at noon, the emergency room to patients with a toothache 3 hours, the doctor also feel strange, toothache USES them, what kind of toothache would be so much, to live in the emergency room!
to see the original patients to dental and teeth are no big problems, patients with pain, hospitalization itself!
8 hours later, is already late at night, he appeared syncope, consciousness again after about 20 seconds, the change of the condition immediately caused doctors to worry about.Quickly please nerve internal medicine, cardiology, gastroenterology dept. Consultation: electrocardiogram (ecg), brain CT, blood liquid powder (myocardial enzyme, enzyme, blood coagulation function, D - dimer, etc.), bedside chest X-ray, ecg monitoring and began full screen check results have no obvious disease!
in patients with sudden vomiting, no chest pain, plummeting 60/40 MMHG blood pressure, heart rate, not breathing!At the same time of rescue, rapid bedside cardiac ultrasound, prompt the medium pericardial effusion, aortic CT angiography immediately for the emergency department, the result is: aortic dissection.
the doctors know death is coming, often in the middle of the night, come more fiercely!But still have to go all out.Immediately notify heart doctor, talk with family members to surgery, but the patient suddenly heart stop beating, death disables via rescue!
originally, patients with high blood pressure at ordinary times, there is no formal suit to high blood pressure, time is long, cause damage to the aorta, and development as the main artery dissection, but found no blood pressure increases when a toothache!
aortic dissection is refers to the aortic lumen of blood, membrane from aortic intimal tear mouth into the aorta, and the direction along the long axis of the aorta, aortic true and false of the separation of the two cavity caused by a kind of pathological changes, because usually change secondary tumor samples, so called aortic dissecting aneurysm.
clinical characteristics as follows: acute onset, about 90% had severe chest pain, shock or hematoma compression corresponding aortic branch blood vessels of viscera ischemia symptoms: such as myocardial infarction, heart failure, cardiac tamponade, etc.Toothache is extremely rare, the performance of 50 to 70 years for the high incidence of age, a high incidence of men than women.
aortic dissection is a catastrophic severe diseases of cardiovascular disease, if not diagnosed promptly, within 48 hours of mortality can be as high as 50%, if the merger of myocardial infarction, heart failure, mortality is higher.In basic-level hospitals, unable to diagnose clearly, sometimes too late courtyard, patients with sudden death occurs!
give priority to arterial hypertension, atherosclerosis and increased age important susceptible factors of interlining, three-quarters of patients with high blood pressure, aortic dissection of aortic dissection is one of the severe complications of hypertension.
so, patients with high blood pressure, control blood pressure under 140/90 MMHG, protect the whole body blood vessels, prevent concurrent heart cerebrovascular accident, how important it is!Click on the following: to understand and know more about how to control high blood pressure.