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沈意清
2018.02.02 夜奔急診求救癲癇兒 父竟心肌梗塞也獲救
2018.02.02 夜奔急診求救癲癇兒 父竟心肌梗塞也獲救
2018.02.02 夜奔急診求救癲癇兒 父竟心肌梗塞也獲救
By
沈意清
Senior Account Executive
・
Yilan County, Taiwan
Connect
本週一凌晨,年近50歲的江先生,因7歲兒癲癇發作、失去意識,半夜攜兒赴急診求救,原以為是過度緊張引發胸痛、冒冷汗,所幸急診醫護人員機警發現血壓驟降,並安排心電圖檢查,竟發現是心肌梗塞,半小時內緊急安排心導管室立即救治,沒想到救兒,也救己。 病人江先生回憶當時因為小兒子半夜突然全身抽蓄,且抽蓄後身體癱軟沒有意識,急忙間只穿著單薄衣物,連同老婆將小兒子送往急診就醫,隨後又匆忙至附近商店購買兒子所需之用品,回到急診室突然覺得胸口疼痛、冒冷汗,原先以為是情緒過度緊張所致,但經醫護人員測量血壓竟發現收縮壓降至五十幾毫米汞柱,羅東博愛醫院急診室張恒誠主治醫師驚覺不對勁,要求安排心電圖檢查,這才發現可能是急性心肌梗塞。緊急聯絡心臟內科許育誠主任,於30分鐘內進入心導管室檢查,發現冠狀動脈有血塊堆積,確診為心肌梗塞後,立即施以心導管氣球擴張術及支架放置術進行治療。 羅東博愛醫院心臟血管內科許育誠主任表示,本週氣溫驟降,連日皆有民眾因心肌梗塞至急診就醫,江先生其實本身有三高病史,卻又長期抽菸,加上當時兒子因危急送醫,交感神經活性增加導致情緒高漲又沒有做好保暖工作,身處眾多危險因子下才促使心肌梗塞發作,所幸手術後恢復狀況良好,得知住院的兒子也安然無恙,才鬆了一口氣,只是萬萬沒想到一趟急診,卻救了兩條命。 今晚起至週末將迎來入冬最強寒流來襲,許育誠主任再次呼籲,由於氣溫驟降,室內外溫差大,易造成動脈斑塊不穩定增加斑塊破裂風險,若斑塊破裂恐怕形成血栓,進而導致血管阻塞。因此,有三高病史的病患、抽煙習慣、肥胖、年長者,這幾天氣溫下降要特別注意保暖,如果出現胸痛、冒冷汗就應立即就醫。另外,近來民眾會外出採買年貨,也務必穿著禦寒衣物,注意頭頸部及四肢末端的保暖,避免心血管疾病發生。 由於江姓個案,主要原因是長期抽煙,因此羅東博愛醫院將該病人轉介戒煙個管師協助戒菸,希望降低心血管疾病再次發生的風險。若民眾有戒菸衛教諮詢相關服務需求,請洽詢戒菸專線:(03)954-3131分機3132,曾雅綾戒煙個管師。
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沈意清
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Published: avr. 29ème 2019
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