住院医生日记（Resident diary）.docVIP

住院医生日记（Resident diary） Selected readings in the Journal of the resident doctor Unusual sore throat kill Pgh0924 (Pan Gonghua) Cloudy in June 12, 2002 One day this month, after checking the room, the weather was sultry. At this point, an old patient who used to come to hospital came again. The patient is a 65 year old tall and fat man, the original history of angina pectoris, long-term use of antianginal drugs, often carrying a medical record card and bottle kit nylon bag to outpatient prescriptions, doctors and nurses are very familiar with. This time due to fever, sore throat and chest pain for 2 days in the morning after the 9 admission, physical examination: the temperature of 38 DEG C, conscious breath smooth, slightly pharyngeal hyperemia, tonsil enlargement, two lung breath sounds clear, no rales, heart size and heart rate of 88 beats per minute. ECG showed mild left precordial ST depression, T wave flat. The doctor diagnosed the upper respiratory tract infection, coronary heart disease and angina pectoris, given anti infection and symptomatic support treatment, and given conventional anti angina drugs orally, and asked to closely observe the condition. To 12 noon when patients can not relieve sore throat, and increased difficulty breathing. The doctor on duty immediately please second-line doctor consultation, a look at the patients with cyanosis shortness of breath, deep voice, the first feeling is an acute laryngitis, immediately given intravenous dexamethasone 10mg, at the same time, please anesthesiology department of ENT emergency consultation, but still late! The patient was soon stopped breathing out. Tracheal intubation was found obvious edema and obstruction of epiglottis throat, is not inserted into the acute epiglottitis! Almost at the same time, director of the Department of ENT tracheotomy, but still unable to make improvements, the families of all rescue personnel is also bawler, sorry. Experience, although the diagnosis and treatment of this c