A follows to spend AN of the deluxe engineer in year, the business is best, headgear Chu Chu, but subjective and self-confident.He do what matters all from become 1 set, to own of living living, nourishment health, also allow of no other people, include wife's children to lift the least bit an opinion.He always thinks own 100 diseases doesn't living, don't seek doctor and also never accept the annual health inspection of unit organization.
One day, he attends a meeting.Because attend early, see the old friends exchange greeting some kind of, seat at table to sit in silence a beginning of wait for the meeting.Suddenly, bottom of the heart a burst of and stuffy pain, brothers icy cold, his ising aware of this is the trillion of bad omen, tell the Lin seat the person of same belief and is very quickly sent to a hospital by the meeting personnel to check.The doctor discovers that he is very nervous, breath, blood pressure at normal scope, pulse 63 times/cent, and anomaly, electrocardiogram check manifestation obvious of the heart Lyu not and together theres is room early Bo.Because have no other special and male bodies to advertise for, doctor research after open to analyze a list so for the patient, give to rectify indiscipline heart the medicine of the Lyu, the Zhu goes home to take a rest.
The patient has peace of mind at home to take a rest.The three weeks juniors goes sport to experiment, discover that the myocardial lacks blood of male result, drive put on the hat of "coronary artery heart attack".He is like wakening from a dream at this time and start concern oneself's body.Gradually, he is free and then go to bookstore and buy some relevant the health care knowledge, heart attack the book of the prevention and cure, bear arms an own brains.Because the knowledge make progress, see a doctor him always each time and"study and discuss" with doctor some kind of, also start to act as the role of half health adviser in the colleague at ordinary times.
In the later day, the patient's blood pressure light degree go up, blood fat the check be basic normal, decline to press a medicine, expand an afferent medicine, anti- heart Lyu disorder medicine's etc. continuously.Because often tell "before the chest bottom of the heart department ache", not and with regularity ascend a heart specialty out-patient service and became friends with not a few doctor friends.
In the hour separate an out-patient service in January, a rich in experience doctor discovers after inquire history and medicine of detailed disease cure effect etc. the circumstance and take orally to this patient or tongue the bottom contain to have the nitric acid glycerin medicine of extend the afferent function to suggest towards alleviating ache ising not that a hundred per cent is valid, furtherly reexamine after he in addition to needing to be complete for 24 hours, electrocardiogram check outside, should carry on a stomach department X line barium meal to build a shadow, and reserve register for him.
Patient a hear to do a barium meal builds a shadow and find out the meaning, principle, credibility, bane...etc. of that check everywhere.In a couple of days after, he finds out doctor and say:"Doctor, hear that the stomach and intestines barium meal builds a shadow not pleasurable, plus me to have a constipation habit, can not check that.I eat bottom, sleep wear, is toss about by angina pectoris.As long as cure the heart attack, I am a healthy person with sheer.Hear there is new technique now ……"he insist thus of viewpoint, and carry out for it.Chinese herbal medicine western medicine as long as is the new medicine that can cure a coronary, he requests to go together with, request to try.The doctor admonishes many times and he checks further, but he is still unconcerned.
The day leads very quickly, the patient is more and more seem to be by ache raid to lack regulation and go into action multifarious, keep on and turn worse, of the medicine quantity kimono the number of timeses of the medicine all in the increment.In order to want to get away from paroxysm molestation, he starts devout letter Fo and be vegetarian to diet.Such more than a months come down, the weight reduced about 10 kilograms, since go toward of potbellied already the generation is with"natural and unrestrained from such as".His very proud and satisfied believe that this meeting causes him get away from the harassment of coronary.However, the ache continues to develop, sometimes influence sleep and he arranges to take a few medicine by oneself and see to effect far not- originally so gratifying and satisfactory.
The doctor lookings at his emaciated the side be slightly huge, take languid body, again is his check.This is to be apart from after the first-time"angina pectoris" go into action half year.The check discovers that the last belly have the pain is in the press of degree and the normal regulations electrocardiogram doesn't have special detection.The doctor definitely points out his "angina pectoris" not typical model, insist on him to check a stomach and intestines way X line to build a shadow, or have the fiber stomach mirror check.
