Doctor Zhao, help!

Chapter 299 Blood pressure as high as 335182mmHg! !

"Oh, our Director Zhao is still shy, isn't he?"

Seeing Zhao Sheng's blushing face, Song Wei felt as if her prank had succeeded.

These days, where can you find a man over thirty years old who can blush? This can be said to be a rare species.

"Uh~"

Zhao Sheng was speechless. Song Wei didn't know when she started to like joking with him so much.

Therefore, this person still cannot remain single, otherwise, he will start to get bored and then look for fun in the people around him.

At this moment, the young nurse Yu Ning hurried in and said to Zhao Sheng: "Teacher Zhao, Teacher Li wants you to see a patient."

"it is good."

Zhao Sheng breathed a sigh of relief, stood up, and ran out of the office as if running away.

Seeing Zhao Sheng leave the office quickly, Song Wei smiled and said something.

"Cut~"

"I don't even care about such a big man with such a small burden. What do you care about?"

After leaving the director's office, Zhao Sheng followed the young nurse Yu Ning to the treatment room. As soon as he entered the treatment room, Zhao Sheng saw a young man lying on the bed. He looked very strong, but was a little unconscious. look.

Next to the hospital bed, there was an older sister standing, who seemed to be the mother of the muscular young man.

He was so young, his body was so strong, but now he was in a coma, and his face looked normal. Zhao Sheng suddenly felt a little strange.

"Doctor Li."

Zhao Sheng saw Li Mujia and said hello.

"What's the situation?"

After a pause, Zhao Sheng asked Li Mujia again.

"I suddenly passed out at home and was sent here."

Li Mujia replied.

"The heart rate is 98 beats/minute, and the blood pressure cannot be measured."

After a pause, Li Mujia finally told the reason why he asked the young nurse Yu Ning to call Zhao Sheng over.

"Undetectable?!"

Zhao Sheng was immediately shocked.

Clinically, if the blood pressure cannot be measured, it may be due to the following situations: 1. The blood pressure is too low and the blood pressure cannot be measured; 2. The heart rate is absolutely irregular due to rapid atrial fibrillation, which makes the blood pressure difficult to measure. Monitoring, resulting in blood pressure being unable to be measured; 3. Hemodynamic instability caused by rapid tachycardia, such as ventricular fibrillation, ventricular flutter and ventricular tachycardia, may result in blood pressure being unable to be measured.

Judging from this young man’s condition, he did not appear in shock, so it’s not that his blood pressure is too low to be measured, but that his blood pressure is too high to be measured.

"Yes, the ECG monitoring sphygmomanometer didn't measure the blood pressure. I used an old-fashioned sphygmomanometer, but it didn't measure the blood pressure either."

Li Mujia nodded.

This is the first time she has encountered this situation. Although she has encountered situations where her blood pressure cannot be measured before, it was always because of hemorrhagic shock or shock caused by excessive loss of body fluids due to other reasons. The blood pressure was lower than the measured low. value, so it was measured.

But like now, because the blood pressure was too high to be measured, she had never seen him before, so she asked Zhao Sheng to come over and take a look.

You know, a normal mercury sphygmomanometer has a measurement range of 0 to 40kPa, which is 0 to 300mmHg.

If the mercury sphygmomanometer cannot measure it, it means that the blood pressure of the young man in front of me has exceeded 300mmHg.

"Are you the patient's mother?"

Zhao Sheng thought for a while and asked the eldest sister standing beside the hospital bed. "Um."

"Doctor, what's wrong with my son?"

The eldest sister asked in great panic.

"His current blood pressure is too high and cannot be measured by ordinary blood pressure monitors, so he needs to be monitored through invasive arterial blood pressure. Only by measuring the actual blood pressure can we carry out further diagnosis and treatment."

Zhao Sheng thought about it and said, now that conventional instruments cannot measure it, the only way is to use invasive arterial blood pressure monitoring.

Invasive arterial blood pressure monitoring is a method of directly measuring blood pressure by inserting an arterial catheter into the artery. It can achieve continuous measurement of arterial blood pressure, understand blood pressure changes in a timely and accurate manner, and provide a path for repeated sampling, and the pressure waveform size and Amplitude, etc., can reflect cardiac output, peripheral vascular resistance and intravascular volume to a certain extent.

Because the blood pressure is too high and cannot be measured, invasive arterial blood pressure monitoring must be used. To be honest, this is the first time Zhao Sheng has encountered this situation.

"Doctor, this is impossible. My son is only 25 years old. He has always been in good health. He has been exercising. He cannot have high blood pressure!"

The eldest sister said very incomprehensibly.

She herself does not have high blood pressure. Neither her parents nor her son's grandparents have high blood pressure. There is no one in the whole family who has high blood pressure. How could her son, who is so young and healthy, have high blood pressure? !
  "His blood pressure is very high now. We only have to find out his actual blood pressure value and monitor changes in blood pressure. Otherwise, such high blood pressure is very dangerous."

Facing the confused eldest sister, Zhao Sheng could only try his best to explain.

To be honest, it is extremely rare for a 25-year-old young man who has been healthy and has been exercising to suddenly develop such extremely high-risk hypertension.

"Then... then do it, doctor."

The eldest sister hesitated for a moment and then nodded. Since she was at the hospital, she could only listen to the doctor.

Not to mention that the blood pressure is so high, it is difficult for the eldest sister to understand why her son, who has always been in good health, suddenly fell into a coma at home. This is also difficult for the eldest sister to understand.

"it is good."

"Dr. Li, prepare to do invasive arterial blood pressure monitoring."

Zhao Sheng nodded and said to Li Mujia.

"Ok."

Li Mujia also nodded.

Fifteen minutes later.

The young man who had already done invasive arterial blood pressure monitoring had his real blood pressure measured at this time.

【335/182mmHg! ! ! 】

Zhao Sheng swore that in all his long time as a doctor, he had never seen such high blood pressure, let alone encountered it, and had never heard of it.

Li Mujia and Song Wei, who were standing aside, were also shocked when they saw the measured blood pressure.

"Sister, does your son have high blood pressure? Or is there a history of high blood pressure in your family?"

Zhao Sheng couldn't help but ask his eldest sister.

Such high blood pressure usually only occurs when extremely severe hypertension is poorly controlled, or when medication is suddenly stopped after long-term use. However, the young man in front of me does not look like he has primary hypertension. The condition of high blood pressure.

"No, my son has been working out. He is in good health. No one in the family has high blood pressure."

The eldest sister thought for a while and said.

Hearing what the eldest sister said, Zhao Sheng nodded. Just as he thought, it was basically impossible for such a young man to have essential hypertension and develop it to such a severe condition.

So after ruling out the possibility of primary hypertension, there is a high probability that it is secondary hypertension, such as the effect of [drugs]?

Zhao Sheng thought in his heart.

(End of this chapter)