I can see health

Chapter 798 Disappeared blood pressure?
In a blink of an eye.

It has been four months since Lu Chen came to Guanghai.

He has fully integrated into this environment and is familiar with the role of the deputy director of the department.

As for classmate Lao Gu, although this guy came later than Lu Chen, he blended in better than Lu Chen!

And his relationship with Xu Shan...

This problem is very serious, and Lu Chen found that Lao Gu fell into the quagmire of love.

Every day after get off work, or when he has private time, he would go to Xu Shan's place.

The euphemistic name is to discuss scientific research.

Sima Zhao's heart is well known to passers-by.

Whenever Gu Xinyue mentioned this, Lu Chen could only give him a blank look.

If it is really a day-to-day discussion on scientific research issues, it is unlikely that a national natural bid has not been written yet, right?

However, everyone is Ben San.

It's the object here.

Xu Shan's identity and background match well with Gu Xinyue.

The only disadvantage is that both of them are doctors, so they may not have much time to take care of their families.

……

Gu Xinyue took a day off today and was going on a date with Xu Shan.

Lu Chen, a senior doctor, could only temporarily take over Gu Xinyue's position, leading a group of graduate students and Gui Peisheng to make ward rounds in the morning.

Everyone was very excited when they saw Director Lu Chen's ward rounds.

However, as soon as they arrived at the ward, the students couldn't laugh anymore.

Director Lu Chen has so many questions!
And all kinds of difficult and tricky questions, he has a lot of special sisters.

Every time a patient is checked, everyone is frightened.

This can be regarded as a good inheritance of Lu Chen's habit from Li Yao's mentor when he was in Jinghua.

Asking questions during ward rounds must stump the students!
When Lu Chen's rounds were over, everyone breathed a sigh of relief.

It's finally over!

"The doctor's order that needs to be adjusted just now, as well as the supplementary course record, everyone should go back and revise it carefully." Lu Chen instructed everyone.

A group of students hurried back to the doctor's office.

Lu Chen returned to his deputy director's office.

Although Guo Natural's application was unsuccessful, he still had many other things to do.

The idea of ​​establishing TAVR data should be gradually improved.

……

Just as Lu Chen was flipping through TAVR's latest documents, there was a knock on the office door.

"Director Lu! Rescue the 26 beds in the ward!"

Following the sound, Lu Chen immediately stood up, put on his white coat, and quickly opened the office door.

At the door, a young nurse in the department was standing with an anxious look on her face.

Seeing Lu Chen come out, she quickly said: "Director Lu, rescue the 26th bed! Cardiac arrest, blood pressure and pulse can't be felt, Doctor Hua asked me to come to you!"

"Let's go!" Lu Chen didn't say much, and immediately ran towards the ward.

The doctor Hua mentioned by the nurse is the attending doctor of other groups in the department.

As the deputy director of the department, Lu Chen must promptly participate in any rescue incident.

Come to bed number 26.

As soon as he walked into the house, he saw a group of doctors and nurses surrounding the bed.

Lu Chen frowned. If the heart stops suddenly, then it should be CPR? !

Now a group of people are surrounding, what are they doing?

Walking in and looking, the patient on the hospital bed was lying on the hospital bed in good condition. Although his face was not very good-looking, he definitely did not have a cardiac arrest!

ECG monitoring also showed that the heart rate was only more than 100 times.

Lu Chen was confused by everything in front of him.

On the hospital bed, the patient was young, only less than 30 years old.

The health on her head is 67 (--).

Definitely sick, but not to the point of requiring cardiac arrest.

"What's the matter? Didn't you say that the cardiac arrest caused the blood pressure and pulse to disappear?" Lu Chen lowered his voice and asked the young nurse beside him.

At this time, the young nurse was also dumbfounded.

She only knew that Dr. Hua said that the patient's heart had stopped and told her to go to Director Lu, but she didn't know anything about the other situations.

Beside the hospital bed, a senior nurse hurriedly said: "Director Lu, it's like this. We just measured the patient's blood pressure, and both of her arms were measured, but the blood pressure could not be measured, and the radial artery was touched. None of them could feel their pulse. We had several people come and feel them, but none of them could. Doctor Hua asked Xiao Fang to find you."

Lu Chen now figured out the situation.

Not long after the young nurse came to the department, she said that the patient had lost blood pressure and pulse, but it was impossible to measure it.

It's just undetectable.

It doesn't mean that the patient's heartbeat has stopped, and it doesn't mean that the person is gone, so there is no need for rescue or cardiopulmonary resuscitation.

The little nurse lowered her head in embarrassment.

Lu Chen didn't mean to blame her, but instead looked at the patient on the hospital bed.

How can a person who is healthy can not measure his blood pressure?

How could the radial artery not be felt?
"Have you touched it carefully?" Lu Chen asked while doing it himself.

"Everyone has touched it, but none have touched it." Dr. Hua whispered.

As soon as Lu Chen got started, it was strange, but he really didn't feel any beating.

Lu Chen lightly pressed his fingers on the radial artery of the patient's left hand, but he didn't feel a pulse. He pressed harder, but he still didn't feel a pulse.

The patient's palms were cold, as was the right hand.

That being the case, it is normal that the cuff tied to the upper limb cannot measure the blood pressure.

Lu Chen frowned, why did this happen?
He looked up at the ECG monitor. The heart rate was obviously 110 beats per minute, and the heartbeat was okay, but the blood pressure was indeed not detected!

Such a young man does not have symptoms of cerebral ischemia such as dizziness, so he should not have low blood pressure.

"Test the blood pressure of the lower limbs." Lu Chen thought for a while and said.

The young nurse immediately brought a big cuff and tied it directly on her leg.

……

This time, the blood pressure was finally measured.

However, this blood pressure is the blood pressure of the popliteal artery of the thigh, and does not represent the blood pressure of the upper limbs.

Lu Chen reacted immediately, this can only explain one problem!
The patient has a problem with the blood vessels of the upper limbs, not the heart.

Go back to the doctor's office.

Dr. Lu Chenzhaohua said: "It is very likely that the blood vessels in the upper limbs of the patient are blocked, and the blood cannot pass through, so the pulse cannot be felt, the blood pressure cannot be measured, and the limbs are cold."

"Yeah." Doctor Hua nodded quickly, "After Director Lu reminded me just now, I also figured it out. It is likely to be thromboangiitis obliterans, which is an inflammatory disease of blood vessels, which may cause blood vessel damage. Chronic occlusion manifests as decreased skin temperature, paleness, cold limbs, and in severe cases, limb pain, weak pulse or even disappearance, and blood pressure cannot be measured."

Dr. Hua's basic knowledge is good, and he thought of many things at once.

"Well, there is a possibility." Lu Chen nodded slightly, and then added, "But your thromboangiitis obliterans is more common in young men who like to smoke."

"This patient is probably not that simple!"

(End of this chapter)