Hear stomach mirror check more difficult be subjected to, the high work applies for a check list go toward bag inside a fill.Leadership concern, colleague's family members admonish to have no effect him.He meets a person to still introduce his "the artery hardening fade away experience", and believe thus of diet with depletion, harden of the artery will also become soft.
An evening of the empress of about another months, the ambulance sent to him hospital emergency room and lord's tell was the bottom of the heart department acute pain companion to throw up blood.This is the patient who see is already that the whole body skin is pale, as skinny as a stick.The patient be short of breath, pulse 90 cents, the blood pressure 13.3/10.7 kPas.(100/80 millimeters of mercuries note)The doctors with all strength rescue, control heart Lyu to disorder, repair a liquid, blood transfusion ……so observed room to lead in the emergency call for 5 days, the patient is finally incurable.
At time of death ago patient to own disease with treat a paroxysm attitude very regrets, also wanted have to the family members and the posterity hand over treat.He on his own initiative puts forward time to carry on body dissection, make clear paroxysm sequence of events, let the doctor have more experience and also be good for the diagnosis and treatment of other similar patients.The present doctor, medical science living and patient's family members all respect and admire very much with touched.
The autopsy of member of this disease's ising think is very meaningful, because the symptom of coronary that patient suffer from expresses not and very typical model and have already alsoed have no other diseases to lack an accurate proof.The doctors are more to the development viewpoint of the paroxysm occurrence, the doctor which advised a patient to do the stomach department X line barium meal to build a shadow at the earliest stage believed more, say to the member of this disease, the coronary wasn't main death-dealing of disease.
The autopsy carry on come right.The pathology see variety not idea of most pathologic doctors anticipate and solved them to hope the problem for resolve.For making study of clinical doctors to this case more meaningful, tally up a more experience from the development process of this case, pathology professor's pass shines on all pathologic data to temporarily keep secret.
The hour separates January, diagnose this case clinical doctor to discuss very warmly in having the clinical pathologic colloquium that 50 near doctors attend at a time and induced to speak of a few possibilities:
The ① is a kind of disease, various symptoms;
The ② is two kinds of diseases, with each other relevant fasten;
The ③ is 2 kinds or various diseases, the in the interval have no near concern.
The meeting carries on till the last, pathologic doctor reported the detection of autopsy in detail, the Huan light showed on the wall of the pathologic diagnosis be such:
1, stomach small curved You door department ulcer type gland cancer, 4 ×s 3 the ×s be 2 the Li rice, III classes, tumor gradually the stomach whole wallses, cause to bleed the tie department syrup film to sow to spread.The tumor transfers to the stomach You a door a department, small curved with greatly curved lymphoid knot.
2, left ventricles the light degree be fatty big.The left side coronary artery declined to pay the film gruel kind spot in the start a piece formation ago, grew about 2 Li rices, the spot piece bulged to jam tube chamber 1/2 above.
3, aorta gruel the kind harden.
4, the kidney thin artery of the high blood pressure harden.
……
Die reason:The stomach cancer companion bleeds with the quality of bad disease.
At the time of discussing that two kinds of main diseases relate to, the doctors consistently agree thus of analysis:The member of this disease mainly what to suffer from be a stomach cancer, but also have a coronary.Typical model of the angina pectoris go into action to be like to appear for the first time of"the bottom of the heart be a burst of and stuffy pain", but for many times go into action at ordinary times of lack typical model angina pectoris some"bottom of the heart pain", "center of the chest pain" of the symptom be a very likely to be ache that the stomach cancer infringes upon syrup film or stomach wall spasm to cause.So of the ache can't extend medicine to alleviate with the blood vessel.This is a good many persons at that time through cure doctor to some place that single coronary diagnose.But the patient be too self-confident, the Hui disease hates to cure.The words say that come back, if the patient is easy to cooperate with doctor and early listen to doctor, even make a stomach and intestines way check, discover the tumor fought for to cut off in early days, may succeed in escaping this bad luck.
The pitiful high work caused disruption himself by his cleverness and the self-confidence!
"Similar so of does the circumstance have another not much?"A young doctor ask.
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