I Can See Health: Chapter 66 "Sleeping" Internet Celebrities Part 1
Chapter 66 "Sleeping" Internet Celebrities (Part 1)
Sun Guoguo and Dong Hao passed by the 39th bed to check other beds, but Lu Chen kept his mind.
Wait until the room is over and go back to the doctor's office.
Lu Chen immediately turned on an idle computer and began to check the medical records of the 39 beds.
"Name: Sun Yingwei. Age: 24 years old."
"Main complaint: dizziness, headache for half an hour and admitted to hospital."
"History of present illness: The patient had dizziness, headache, and head pain without obvious incentive half an hour ago. The pain was not related to the body position. There was no nausea, vomiting, blurred vision, no blackness, and syncope. Then he came to the emergency department of our hospital. Blood pressure was 190/110mmHg and was admitted to hospital with hypertension."
"Previously healthy, denied any history of disease."
Quickly scan the medical history.
Lu Chen had a preliminary understanding of this patient.
This is a very young hypertensive patient.
24-year-old high blood pressure!
Hypertension is divided into two types in terms of etiology.
Essential hypertension, the cause of which is unknown, cannot be cured, and requires lifelong medication.
Secondary hypertension is hypertension caused by definite factors, and it is the only curable hypertension. After the high blood pressure factor is 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 of the patient having essential hypertension.
"But it's not quite right. If it's just high blood pressure, it shouldn't be red health."
There were also patients with high blood pressure in the ward before, but their HP was above 60, basically around 70, and none of them was lower than 60.
Lu Chen frowned, feeling that things were not simple.
The time he saw the patient was admitted to the hospital was around 5:20 in the afternoon.
I should have come to the hospital when I was about to take over.
The day shift doctor handled it very quickly, and had not had time to do relevant tests and examinations.
"Junior Brother, you are still looking at this 39 bed."
Dong Hao approached Lu Chen and saw him looking through the medical records of the 39 beds.
"I heard from my classmates in the day shift that this patient is still a famous internet celebrity in Jinghua."
"Internet celebrity?" Lu Chen was taken aback.
"Well, it was broadcast live on Douyin, I heard it's quite popular." Dong Hao smiled, "With 20w fans, I usually receive an advertisement, which is estimated to be 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.
Not to mention, not everyone can become an internet celebrity.
Being able to become an internet celebrity proves that he has something "out of the ordinary", at least attracting the public's attention.
"Senior brother, let me take a blood pressure measurement for Bed 39."
Lu Chen was still a little uneasy, and decided to go see the situation of the 39th bed in person.
"Well, go ahead." Dong Hao nodded, "He happens to be a patient with high blood pressure, see if the blood pressure has dropped."
Lu Chen found a mercury sphygmomanometer at the nurse station and walked quickly towards bed 39.
…
came to bed 39.
Patient is "sleeping" and breathing slightly short of breath.
Lu Chen lightly patted the patient's shoulder.
"Sun Yingwei, wake up, I'll measure your blood pressure for you."
However, he did not respond.
Lu Chen frowned, continued to slap Sun Yingwei's other side, and leaned down, leaned close to his ear, and said loudly:
"Sun Yingwei, can you hear what I said?"
Still no response!
Lu Chen felt that the situation was not good, and immediately felt his carotid pulse.
Fortunately, the carotid artery is pulsating!
There is breathing and a heartbeat, but the patient in front of him has fallen into a coma.
And 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, the situation of the 39-bed patient is not right, he is already in a coma!"
When Sun Guoguo heard this, her expression changed immediately, and she ran towards bed 39.
Dong Hao was also very surprised and followed closely behind Sun Guoguo.
"Junior Brother, what's the situation?"
Sun Guoguo asked while running.
Lu Chen said in a deep voice, "I just said to take a blood pressure measurement for Bed 39, and called him beside the bed. He has not responded, but he has breathing and heartbeat, but his breathing is a little short."
Sun Guoguo nodded slightly, suppressing the anxiety in her heart.
…
When everyone came to bed 39, the nurse also came to hear the sound.
Sun Guoguo immediately checked the patient, and at the same time calmly ordered:
"Go on ECG monitoring!"
"Urgently check blood routine, biochemistry, ions, cardiac enzymes!"
"Please call the Department of Neurology for emergency consultation and notify the patient's family."
"receive."
The nurse on duty tonight is Liu Mei.
She moves very neatly, and has moved the ECG monitor to quickly stick the electrodes on the patient.
At the same time, Dong Hao immediately went to the medical records to find the contact information of the patient's family member and notified the family member to come.
Lu Chen picked up the mercury sphygmomanometer and began to re-measure the patient's blood pressure.
The method of measuring blood pressure with a mercury sphygmomanometer is to wrap the cuff of the sphygmomanometer on the left and right sides of the upper elbow.
Place the stethoscope tip where the brachial artery pulses, put on the stethoscope, pressurize the sphygmomanometer, and gradually deflate.
Until the stethoscope hears the first beating sound, which is the systolic blood pressure.
When you hear the sudden disappearance of the beating sound of the stethoscope, it is the diastolic blood pressure.
Lu Chen was wearing a stethoscope, carefully observing the drop of the mercury column and listening to the place where the first pulsation sounded.
"Strange, why didn't you hear the pulsation?"
Lu didn't hear any throbbing sound at all.
He re-pressurized the sphygmomanometer, allowing the mercury column to rise to the highest value of the sphygmomanometer, 300mmHg, and then slowly deflated.
This time, Lu Chen's exhalation was extremely slow.
The mercury column dropped from 300 to 280, no pulsation was heard.
260…
240…
220…
Still did not hear the beating sound, Lu Chen held his breath and listened carefully, afraid of missing the first beating sound.
200…
190…
Still no pulsing sound was heard, Lu Chen frowned slightly.
180…
160…
140…
100…
80…
60…
He kept emptying the mercury, but Lu Chen couldn't hear the pulsing sound.
In this case, there are only two possibilities.
The first type is that the patient is in hypotensive shock, and the blood pressure cannot be measured.
But when Lu Chen touched the patient's pulse, he could feel a strong pulse, and the extremities of his limbs were all warm, so this possibility was ruled out.
That leaves only another possibility.
The patient's blood pressure has exceeded the upper limit of the mercury sphygmomanometer's measurement limit of 300mmHg!
China's 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.
Usually, 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, his heart trembled slightly.
(end of this chapter)