住院医生日记（Hospital journal）.docVIP

住院医生日记（Hospital journal） The diary of a resident doctor is read in part The common pharyngeal pain of death Pgh0924 (pan gonghua) June 12, 2002 cloudy One day this month, just after checking the room, the weather is a little hot, at this time, an old patient who used to come to the hospital often came back. Patient is a 65 - year - old tall and fat old man, the original angina pectoris, angina with taking the drugs for a long time, often carrying a nylon bag with medical record and the medicine bottle PCS to outpatient prescriptions, doctors and nurses are familiar with. This due to the low thermal, pharynx pain associated with activity in the morning at 9 o clock chest pain for 2 days after admission, physical examination: body temperature 38 ℃, conscious, breathing smooth, slightly congested pharynx, tonsil swollen, the two lung breath sounds clear, no sound, the heart world, heart rate 88 times/min. The ECG, the left thoracic guide, is slightly lower, and T waves are low. The doctor diagnosed upper respiratory tract infection, coronary heart disease, angina pectoris, gave anti-infective and symptomatic support treatment, and gave regular anti-angina medicine oral, and told to observe the condition closely. By 12:00 noon the patient had a sore throat and increased breathing difficulties. The doctor on duty immediately please second-line doctor consultation, a look at the patient oral cyanosis shortness of breath, has a deep voice, the first feeling is acute laryngitis, an immediate dexamethasone 10 mg static note, anaesthesia, otolaryngology, please emergency consultations at the same time, but is already late! The patient soon lost his mind and stopped breathing. The tracheal intubation only found that the epiglottis edema was obvious and blocked the larynx, which could not be inserted at all - acute epiglottitis! Almost at the same time, the head of the department of otolaryngology was cut through the trachea, but there was no return, the family cried, and all t