This doctor is not short of money

Chapter 242 High Pressure Tolerance
Yu Haiting hesitated for a moment, and said hesitantly, "Yesterday I admitted a hypertensive patient, but during our rounds just now, his family members said that the patient was dizzy in the morning, and he was so dizzy that he couldn't stand up. "

Du Heng was even more puzzled.

Is dizziness a normal reaction for hypertensive patients?

Yu Haiting also saw Du Heng's puzzled eyes, and immediately realized that he hadn't made it clear, and quickly explained, "When the patient was admitted to the hospital yesterday, the systolic blood pressure was 200mmHg, and the diastolic blood pressure was 160mmHg..."

Before Yu Haiting finished speaking, Du Heng stood up in surprise.

It is true that he is a doctor of Chinese medicine, but he still knows the conventional western medicine data.

"I remember that a systolic blood pressure greater than 180 is severe hypertension? 200/160, how is the person now?"

Yu Haiting clicked his tongue, "That's the problem. When the patient was admitted to the hospital yesterday, he walked by himself. From the appearance, there was no problem, just like a normal person. After I took the blood pressure test, I was also shocked. Jump.

Coupled with the strong suggestion from my family, I was hospitalized and treated for blood pressure reduction. I just took a measurement in the morning, and the systolic blood pressure dropped to 180, but I am so dizzy that I can’t get up now.I just want to ask the dean, should I continue to lower the blood pressure, or raise it back? "

Go back?
The diastolic blood pressure is 200 ah, if it's not going well every minute, it's either a heart attack or a stroke.

"200/160, his pressure difference is not big."

"Indeed, the pressure difference is not that big."

"Have you done an electrocardiogram and other tests? Is there a possibility of arteriosclerosis? I remember that patients with arteriosclerosis will not have obvious symptoms when their blood pressure is so high."

"Electrocardiogram, B-ultrasound, and blood collection were all done. Except for high blood pressure and slightly high blood lipids, everything else is normal."

Is this person a high-pressure physique?
But no matter how resistant to high pressure, the value of 200/160 is not a joke.

"How did you deal with this situation before?" In terms of blood pressure reduction, Du Heng's experience is really not as much as Yu Haiting's.

Now Yu Haiting ran up to him to ask the method, a bit like asking Yu Blind.

But now Yu Haiting has no choice. He, the leader of the hospital, has to make up his mind. He can either grit his teeth and continue to drop to a reasonable value, or stop the drug to boost the patient's blood pressure and return it to the original value.

But no matter what the situation is, there is a certain danger now, and it has become a situation of riding a tiger.

"I was a patient who had been treated for high blood pressure before, but I have never been exposed to such a high blood pressure. And generally, after the antihypertensive treatment, the patient will feel a lot more relaxed; if the blood pressure is lowered like this, but dizzy, I also See you for the first time."

Yu Haiting answered Du Heng's question with a sad face.

Du Heng didn't do anything himself, he thought for a while and said, "Let's go to the ward to see the patients."

There is no way, I can only go to see the patient's condition with my own eyes, and then make a decision.

In the ward, the patient was lying on the hospital bed, turning over in a daze, and a female family member stood next to him, who did not know whether it was a daughter-in-law or a daughter.

On the other side of the bed, there is another girl whose age cannot be seen at a glance.Looking at her childish face, she might be eleven or twelve years old, but the girl is very fat, her width is about the same as that of an adult man, and her height is about 1.5 meters; if you don't look at the face, just look at the body shape, you will feel This girl is fifteen or sixteen.

"Dean, this is the patient's daughter." Yu Haiting turned to the patient's family again, "This is our dean, I invite the dean to come and see how your father is doing."

Du Heng's eyes stayed on the little girl for an extra minute, and then asked the family members, "How long has your father had high blood pressure?"

"It's been almost 20 years. When he used to work in the factory, he had high blood pressure, but I was young at that time, and my dad didn't feel uncomfortable, so he never took it seriously."

"Then why did your father come to the hospital suddenly yesterday? Is there any discomfort?"

The family member shook his head, and looked at his father on the hospital bed worriedly, "Isn't there a small home blood pressure measuring instrument on the Internet now, I think it's very good, so I bought one for my father.

I took it home yesterday and tested it. The high pressure was 210. I checked it on the Internet and said that with such a high blood pressure, the blood vessels will burst at any time, and there may be sudden diseases such as cerebral hemorrhage, cerebral infarction, myocardial infarction, etc., so I let me Dad is here. "

"That is to say, your father has never had symptoms such as dizziness, headache, or nausea before?"

"No, and he's still working as a night shift janitor at the company, and he's in good spirits."

"Has your father ever taken antihypertensive drugs?"

"Since it was found out that he had high blood pressure, my dad had never taken antihypertensive drugs, and he himself did not want to drink them; he said that after taking the drugs, he would not be able to stop and would become dependent."

Du Heng pursed his lips.

The patient on the bed and the granddaughter beside him are two extremes.

The granddaughter is very fat, the kind that holds very fat; it is obviously a little girl, but the flesh on the stomach is round and round, especially the development, it is a bit too much; some of the female characteristics are more mature than adult women To stand out.

But the patient is lean, dry and thin, and even a little bit of fat can't be seen.

"How is your father's usual diet? Have you controlled it? For example, eat more vegetables and less meat."

The family member shook his head, "My dad never treats me badly when it comes to food. It can be said that he loves meat; as long as I can remember, he has to eat a beef noodle every morning at work, and he has to add meat; Bean skin sandwich pancakes are the kind of bean skin that comes out of stewed broth.”

Du Heng swallowed his breath when he heard it, it was greasy enough.

The beef noodles are okay, and the extra meat is not too much.But the stewed bean curd, Du Heng saw it once before, and it was stewed directly with the big meat; although it was bean curd, the fat on it was no less than that on the stewed meat.

The family member said while looking at the girl next to him, "And my dad has to eat red gauze meat every two days, so he asks my mother to fry such a big bowl with nothing added in it, just meat, he eats it every time. Can eat a bowl. My girl also eats with him every day, look at what she looks like now, she is only 9 years old this year."

Du Heng couldn't help turning his head to look at the girl next to him, only 9 years old?I just estimated that this person is eleven or twelve years old.

Hearing what the family members said, Du Heng couldn't help but look at the girl again.

Eleven or twelve-year-olds have this level of development, which is barely acceptable, but for nine-year-olds, this is a bit too much.

This level of development is not a good thing for a nine-year-old girl.

Inadvertently, the eyes of Du Heng and Yu Haiting collided.

But he didn't talk about the girl right away, because he was also frightened by the way the patient ate.

Du Heng doesn't need to eat a bowl of braised pork without seasoning, and he eats it once every two days.

(End of this chapter)