I Can See Health

  Chapter 67 "Sleeping" internet celebrity (middle)

  Sun Guoguo looked up at Lu Chen.

   "What's your blood pressure?"

   "I can't measure it." Lu Chen took off his stethoscope and shook his head helplessly.

   "Use an electronic sphygmomanometer, or a monitor's sphygmomanometer, and measure again."

  Sun Guoguo frowned.

   She has never encountered a situation where her blood pressure cannot be measured.

   The upper limit of this sphygmomanometer is 300mmHg!

   "Guoguo, still can't measure it!"

  Liu Mei has tied the blood pressure cuff of the monitor to the patient and pressed the button to measure the blood pressure, but the machine cannot display the value.

  Sun Guoguo noticed the seriousness of the matter and conducted another physical examination, while examining the patient's pupils.

   "The patient's bilateral pupils were unequal, with one pupil being significantly larger than the other."

   Dong Hao, who had just walked into the office, also heard this sentence and couldn't help but froze for a moment, and said, "Intracranial hypertension and cerebral edema? Head trauma?"

  Lu Chen narrowed his eyes and glanced at Sun Guoguo.

   "Senior sister, isn't it herniated brain?"

  Sun Guoguo did not respond immediately, her expression was extremely serious, she paused and said to Liu Mei:

   "Liu Mei, quickly use Uradil, and then hang a bottle of mannitol."

   "Then go to neurosurgery, this patient is considered hypertensive encephalopathy, cerebral hemorrhage leading to brain herniation."

   "Received." Liu Mei immediately acted.

   "Junior Brother Dong, when will the patient's family come over?"

   "Within half an hour."

   "So long?" Sun Guoguo frowned, "Continue to contact the family members, ask them to come as soon as possible, and inform the patient that their lives are in danger at any time."

"it is good."

   Dong Hao nodded, turned around and walked out of the ward to contact his family again.

  …

   In the ward, Sun Guoguo and Lu Chen closely monitored the patient's life status and waited for the consulting doctor to come.

   "Junior Brother Lu, what do you think the patient's blood pressure is suddenly so high?"

  Sun Guoguo has been thinking about this problem.

  How could a good-looking young man suddenly have high blood pressure, and it is so high that the systolic blood pressure even exceeds 300mmHg?

   This is extremely rare.

  Lu Chen frowned.

   "Essential hypertension is certainly unlikely."

   He thought of a secondary cause of herniation due to high blood pressure.

   The first was head trauma, but after a head examination and medical history, this was clearly ruled out.

   Then there is, pesticide poisoning!

   But the medical history and physical examination are not supportive.

  Lu Chen suddenly thought that the patient was an internet celebrity.

   Is it the pursuit of excitement and the use of drugs?

  If you are an addict, long-term use of drugs may lead to cerebral hemorrhage and brain herniation!

   "Caused by injecting drugs? Taking drugs?" Lu Chen said very euphemistically.

  Sun Guoguo shook his head, "I don't support it for the time being. Through the physical examination, I didn't see any obvious pinholes, and his strong physique doesn't look like a drug addict."

   It’s not trauma, poisoning, or drugs, so what could it be?

  The two fell silent, unable to do anything.

  …

   Consultants from the Department of Neurology and Neurosurgery arrived quickly.

   After seeing the patients, the two departments agreed.

   are all considering the possibility of cerebral hemorrhage and brain herniation.

   "Let's do a head CT first." The neurosurgeon said, "This patient is likely to need emergency surgery, so I suggest perfecting the head CT first."

   "Once the cerebral edema and brain herniation are diagnosed, they should be sent to the operating room immediately! Otherwise, the brain herniation will last for a long time, compressing the life center, and the patient may die suddenly at any time!"

   The more critical the patient is, the more urgent it is to complete relevant examinations in order to make a diagnosis.

   "Besides, it's best to find out the cause! If such a young patient doesn't know the cause, it's very likely that this will happen again in the future."

  …

   At this time, the patient's family just arrived.

   She is the patient's mother, a middle-aged woman in her fifties.

   In terms of temperament and conversation, he should be an intellectual.

  Sun Guoguo immediately explained his condition to him personally.

   The middle-aged woman turned pale when she saw her son lying awake on the bed.

   "Doctor, I accompanied him when he was admitted to the hospital. Before I left just now, he was still lying in bed. Except for a little high blood pressure, there was no other problem. Why did he suddenly fall into a coma?"

   "What medicine did you give him? Was it caused by the medicine?"

   When the patient was admitted to the hospital, the patient was fine, but after the hospitalization, the patient became worse and worse?

   This is a common sentence pattern used by some patients and their family members.

  Sun Guoguo frowned and said solemnly: "After admission, we only used antihypertensive drugs for the patient. This time the patient has high blood pressure and is in a coma. We consider that there are other reasons, which are caused by the progression of the disease."

  The middle-aged woman has turned on the automatic shielding system and directly ignored Sun Guoguo's words.

   "My son usually lives a regular and healthy life. What other reasons could there be? I think it's probably the medicine you use."

  Sun Guoguo sank.

  Although the middle-aged woman in front of her is neither noisy nor noisy, this kind of family with knowledge and culture is even more terrifying.

   They may be silent during the hospital stay. Once they are discharged, they will collect all kinds of evidence and sue the hospital, which will catch the hospital by surprise.

   Now if the exact cause of the patient cannot be found, the family is likely to shirk the responsibility on the hospital.

   "Family, in any case, you need to do a head CT immediately." Sun Guoguo said.

   "Since I'm in the hospital, I'll listen to you." The middle-aged woman nodded coldly.

  Students are not allowed to accompany a critically ill patient to the examination, but if Sun Guoguo accompanies the examination in person, there will be no doctor in the ward to look after him.

   "Inform the hospital manager in the heart and ask him to come to the top of the ward for a while, and I will accompany the patient for an examination."

   The total number of inpatients in the Cardiology Department is written on the wall of each Cardiac Ward.

After    contact, the inpatient general of the Cardiology Department soon came to the eight districts in the heart.

   "Guoguo, what kind of patient is this? Why are you in such a hurry?"

   Li Qinghua, the hospital chief, asked Sun Guoguo as soon as he arrived at the ward.

   "Brother Hua, a 39-bed patient. He was admitted to the hospital in the afternoon. He is considered to have high blood pressure, and there is a possibility of cerebral hemorrhage and brain herniation."

   Li Qinghua nodded when he heard the words, and immediately went to the ward to check on the patient again.

   "Quickly push him out for a head CT, and a chest CT along the way. I'll stay in the ward."

   "Okay, thank you Brother Hua." Sun Guoguo nodded, turned around and said, "Junior Brother Dong, you accompany me to push the bed to check. Junior Brother Lu is helping Dr. Li in the ward."

   "Okay." Lu Chen nodded.

   When he looked at Li Qinghua, he felt that the doctor was very familiar and seemed to have seen him somewhere, but he couldn't remember it for a while.

  Sun Guoguo, Dong Hao, Liu Mei and a middle-aged woman pushed the hospital bed and went out for CT examinations.

  …

doctor's office.

  Lu Chen and Li Qinghua were sitting in the office waiting for the CT report.

   About 10 minutes later, the results of the emergency CT came out, and the two heads of Lu Chen and Li Qinghua were immediately placed in front of the computer.

  CT showed that the patient had very obvious large cerebral hemorrhage and cerebral edema, and normal brain tissue had been compressed.

   is indeed a brain herniation!

   "It looks like emergency surgery is going to be performed." Li Qinghua said solemnly.

   At this time, Lu Chen's brain was running fast. What was the cause of this patient?

   (end of this chapter)