I can see health

Chapter 66 The "Sleeping" Internet Celebrity (Part [-])
Sun Guoguo and Dong Hao passed by Bed 39 to check other beds, but Lu Chen was careful.

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

Lu Chen immediately turned on an idle computer and began to check the medical records of Bed 39.

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

"Chief complaint: dizziness, headache, admitted to the hospital for half an hour."

"History of present illness: The patient had dizziness, headache, and head pain half an hour ago without obvious inducements. The blood pressure was 190/110mmHg, and he was admitted to the hospital with high blood pressure."

"Past health, denies any history of disease."

Go through the medical history quickly.

Lu Chen had a preliminary understanding of this patient.

This is a very young hypertensive patient.

Hypertension at 24!
Hypertension can be divided into two types according to its etiology.

Essential hypertension has an unknown etiology and cannot be cured, requiring life-long medication.

Secondary hypertension is high blood pressure caused by definite factors, and it is the only high blood pressure that can be cured.After the hypertension factors 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 it's not quite right. If it's just high blood pressure, then it shouldn't be the red life value."

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

Lu Chen frowned, feeling that the matter was not simple.

He saw that the patient was admitted to the hospital at around five twenty in the afternoon.

He should have come to the hospital when he was about to take over.

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

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

Dong Hao leaned over to Lu Chen and saw him flipping through the medical records of the 39th bed.

"I heard from my classmates in the day class that this patient is a well-known Internet celebrity in Jinghua."

"Internet celebrity?" Lu Chen was taken aback.

"Well, it was broadcast live on Douyin, and I heard it's quite popular." Dong Hao smiled, "With 20 fans, usually receiving an advertisement, it is estimated that it is 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", at least able to attract the attention of the public.

"Brother, let me measure the blood pressure of bed 39."

Lu Chen was still a little uneasy, and decided to go and see the situation of Bed 39 himself.

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

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

……

Come to bed 39.

The patient is "deep asleep" and is slightly short of breath.

Lu Chen patted the patient's shoulder lightly.

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

However, he didn't respond.

Lu Chen frowned, continued to slap Sun Yingwei's other side, and leaned over to his ear, saying loudly:
"Sun Yingwei, can you hear me?"

Still no response!

Feeling that the situation was not good, Lu Chen immediately felt the pulse of the carotid artery.

Fortunately, the carotid artery is pulsating!

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

And the life value on his head plummeted again.

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.

"Brother, what's wrong?"

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

While running fast, Lu Chen said, "Senior sister, something is wrong with the patient in bed 39, he's already unconscious!"

Sun Guoguo's complexion immediately changed when he heard this, and he ran towards bed 39.

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

"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. I came to the bed and called him. He has not responded, but he is breathing and his heart is beating, but his breathing is a little short."

Sun Guoguo nodded slightly, suppressing the uneasiness in his heart.

……

When everyone came to bed 39, the nurse also rushed over.

Sun Guoguo immediately checked the patient, and at the same time calmly ordered:
"Enable ECG monitoring!"

"Urgently check blood routine, biochemistry, ions, myocardial enzymes!"

"Please ask the Department of Neurology for emergency consultation and notify the patient's family."

"receive."

The nurse on duty tonight is Liu Mei.

She moved very nimbly, and had already moved the ECG monitor, and quickly stuck the electrode pads on the patient.

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

Lu Chen picked up the mercury sphygmomanometer and began to re-test 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 position of the two horizontal fingers on the upper arm elbow.

Put the earpiece of the stethoscope on the place where the brachial artery pulses, put on the stethoscope, pressurize the sphygmomanometer, and then gradually deflate it.

Until the stethoscope hears the first beating sound, it is the systolic blood pressure.

Diastolic blood pressure is heard when the pulsating sound of the stethoscope suddenly disappears.

Wearing a stethoscope, Lu Chen carefully observed the drop of the mercury column, and at the same time listened to the first beating sound.

"Strange, why didn't you hear the beating sound?"

Lu did not hear any beating sound at all.

He re-pressurized the sphygmomanometer, let the mercury rise to the highest value of 300mmHg on the sphygmomanometer, and then slowly deflated.

This time, Lu Chen deflated extremely slowly.

The mercury column dropped from 300 to 280, and 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 did not hear the beating sound, Lu Chen frowned slightly.

180...

160...

140...

100...

80...

60...

Lu Chen kept emptying the mercury, but Lu Chen couldn't hear the beating sound.

When this happens, there are only two possibilities.

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

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

That leaves only one other possibility.

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

According to the Huaxia Hypertension Prevention and Control Guidelines, normal blood pressure is a systolic blood pressure below 140mmHg and a 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 who was on the bed, and his heart trembled slightly.

(End of this chapter)