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Chapter 321 Myocardial infarction(1/2)

Xu Weiguo smiled and said, "Xianmu, if you like it, come to my house tonight and I'll cook it for you!"

Li Xianmu nodded, "Okay, then I'll go back with you after get off work today!"

Hearing the conversation between Xu Weiguo and Li Xianmu, the old man in military uniform burst out laughing, "You two little brothers are really funny. These are famous Hunan dishes, and many of the ingredients in them are in short supply. Can you get them?"



"Don't think that an old man like me doesn't know anything and just brag in front of me!"

Li Xianmu quit immediately, "Old sir, what you said is wrong!"

"We are not bragging. To be precise, my eldest brother Weiguo never brags. Let alone Hunan cuisine, he has cooked more luxurious dishes than these!"

"What a family portrait, a hundred birds paying homage to the phoenix, and three heroes among cattle, these are the level of home-cooked food at my eldest brother Weiguo's house!"

The old man in military uniform rolled his eyes at Li Xianmu, "You blow...you keep blowing! I can see a lot of cows flying in the sky outside right now!"

"You two little comrades are quite good people, but you don't say a word of truth in your mouth. This is not good!"

"No wonder we have to be sent to such a remote place!"

"Hey, what's going on, you old gentleman? We kindly entertained you and treated you to stone pot fish, but you said we were bragging?" Li Xianmu became more and more excited as he spoke. Just when he was about to continue speaking, he was interrupted.

Xu Weiguo was held back.

"Xianmu, pay attention to your attitude!" After Xu Weiguo scolded Li Xianmu, he turned to the old man in military uniform and said, "Old sir, don't listen to his nonsense. I just said it to him. Don't take it to heart!"

After hearing Xu Weiguo's words, the old man in military uniform softened his expression and nodded, "You are a very good comrade. You have cooking skills and knowledge, and you can correct your mistakes if you know they are wrong!"

"Not bad!"

Li Xianmu was speechless. He wanted to speak again, but Xu Weiguo stared back.

"The old gentleman is right, we must correct our mistakes!" Xu Weiguo.

"That's right. Young people should seek truth from facts and be down-to-earth! Only in this way can things be done well!" The old man in military uniform nodded, took out a handkerchief from his pocket and wiped his mouth, "The stone pot fish you made is really good.

, the other two Hunan dishes are also very delicious, I am already full!"

"Can you take me fishing now?"

Xu Weiguo: "No problem!"

"Xianmu, you clean up here first, and I'll take the old gentleman to the wild pond!"

"Oh! Okay!"

Li Xianmu nodded reluctantly.

"This little comrade..." The old man in military uniform saw Li Xianmu's unconvinced look and walked out of the cave angrily.

Xu Weiguo quickly followed.

Along the way, Xu Weiguo also introduced greenhouses and aquaculture farms to the old man in military uniform.

The more he heard about the military uniform, the more his attitude toward Xu Weiguo changed.

"Little comrade, you haven't told me your name yet?"

"Sir, my name is Xu Weiguo, and the other one is Li Xianmu. Both of us are agency staff. Please forgive me for not being able to tell you the specific department. We have confidentiality regulations."

Xu Weiguo said.

The old man in military uniform smiled and said, "Even if you don't say it, I know it!"

"You two are from a special place!"

Huh!?

When he heard the words "Special Distribution Department" from the old man in military uniform, Xu Weiguo was stunned and his eyes became alert.

"Don't look at me like this. I used to be in the Red Wall Compound. Now I'm just retired. But that doesn't mean I don't understand. Don't worry, I don't care what you see here today.

I will talk nonsense everywhere because I am also someone who signed a confidentiality agreement!"

Hearing this, Xu Weiguo breathed a sigh of relief, "Thank you, old man, for understanding!"

The old man in military uniform waved his hand, "Okay, let's go to the fishing place quickly! I haven't fished for a long time!"

"I..."

Suddenly, the old man in military uniform covered his heart and fell straight to the ground.

When Xu Weiguo saw this, he was startled and quickly supported the old man in military uniform.

"Old gentleman! Old gentleman!"

However, no matter how Xu Weiguo shouted, the old man in military uniform showed no sign of waking up.

"Brother Weiguo, what's going on?"

Li Xianmu, who heard the noise, also rushed over.

Upon seeing this, Xu Weiguo quickly called Li Xianmu and carried the old man in military uniform back to the cave room to lie down.

Looking at the old man in military uniform with his eyes tightly closed, Li Xianmu said in a panic: "Brother Weiguo, what should we do now? There are no doctors in the wilderness here. If this old gentleman has something wrong with us, the two of us will

But that’s troublesome!”

Xu Weiguo carefully examined the old man in military uniform and said in a deep voice: "If my judgment is correct, the old man has myocardial infarction. Acute myocardial infarction is myocardial necrosis caused by acute and persistent ischemia and hypoxia of the coronary artery. Clinically, it is more

Severe and long-lasting retrosternal pain that cannot be completely relieved by rest and nitrate drugs, accompanied by increased serum myocardial enzyme activity and progressive electrocardiogram changes, may be complicated by arrhythmia, shock or heart failure, which is often life-threatening."
p>

"Myocardial infarction? What caused this?" Li Xianmu asked quickly: "Then what should we do now?"

