I Can See Health

Sun Guoguo raised her head and looked at Lu Chen.

"What's your blood pressure?"

"It can't be measured." Lu Chen took off his stethoscope and shook his head helplessly.

"Use an electronic blood pressure meter or a blood pressure monitor monitor and measure it again."

Sun Guoguo frowned.

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

The upper limit of this blood pressure monitor is 300mmHg!

"Guoguo, it's still undetectable!"

Liu Mei had already tied the blood pressure cuff on the patient's monitor and pressed the blood pressure measurement button, but the machine could not display the value.

Sensing the seriousness of the matter, Sun Guoguo conducted another physical examination and also checked the patient's pupils.

"The patient had bilateral anisocoria, with one pupil significantly larger than the other."

Dong Hao, who had just walked into the office, also heard this sentence and couldn't help being stunned and said: "Intracranial high pressure and cerebral edema? Head trauma?"

Lu Chen narrowed his eyes and glanced at Sun Guoguo.

"Senior sister, isn't it a cerebral hernia?"

Sun Guoguo did not respond immediately. His expression was extremely serious. He paused and said to Liu Mei:

"Liu Mei, use urapidil quickly and then add a bottle of mannitol."

"Then we asked the neurosurgery department to consider hypertensive encephalopathy and cerebral hemorrhage leading to cerebral herniation in this patient."

"Copy that." Liu Mei took action immediately.

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

"Within half an hour."

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

"good."

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

…

In the ward, Sun Guoguo and Lu Chen carefully checked the patient's vital status and waited for the consulting doctor to arrive.

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

Sun Guoguo has been thinking about this issue.

How could a perfectly fine young man suddenly develop high blood pressure, so high that his systolic blood pressure even exceeded 300mmHg?

This is extremely rare.

Lu Chen frowned.

"Essential hypertension is certainly unlikely."

He thought of secondary causes of cerebral herniation caused by 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!

However, the medical history and physical examination do not support it either.

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

Could it be that he was seeking excitement and taking drugs?

If you are an addict, taking drugs for a long time may cause cerebral hemorrhage and cerebral herniation!

"Is it caused by injecting drugs? Taking drugs?" Lu Chen said tactfully.

Sun Guoguo shook his head, "I don't support it for the time being. After the physical examination, I didn't see any obvious needle holes. And with his strong physique, he doesn't look like a drug addict."

It's not trauma, poisoning, or drug abuse. What could it be?

The two fell silent, both at a loss.

…

Consultants from the neurology and neurosurgery departments arrived quickly.

After seeing the patient, the two departments agreed.

They all consider the possibility of cerebral hemorrhage and cerebral herniation.

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

"Once cerebral edema or brain herniation is diagnosed, rush to the operating room immediately! Otherwise, if the brain herniation lasts for a long time, it will compress the vital center, and the patient may die suddenly at any time!"

The more critical the patient is, the more time it is necessary to complete relevant examinations in order to confirm the diagnosis.

"In addition, it is best to understand the cause! For such a young patient, if the cause is not understood, this condition is likely to occur 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.

Judging from his temperament and conversation, he should be an intellectual.

Sun Guoguo immediately explained his condition to him in person.

When the middle-aged woman saw her son lying unconscious on the bed, her face turned pale.

"Doctor, I accompanied him when he was admitted to the hospital. Just before I left, he was still lying in bed. Except for his high blood pressure, he had no other problems. Why did he suddenly fall into a coma?"

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

The patient was fine when he was admitted to the hospital, but why did he become worse and worse after being hospitalized?

This is a common sentence used by some patients and their families.

Sun Guoguo frowned and said in a deep voice: "After admission, we only gave the patient antihypertensive drugs. The patient has high blood pressure and is unconscious this time. We consider other reasons, which are caused by the progression of the disease."

The middle-aged woman had turned on the automatic blocking system and 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 used."

Sun Guoguo was relieved.

Although the middle-aged woman in front of her was neither noisy nor fussy, the educated family members were even more terrifying.

They may remain silent while they are hospitalized, but once they are discharged, they will collect all kinds of evidence to sue the hospital, catching the hospital off guard.

Now, if the exact cause of the patient's illness cannot be found, the family is likely to shift the responsibility to the hospital.

"Family members, no matter what, we need a head CT immediately." Sun Guoguo said.

"Since we are in the hospital, I will listen to you." The middle-aged woman nodded coldly.

Students are not allowed to accompany such critically ill patients for examination, but if Sun Guoguo accompanied the examination in person, there would be no doctor in the ward to look after him.

"Inform the chief resident in Xin Nei and ask him to come to the ward to work for a while while I go to accompany the patient for examination."

The phone number of the chief resident of the Department of Cardiology is written on the wall of each cardiology ward.

After making contact, the resident general manager of the cardiology department quickly came to the eighth district of the heart.

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

Li Qinghua, the chief resident, asked Sun Guoguo as soon as he arrived in the ward.

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

Li Qinghua nodded after hearing this, and immediately went to the ward to check on the patient again.

"Hurry up and push him out for a head CT. By the way, do a chest CT as well. I'll stay in the ward."

"Okay, thank you, Brother Hua." Sun Guoguo nodded, turned around and said, "Junior Brother Dong, please accompany me to push the bed for examination. 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 looked familiar. He seemed to have seen him somewhere, but he couldn't remember it for a while.

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

…

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 Lu Chen and Li Qinghua's heads immediately came to the computer.

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

It’s indeed a cerebral herniation!

"It looks like emergency craniotomy is needed." Li Qinghua said solemnly.

At this moment, Lu Chen's brain was spinning rapidly. What was the cause of this patient's illness?