I can see health

Chapter 67 The "Sleeping" Internet Celebrity (Part [-])
Sun Guoguo looked up at Lu Chen.

"What's the blood pressure?"

"Can't detect it." Lu Chen took off the stethoscope and shook his head helplessly.

"Use an electronic sphygmomanometer, or use the sphygmomanometer of a monitor, and measure it again."

Sun Guoguo frowned.

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

The upper limit of this blood pressure gauge is 300mmHg!
"Guoguo, I still can't detect it!"

Liu Mei had already tied the blood pressure cuff on the monitor for the patient, 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 checked the patient's pupils at the same time.

"The patient's pupils were unequal, 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 taken aback, and said, "Intracranial hypertension and cerebral edema? Head trauma?"

Lu Chen narrowed his eyes and glanced at Sun Guoguo.

"Senior sister, it's not a brain hernia, is it?"

Sun Guoguo didn't respond immediately, but with a very serious expression, he paused and said to Liu Mei:

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

"Then ask the neurosurgeon, this patient considers hypertensive encephalopathy, cerebral hemorrhage leads to cerebral herniation."

"Got it." Liu Mei acted immediately.

"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 tell the patient that his life is in danger at any time."

"it is good."

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

……

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

"Junior Brother Lu, what do you think is the reason for the sudden high blood pressure of the patient?"

Sun Guoguo has been thinking about this question.

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

This is extremely rare.

Lu Chen frowned.

"Essential hypertension is certainly unlikely."

He thought of the secondary etiology of high blood pressure leading to brain herniation.

The first is head trauma, but after head examination and medical history, it is obviously ruled out.

And then, pesticide poisoning!
However, the medical history and physical examination did not support it.

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

Could it be the pursuit of excitement and drug use?
If you are an addict, taking drugs for a long time may lead to cerebral hemorrhage and cerebral hernia!
"Cause of drug injection? Taking drugs?" Lu Chen said very tactfully.

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

It's not trauma, poisoning, or taking drugs, so what could it be?
The two fell silent, both at a loss.

……

Consultants from the Department of Neurology and Neurosurgery arrived soon.

After seeing the patients, the two departments agreed.

All considered 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 and brain herniation are diagnosed, they should be pushed to the operating room immediately! Otherwise, the brain herniation will take a long time and compress the life center, and the patient may die suddenly at any time!"

The more critical the patient is, the more time must be taken to complete the relevant examinations in order to make a diagnosis.

"In addition, it is best to find out the cause! For such a young patient, if the cause is not cleared up, it is very likely that this situation will recur in the future."

……

At this time, the family members of the patient just arrived.

She is the patient's mother, a middle-aged woman in her 50s.

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

Sun Guoguo immediately explained his condition to him personally.

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

"Doctor, I accompanied him when he was admitted to the hospital. Before I left just now, he was still lying on the bed. Except for a little high blood pressure, he had no other problems. Why did he suddenly become unconscious?"

"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 why did the patient become worse and worse after the hospitalization?

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

Sun Guoguo frowned, and said in a deep voice: "After admission, we only gave the patient antihypertensive drugs. The patient's high blood pressure and coma this time, we think there are other reasons, which are due to the progress of the disease."

The middle-aged woman had already activated the automatic shielding system, directly ignoring 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 take."

Sun Guoguo calmed down.

Although the middle-aged woman in front of her is not noisy, but this kind of educated family members are even more terrifying.

They may not say a word during the hospitalization, and once they are discharged from the hospital, they will collect all kinds of evidence and sue the hospital, catching the hospital by surprise.

Now if the exact cause of the patient cannot be found, the family members are likely to shift the responsibility to the hospital.

"Family, no matter what, head CT needs to be done immediately." Sun Guoguo said.

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

This kind of accompanying examination of critically ill patients is not allowed for students to go, but if Sun Guoguo accompanied the examination in person, there would be no doctor in the ward to take care of him.

"Notify the chief resident of the heart, let him come to the ward for a while, and I will accompany the patient for the examination."

The phone number of the general inpatient of the Cardiology Department is written on the wall of each cardiology ward.

After contacting, the inpatient in the cardiology department came to the eighth district of the heart soon.

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

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

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

Hearing this, Li Qinghua nodded, 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, get a chest CT as well. I'll stay in the ward."

"Okay, thank you Brother Hua." Sun Guoguo nodded, then turned around and said, "Junior Brother Dong, you accompany me to push the bed for the examination, and 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, as if he had seen it somewhere before, 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 sat in the office waiting for CT to report back.

About 10 minutes later, the emergency CT results came out, and Lu Chen and Li Qinghua put their heads together in front of the computer immediately.

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

It is indeed a brain herniation!
"It looks like emergency surgery is going to be performed." Li Qinghua said in a deep voice.

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

(End of this chapter)