I can see health

Chapter 466 Unexpected Hypertension (Part [-])
Cough, hemoptysis and chest pain, and chest CT has a shadow.

The patient also had a history of pulmonary tuberculosis.

In addition, the results of the patient's blood test in the morning have come out.

The white blood cells in the blood routine were high, and other biochemical, liver and kidney functions were normal.

The results of tuberculin and T-SPOT will be released tomorrow.

Moreover, even if these two tests are negative, it can only show that the patient has been infected with tuberculosis in the past, and cannot be infected currently.

For such patients, the impression diagnosis is nothing more than pneumonia, tuberculosis and lung tumors.

"We still need to do a bronchoscopy diagnosis as soon as possible!" Lu Chen thought.

Clinically, many diseases cannot be diagnosed based on superficial evidence alone.

However, relying on modern scientific and technological means, it is often possible to make a correct diagnosis.

For example, in the era without imaging technology, neurologists had no way to tell whether a patient had a cerebral hemorrhage or a cerebral infarction.

The symptoms of these two diseases are so similar that they cannot be distinguished from each other.

Most importantly, the treatment of hemorrhage and cerebral infarction are completely opposite!
One for thrombolysis, one for antithrombotic!

What should we do at this time?

Can only rely on experience diagnosis and treatment, rely on feeling.

If the treatment is correct, the patient's condition will improve and he will be able to survive.

But there are also many patients, the more they are treated, the more serious they become, and finally they are gone.

……

"Brother, I think there is a patient in Teacher Fang's group, and it seems that he won't have a bronchoscopy tomorrow." Wang Defa ran over and said to Lu Chen, "It's just right for Mei Yejun's father to insert it."

Lu Chen smiled, and glanced at Wang Defa, "Why are you so active in helping Junior Sister these days?"

"Ah..." Wang Defa blushed, "No, no, they all belong to the same school. I just wanted to see if I could help."

"Okay, I'll ask Teacher Fang later."

After Lu Chen was busy with the matter at hand, he negotiated with Teacher Fang in the next group.

Teacher Fang also heard about Lu Chen's name in the hospital and was very interested in him.

Hearing that a patient in their group wanted to intervene, they agreed.

……

Mr. Mei Ye was also very happy when he heard the news.

She had a bronchoscopy one day earlier, and she felt at ease earlier.

However, Lu Chen had a vague premonition in his heart.

The life value on the patient's head decreased slowly. Although the decline did not reach three minus signs, it was still an extremely terrifying thing.

Early the next morning, when Lu Chen saw the patient, his HP dropped by another two points.

Check the room in the morning.

Fan Yujing led Lu Chen and Wang Defa to the endoscopy room of the Respiratory Department.

"Dad, don't be nervous, these doctors are my teachers and senior brothers." Standing at the door of the endoscopy room, Mei Yejun said to his father, "Their techniques are all the best, and they will be done soon. "

"Don't worry, Jun, you still don't know your father and me!" The patient smiled, "Isn't it just an examination, I'm not nervous at all."

Although he said so, Lu Chen still saw his hands trembling slightly.

"Junior Sister, just wait outside." Lu Chen said softly, "I will come out to inform you if there is anything."

"Yeah." Mei Yejun nodded lightly, "Teacher Fan, there are two more senior brothers, please."

……

Later, Wang Defa pushed the patient into the endoscopy room.

"Come on, lie down here." Fan Yujing beckoned and asked the patient to lie down on the operating table.

The patient was lying on the operating table, hesitant to speak.

"Uncle, what's the matter? Is there something wrong?" Lu Chen asked quickly.

"That..." the patient stammered, "If something goes wrong, don't tell my daughter yet!"

Lu Chen was stunned.

"Just tell me first, okay?" the patient repeated.

Lu Chen said helplessly: "Uncle, your illness is your privacy, and we have no right to interfere. It is your right to choose whether to tell your family. But, your daughter is also a medical student, do you think you can hide it from her?"

Even if it can be concealed now, as long as the follow-up diagnosis and treatment are carried out, Mr. Mei Ye will definitely know.

"Oh." The patient sighed.

Lu Chen comforted: "Uncle, don't be so discouraged, the inspection hasn't started yet."

The patient nodded, barely revealing a smile.

……

All equipment and equipment for bronchoscopy have been prepared.

Fan Yujing said to Lu Chen who was at the side: "Get ready to start."

Lu Chen nodded, and conducted risk communication with the patient again.

"Uncle, you know the risks I mentioned, right?" Lu Chen said.

"Well, I know, Xiao Jun told me too."

"Okay then, I'll take your blood pressure. If it's normal, we'll start."

Blood pressure is routinely measured before surgery, before invasive procedures.

Lu Chen took out the automatic blood pressure monitor and put it on the patient's arm.

"Blood pressure 184/107mmHg."

As the reading on the blood pressure monitor appeared, Lu Chen froze.

"Why is blood pressure so high?"

The current Chinese standard, if it exceeds 140/80mmHg, it is considered high blood pressure.

The systolic blood pressure is 140-160mmHg, which is the first grade of hypertension.

The systolic blood pressure is 160-180mmhg, which is the second level of hypertension.

If the systolic blood pressure exceeds 180mmHg, it is grade [-] hypertension.

In order to prevent the sphygmomanometer from malfunctioning, Lu Chen took another measurement, and the result was almost the same.

Lu Chen knew that the patient had a history of hypertension.

"Uncle, didn't you take your blood pressure medicine this morning?"

"Eat it!" The patient frowned, "The blood pressure is high, right?"

"Yeah." Lu Chen nodded, then looked at Wang Defa, "The blood pressure didn't seem to be so high two days ago?"

Wang Defa scratched his head and said: "The patient's blood pressure was around 150/80mmHg on the day of admission, and the measurement yesterday morning was 154/85mmHg. When I measured blood pressure, the patient had just taken antihypertensive drugs, so I didn't care."

At this time, Fan Yujing came to the console, "What's wrong?"

Lu Chen explained: "The patient's blood pressure is too high. I just took two measurements and the blood pressure is above 180/100mmHg!"

Fan Yujing frowned, "That can't be done for now."

Lu Chen was also quite helpless.

Before any operation and surgery, high blood pressure will increase the risk of surgery several times.

Patients are very likely to suffer from bleeding, heart failure, and these unpredictable malignant events.

"Uncle, you may not be able to do it this morning. Your blood pressure is too high. You can only do it after your blood pressure drops stably." Lu Chen said, "At least it must be lower than 160/80mmHg before we can do it with you."

Although the patient was a little puzzled, he still nodded and walked out of the endoscopy room without saying anything.

Lu Chen had no choice but to pack up the endoscopic equipment and put them back where they were.

Waiting for when the patient's blood pressure stabilizes before performing bronchial endoscopy.

However, when Lu Chen looked at the back of the patient leaving, he suddenly seemed to think of something, and was shocked in his heart.

"After staying in other departments for a long time, I almost forgot the department I was born in!"

(End of this chapter)