The number of patients in the outpatient and emergency departments of the hospital has increased recently. The reporter reported on the scene →

Recently, reporters learned at secondary and tertiary hospitals and community health service centers in the region that as the weather gets colder, the number of outpatient and emergency patients coming for treatment due to lung infections, gout, atrial fibrillation and other diseases There has been a substantial increase.

At two o\’clock in the afternoon, in the emergency room of Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine, doctors were treating a patient in his 70s.

The patient’s family told the doctor that the old man had a cold after catching a cold a few days ago, and then he coughed uncontrollably and was accompanied by fever. He did not get better after taking antipyretics. Starting from this morning, the old man developed symptoms such as difficulty breathing, fatigue and weakness, so his family called 120 ambulance and took the old man to the hospital.

\”After detailed inspection, we found that the patient\’s lungs had been seriously infected and there was a The effusion has developed into severe pneumonia, and she should be admitted to the hospital immediately.\” Wang Rongsheng, deputy director of the emergency department of Shanghai Guanghua Hospital of Integrated Traditional Chinese and Western Medicine, told reporters that such cases are not uncommon among the elderly. \”Colds and pneumonia are two different things. It is a completely different disease. Because the symptoms of pneumonia are similar to those of a cold in the early stages, such as cough and fever, many patients with pneumonia think it is just a cold. For young people, the treatment of pneumonia is not difficult. As long as they seek medical treatment in time, they can usually recover quickly. However, the elderly generally have low immunity and often have other underlying diseases. The probability of serious complications is relatively high. If not treated in time, , even mild pneumonia may turn into severe disease and even be life-threatening.”

In addition to pneumonia, there are also many patients with acute attacks of gout during this period. Mr. Shen is a patient that Wang Rongsheng treated a few days ago.

On weekends, Mr. Shen cooks hot pot with some friends at home, and beer is naturally a must. After a heavy drink, Mr. Shen, who already had high uric acid, suffered severe pain in his big toe. After he came to the emergency department of Guanghua Hospital, he was diagnosed with an \”acute attack of gout.\”

Wang Rongsheng pointed out that compared with summer, people have better appetites in autumn and winter, and the taste is relatively heavier. The intake of high-purine foods such as hot pot and mutton also increases relatively. Coupled with the colder weather, It slows down blood circulation, reduces drinking water, urinating, and sweating, which makes uric acid more likely to crystallize in joints.

Wang Rongsheng reminded that gout patients should control fat, protein, salt and high purine intakeintake to reduce the production and deposition of uric acid, reduce the burden on the kidneys, and improve metabolic abnormalities and cardiovascular risk factors. Gout patients should try to choose vegetable oil as cooking oil, and the daily dosage should be controlled at 20 to 25 grams; dairy products and eggs are recommended as the main sources of protein intake, and 250 to 300 ml of low-fat milk should be consumed every day; salt intake should be controlled at Within 5 grams per day, try to add as little or no salt as possible, and eat less processed foods such as pickles, bacon, and ham.

Similar to the situation in secondary and tertiary hospitals, the number of outpatient visits at various community health service centers has been gradually increasing in recent days.

Although it is already 4 p.m., there is still an endless stream of patients in the clinic of Zhao Wei, deputy chief physician of general practice at the Beixinjing Street Community Health Service Center. Speaking of the most common disease in recent days, Zhao Wei specially reminded to pay attention to atrial fibrillation.

Aunt Li is Zhao Wei\’s contracted patient. A few days ago, Aunt Li called Zhao Wei and said that she had been suffering from a cold for two weeks but was still not completely cured. She felt weak when walking and also had palpitation.

This aroused Zhao Wei\’s vigilance. He told Aunt Li to go to the hospital for examination as soon as possible. The examination results were as expected, Aunt Li had atrial fibrillation.

“The risk of stroke in patients with atrial fibrillation is 3 to 5 times higher than that in patients without atrial fibrillation, and 1/3 of patients do not know that they have paroxysmal atrial fibrillation. After catching a cold, if If you still have symptoms of palpitations and fatigue, you should seek timely consultation and examination from your family doctor.\” Zhao Wei reminded that at present, various community health service centers in Changning have atrial fibrillation clinics, which can facilitate residents\’ screening and standardized diagnosis and treatment.

(Source: Shanghai Changning)