bus. Gaobu Hospital emergency personnel rushed to the scene and quickly transferred her to Dongguan City. People's Hospital.
Medical staff went all out to treat the patient. Pulmonary artery CTA showed multiple thrombus occlusions in the main trunk and branches of the pulmonary artery. Heparin was immediately given for anticoagulation and transferred to the interventional room to open the blood vessels. The patient's blood pressure and oxygenation improved significantly after local thrombolysis. After returning to the emergency ICU, anticoagulation, respiratory support, and circulation stabilization treatment were continued.
At present, Ms. Liu has been successfully extubated from the ventilator. She is conscious and recovering well. She will be transferred out of the emergency ICU to the general ward to continue observation and treatment soon.
What is Economy Class Syndrome
Economy class syndrome (also known as acute pulmonary embolism ) is caused by maintaining a fixed posture for a long time, such as sitting or lying down, resulting in slowed venous blood return and stasis in the lower limbs , resulting in the formation of thrombus . When standing up, blood clots follow the blood circulation and can easily get stuck in the pulmonary artery, causing acute pulmonary embolism, leading to severe symptoms such as difficulty breathing, accelerated heartbeat, and chest pain, which can even be life-threatening.
Economy class syndrome is not limited to flying. It can also occur when taking other modes of transportation or even working at a desk for long periods of time.
Sitting still for a long time, blocking blood circulation and causing blood clots, all fall into the category of "economy class syndrome".
Pay attention to these scam signals
If you fly for a long time or travel long distances, and your body is in a small space for a long time and you remain sedentary for a long time, you are prone to "economy class syndrome". Common symptoms include fatigue, lower limb swelling, chest pain, difficulty breathing, cardiac arrest, etc.
These symptoms may bring inconvenience and trouble to our travels, and even endanger our health.
How to prevent economy class syndrome?
"move"
PART. 0 1
Try to avoid sitting in the same posture for long periods of time. You can move your feet or legs regularly and perform lower limb movements such as " knee lift, ankle pump, toe curling, and chest pressing ". In places with limited space such as airplanes, trains, and automobiles, you can walk around and stretch your legs appropriately when conditions permit .
"drink"
PART. 0 2
Drinking water can dilute the sticky blood, while pouring water and going to the toilet can also make you passively change your sitting posture.
During long-distance travel, it is recommended to drink more than 100 ml of water per hour .
"wear"
PART. 0 3
Try to avoid wearing clothes that are too tight, and wear loose and comfortable clothing . High-risk groups can choose to wear elastic stockings , which can help reduce the formation of venous thrombosis in the lower limbs.
"medicine"
PART. 0 4
Drug prophylaxis is only recommended for high-risk groups , and the prophylactic use of low molecular weight heparin should be very cautious.
If you need to use anticoagulant drugs, they should be used under the guidance of a physician or pharmacist .
High-risk groups include: patients with fever, who are prone to hypercoagulability. In addition, long-distance travel increases the risk of thrombosis. Fever symptoms may also aggravate dehydration, further increasing the risk of venous thromboembolism.
Patients with chronic diseases, such as tumors, heart failure, nephrotic syndrome, etc.
In addition, it also includes pregnant women, long-term oral contraceptive users, elderly people, obese people, etc.
Economy Class Syndrome Focuses on Prevention
If you need to travel by car or plane for a long time
Be sure to increase activity time and frequency
It is recommended to be active at least once every half hour
Massage your calves properly
drink as much water as possible
source: https://baijiahao.baidu.com/s?id=179...=spider&for=pc