I Can See Health

Sun Guoguo and Dong Hao passed by bed 39 to check other beds, but Lu Chen was cautious.

Wait until the rounds are over and return to the doctor's office.

Lu Chen immediately turned on an idle computer and started checking the medical records of bed 39.

"Name: Sun Yingwei. Age: 24 years old."

"Main complaint: dizziness and headache. I was hospitalized for half an hour."

"History of current illness: The patient had dizziness and headache half an hour ago without obvious triggers, with head swelling and pain. The pain had nothing to do with the body position. There was no nausea or vomiting, blurred vision, no blackouts or syncope. He came to our hospital for emergency treatment and was tested. The blood pressure was 1Hg and he was admitted to the hospital with hypertension.”

"He has been in good health and denies any history of disease."

A quick review of the medical history.

Lu Chen had a preliminary understanding of this patient.

This is a very young hypertensive patient.

High blood pressure at 24 years old!

Hypertension is divided into two types based on its causes.

Essential hypertension has an unknown cause and cannot be cured, requiring lifelong medication.

Secondary hypertension is high blood pressure caused by specific factors and is the only type of high blood pressure that can be cured. After the factors of high blood pressure are resolved, there is no need to continue taking antihypertensive drugs.

Lu Chen looked at the past history recorded in the medical history and basically ruled out the possibility that the patient had essential hypertension.

"But that's not quite right. If it's just high blood pressure, it shouldn't be a red health value."

There were also patients with high blood pressure in the ward before, but their health points were all above 60, basically around 70, and none of them were below 60.

Lu Chen frowned, feeling that things were not simple.

The time he saw the patient admitted to the hospital was around 5:20 p.m.

I should be hospitalized when I am about to take over my shift.

The doctor on the day shift dealt with it very quickly, and did not have time to do relevant tests and examinations.

"Junior brother, are you still looking at this 39-bed bed?"

Dong Hao came close to Lu Chen and saw him flipping through the medical records of bed 39.

"I heard from my classmates in the day shift that this patient is a famous internet celebrity in Jinghua."

"Internet celebrity?" Lu Chen was stunned.

"Well, it's live broadcast on Douyin, and I heard it's quite popular." Dong Hao smiled, "I have 200,000 fans, and one advertisement I usually receive is probably worth what our doctor earns in a month."

Lu Chen smiled helplessly. He could hear the sourness in Dong Hao's tone.

But the current environment in China is like this.

What's more, not everyone can become an Internet celebrity.

Being able to become an Internet celebrity proves that he has something "extraordinary" and can at least attract the public's attention.

"Senior brother, let me check bed 39's blood pressure."

Lu Chen was still a little uneasy and decided to go and see the situation of bed 39 in person.

"Well, you go ahead." Dong Hao nodded, "He happens to be a patient with high blood pressure. Let's see if the blood pressure has dropped."

Lu Chen found a mercury sphygmomanometer at the nurse's station and walked quickly towards bed 39.

…

Come to 39 bedside.

The patient is "sleeping deeply" and is slightly short of breath.

Lu Chen gently patted the patient's shoulder.

"Sun Yingwei, wake up and let me take your blood pressure."

However, he didn't respond.

Lu Chen frowned, continued to pat Sun Yingwei's other side, leaned down to his ear, and said loudly:

"Sun Yingwei, can you hear what I say?"

Still no response!

Lu Chen felt something was wrong and immediately felt for the carotid artery pulse.

Fortunately, the carotid artery is pulsating!

There was breathing and heartbeat, but the patient in front of him had fallen into a coma.

Moreover, the health value on his head dropped sharply again.

Dropped from 51 to 48!

Lu Chen frowned, immediately put the mercury sphygmomanometer aside and ran towards the doctor's office.

Through the transparent wall, Sun Guoguo immediately noticed Lu Chen running towards the doctor's office.

"Junior brother, what's wrong?"

She quickly stood up and walked quickly to the office door.

Lu Chen ran quickly and said, "Senior sister, something is not right with the patient in bed 39. He is already unconscious!"

When Sun Guoguo heard this, her expression immediately changed and she ran towards bed 39.

Dong Hao was also very surprised and followed Sun Guoguo closely.

"Junior brother, what is the situation?"

Sun Guoguo asked while running.

Lu Chen said in a deep voice: "I just said to measure the blood pressure of bed 39, and when I came to the bedside and called him, he never responded, but his breathing and heartbeat were there, but his breathing was slightly rapid."

Sun Guoguo nodded slightly and suppressed the uneasiness in her heart.

…

When everyone arrived at bed 39, the nurse also came over after hearing the sound.

Sun Guoguo immediately examined the patient and calmly ordered:

"Enter ECG monitoring!"

"Urgent check blood routine, biochemistry, ions, cardiac enzymes!"

"Please ask the neurology department for emergency consultation and notify the patient's family."

"receive."

The nurse on duty tonight is Liu Mei.

She moved very neatly. She had already brought the ECG monitor and quickly attached the electrode pads to the patient.

At the same time, Dong Hao immediately searched the medical records for the contact information of the patient's family members and notified them to come.

Lu Chen picked up the mercury sphygmomanometer and began to retest the patient's blood pressure.

The method of measuring blood pressure with a mercury sphygmomanometer is to wrap the cuff of the sphygmomanometer around the two fingers on the upper elbow.

Place the tip of the stethoscope on the pulse of the brachial artery, put the stethoscope on, pressurize the sphygmomanometer, and then deflate it gradually.

Until the stethoscope hears the first beat, that's systolic blood pressure.

When you hear the stethoscope pulsing sound suddenly disappear, you have diastolic blood pressure.

Lu Chen put on a stethoscope and carefully observed the drop in the mercury column while listening to the place where the first pulse was heard.

"It's strange, why didn't you hear the beating sound?"

Lu didn't hear any pulsing at all.

He re-pressurized the sphygmomanometer, allowing the mercury to rise to the maximum value of 300mmHg, and then slowly deflated it.

This time, Lu Chen deflated very slowly.

The mercury dropped from 300 to 280, and no pulsation was heard.

260……

240…

220…

Still not hearing the beating sound, Lu Chen held his breath and listened carefully, fearing that he would miss the first beating sound.

200……

190…

Still not hearing the pulsing sound, Lu Chen frowned slightly.

180…

160……

140…

100……

80…

60…

Even after draining the mercury, Lu Chen could not hear the pulsing sound.

When this happens, there are only two possibilities.

The first is that the patient is in hypotensive shock and the blood pressure cannot be measured.

But Lu Chen felt the patient's pulse and could feel a strong pulse, and the extremities of his limbs were warm, so this possibility was ruled out.

That leaves only one other possibility.

The patient's blood pressure value has exceeded the upper limit of 300mmHg measured by the mercury sphygmomanometer!

The Chinese Guidelines for the Prevention and Treatment of Hypertension stipulate that normal blood pressure is systolic blood pressure below 140mmHg and diastolic blood pressure below 90mmHg.

Normally, it is serious if the systolic blood pressure exceeds 200mmHg. Once the systolic blood pressure exceeds 300mmHg, what is the concept?

Lu Chen looked at Sun Yingwei on the bed, and his heart trembled slightly.