Xu Weiguo said slowly: "Patients mostly suffer from coronary atherosclerotic stenosis. Due to certain inducements, the coronary atherosclerotic plaque ruptures. The platelets in the blood gather on the surface of the ruptured plaque to form a blood clot, which suddenly blocks the coronary artery.

Arterial lumen, leading to myocardial ischemia and necrosis; in addition, acute myocardial infarction can also be induced by a sharp increase in myocardial oxygen consumption or coronary artery spasm. There are several common causes.

Common examples include overwork and heavy physical labor, especially climbing stairs with heavy loads, excessive physical activities, continuous nervous exertion, etc., which can increase the burden on the heart, suddenly increase myocardial oxygen demand, and the coronary arteries of patients with coronary heart disease have already hardened.

, stenosis and failure to fully expand, causing myocardial ischemia. Severe physical load can also induce plaque rupture, leading to acute myocardial infarction.

There is also emotional agitation, which is induced by intense emotional changes such as excitement, tension, and anger.

As well as overeating, many cases of myocardial infarction occur after overeating. After eating a large amount of high-fat and high-calorie foods, the blood lipid concentration suddenly increases, resulting in increased blood viscosity and increased platelet aggregation. In cases of coronary artery stenosis

On the basis of the formation of thrombus, acute myocardial infarction.

There is also cold stimulation, and sudden cold stimulation may induce acute myocardial infarction. Therefore, patients with coronary heart disease should pay great attention to keeping warm and protected from cold. The cold season of winter and spring is one of the reasons for the higher incidence of acute myocardial infarction.

Constipation is very common among the elderly. Clinically, it is not uncommon for the elderly to have myocardial infarction due to forceful breath-holding when constipated. The elderly must pay enough attention to keeping the stool unobstructed.

Finally, smoking and heavy drinking can induce acute myocardial infarction by inducing coronary artery spasm and increasing myocardial oxygen consumption."

"Usually, more than half of patients with acute myocardial infarction have prodromal symptoms 1 to 2 days or 1 to 2 weeks before the onset of illness. The most common ones are aggravation of the original angina, prolonged attack time, or worsening of the effect of nitroglycerin;

Or have no intention of carrying on

Angina patients suddenly develop long-term angina pectoris. Typical symptoms of myocardial infarction include: sudden onset of severe and long-lasting squeezing pain in the retrosternal or precordial area, which cannot be relieved by rest and taking nitroglycerin, often accompanied by irritability and sweating.

, fear or a sense of dying. A few patients have no pain and present with shock or acute heart failure at the beginning. Some patients have pain in the upper abdomen, which may be misdiagnosed as gastric perforation, acute pancreatitis and other acute abdomens; a few patients present with neck, mandibular

, Pharyngeal and tooth pain, easily misdiagnosed. Mental disorders, seen in elderly patients. Systemic symptoms include indescribable discomfort and fever. Gastrointestinal symptoms include nausea, vomiting, abdominal distension, etc., which are more common in patients with inferior wall myocardial infarction.

Arrhythmias are common in 75% to 95% of patients. They occur within 1 to 2 weeks of onset, and are more common within 24 hours. Ventricular arrhythmias are prone to occur in anterior wall myocardial infarction, and heart rate slowdowns are prone to occur in inferior wall myocardial infarction.

Atrioventricular block.

Heart failure, mainly acute left heart failure, is prone to occur within the first few hours of onset, or may occur a few days after onset, manifesting as dyspnea, cough, cyanosis, irritability and other symptoms.

Hypotension, shock. Severe pain, nausea, vomiting, sweating, hypovolemia, arrhythmia, etc. can cause hypotension in acute myocardial infarction. In large-area myocardial infarction, cardiac output decreases sharply, which can cause cardiogenic shock.

, pale complexion, clammy skin, irritability or apathy, increased heart rate, decreased urine output."

After listening to Xu Weiguo's words, Li Xianmu calmed down a bit, "Haha, I almost forgot, Brother Weiguo, you are a miracle doctor! As long as you are here... the old gentleman will definitely be fine!"

Xu Weiguo shook his head, "To be honest, the old gentleman's current situation is a bit dangerous. If it weren't for the fact that this place is too far from Sijiucheng Hospital, I would have sent him to the hospital without hesitation!"

"Now I can only give the old man some folk remedies, hoping to save him!"

After saying that, Xu Weiguo wrote a list to Li Xianmu, "Follow the list I wrote for you, go to the greenhouse to prepare the ingredients, and then boil the medicine!"

Li Xianmu took the order and nodded, "Okay, I'll go right away!"

After Li Xianmu left, Xu Weiguo took out a pill and fed it into the mouth of the old man in military uniform.

Not long after taking the elixir, the old man in military uniform came to his senses.

"Xiao Xu, was it you who saved me?"

"Old sir, it's your physical strength that makes you strong!" Xu Weiguo said with a smile.

The old man in military uniform sat up slowly, with a wry smile on his face, "A strong body? Haha, I know my body well!"

"No matter what, I still have to thank you!"

At this moment, Li Xianmu came in with a bowl of medicine, "Brother Weiguo, the medicine is here!"

When Li Xianmu saw the old man in military uniform regaining consciousness, his face was also happy, "Brother Weiguo, the old man is awake, this medicine..."

Xu Weiguo took the medicine bowl and said, "Old sir, if you can trust me, just drink this medicine. It should help your myocardial infarction!"
To be continued...
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