What illness is urgent but cannot be seen

Acute occult diseases may be asymptomatic but life-threatening, mainly including aortic dissection, pulmonary embolism, acute pancreatitis, asymptomatic myocardial infarction, and occult bleeding.

1. Aortic dissection: Tearing of the vascular endothelium causes blood to enter the vascular wall and form a false lumen. Sudden severe chest pain is often mistaken for angina pectoris. Hypertension and arteriosclerosis are the main causes, which need to be diagnosed through enhanced CT. Emergency treatment includes intravenous injection of antihypertensive drugs such as sodium nitroprusside, interventional stent implantation, or surgical repair.

2. Pulmonary embolism: Lower limb deep vein thrombosis dislodges and blocks the pulmonary artery, with about 30% of patients presenting only mild shortness of breath. D-dimer detection combined with CT pulmonary angiography can confirm the diagnosis. The treatment includes anticoagulant drugs rivaroxaban, heparin, and catheter thrombectomy. Severe cases require extracorporeal membrane pulmonary support.

3. Acute pancreatitis: Upper abdominal pain may rapidly worsen after overeating, and an increase in blood amylase levels of more than three times has diagnostic value. Fasting and gastrointestinal decompression is the basic treatment, and in severe cases, somatostatin such as statinin and abdominal lavage are needed. In cases of concurrent infection, antibiotics such as meropenem are used.

4. Asymptomatic myocardial infarction: diabetes patients are prone to painless myocardial ischemia, and pathological Q waves in ECG can only be found. Coronary angiography shows vascular obstruction and requires timely stent placement. Long term use of aspirin combined with ticagrelor antiplatelet therapy is recommended.

5. Hidden bleeding: Esophageal vein rupture in patients with cirrhosis may only be manifested as fatigue, and continuous decrease in hemoglobin indicates internal bleeding. Emergency gastroscopy hemostasis, infusion of fresh plasma to supplement coagulation factors, and if necessary, TIPS diversion surgery to reduce portal vein pressure. Regular physical examinations are key to detecting hidden emergencies, and individuals over the age of 40 should undergo annual screening for cardiac ultrasound, coagulation function, and tumor markers. When experiencing sudden unexplained sweating, palpitations, or blurred consciousness, seek medical attention immediately to avoid missing the golden rescue time. Maintaining regular sleep patterns, controlling blood pressure and blood sugar levels, and avoiding prolonged sitting can significantly reduce the risk of disease.