"Blood pressure, blood pressure..."

Xu Qiu stared at the values ​​on the life monitor. At this time, the patient's blood pressure rose again, which increased to 132/83mmHg compared to the blood pressure when he was admitted to the hospital yesterday.

High is high, but it is barely normal.

"No." Xu Qiu suddenly shook his head.

This value is absolutely abnormal!

He searched through the medical records and found that the patient's blood pressure fluctuated greatly. When he was admitted to the hospital and now, the time between the patient and the patient was no more than twenty-four hours, the increase in systolic blood pressure actually reached 12mmHg, which was close to first-level hypertension.

"Or, she has high blood pressure?"

As soon as this guess came out, Xu Qiu felt that his thoughts were opened.

If he was not wrong, the idiopathic hypertension during pregnancy more than a year ago was probably not accidental, but Yuan Yu himself had a basic disease of hypertension first, otherwise it would not be so serious...

“There is no record on the medical record.”

Director Xiao and others were a little powerless.

Medical diagnosis is not about detecting crimes, but about trusting both doctors and patients and jointly revealing the ultimate cause.

But Yuan Yu obviously concealed too much. Unfortunately, her condition was extremely tricky and complicated. When everyone wanted to find the real root cause, she fell into a coma.

This undoubtedly greatly increases the difficulty of diagnosis, resulting in doctors not only having to see a doctor, but also having to reason and determine the case...

"Call her husband over." Xu Qiu immediately made the next plan.

Soon, the haggard husband came, and the doctors looked at him, and they couldn't help but reveal a hint of sympathy and admiration.

No matter what, this brother is really miserable and a real man.

"Hypertension? I haven't heard her mention this before..."

After arriving at the special care unit, Xu Qiu asked about the situation and the man shook his head.

Xu Qiu frowned slightly.

The patient's blood pressure fluctuates so obviously. If you want to talk about the reason, the biggest possibility is that you have not taken antihypertensive drugs!

Generally speaking, the half-life of long-acting antihypertensive drugs is about twenty-five hours. If taken irregularly, blood pressure will rebound and gradually increase.

After five half-life periods, all the remaining antihypertensive drugs in the body will be removed by the human body, and the blood pressure rebounds to the peak, even higher than the high pressure before control.

If you want to talk about the difference between Yuan Yu and her previous one after she was admitted to the hospital, it is likely that she fell into a coma and was unable to take medicine.

This causes frequent fluctuations in blood pressure.

“It’s raised a little more.”

Xu Qiu glanced at the life monitor and her blood pressure had reached 134/85. Although her condition was extremely unstable and her blood pressure was jumping, there was a spiral upward trend, which was obviously increasing.

It is very consistent with the manifestations of irregular taking antihypertensive drugs.

"There is another point, pancreatitis... Until now, we have not found the cause of Yuan Yu's sudden acute pancreatitis, and it has rapidly progressed to the cause of acute severe pancreatitis!"

The most common causes of pancreatitis patients in Daxia are biliary diseases, hyperlipidemia and alcohol.

The latter two must have nothing to do with Yuan Yu.

The biliary system...is extremely far-fetched to explain.

The patient did have gallbladder stones a few years ago, but this time the routine CT showed no positive sign, which means that either the patient's stones disappeared, or the components of the stones were urate, cystine, etc., which could not be displayed through CT.

But no matter what, this acute severe pancreatitis has little to do with the biliary system. Xu Qiu did not see any signs of duct blockage such as gallbladder and pancreatic ducts, nor did he show any similar symptoms.

Clinical diagnosis has always been due to the consequences. Even many undisclosed rare diseases are just that humans have not yet reached that depth in their exploration of medicine, and it is not without reason.

Since pancreatitis is inexplicably experiencing severe hypoxia and suddenly appearing severe hypoxia, there must be a source.

Xu Qiu's intuition told him that blood pressure should be the key to connecting all of this.

"You live in Linhai City?" he asked.

The man looked surprised.

It's no help. Will he arrange the transportation route for the body in advance?

Thinking of this, his mood became particularly complicated, and he felt a sense of revenge, and he felt that he couldn't even breathe, and it seemed that there was a wound slowly torn apart in his heart.

"what's on your mind?"

Xu Qiu interrupted him and said, "You hurry back and check if there are any antihypertensive drugs in the room."

"medicine?"

"Well, she may have high blood pressure, but she hides it from us."

For patients with hypertension controlled by drugs, antihypertensive drugs must be taken regularly every day, and generally speaking, it is not difficult to find.

If Yuan Yu’s husband cannot be found, he will have to reconsider the reasons for the blood pressure fluctuations.

"How come she has high blood pressure? She has never mentioned it to me...but I never let her dressing table touch..."

Yuan Yu's husband thought about it carefully and was suddenly stunned.

He remembered that Yuan Yu had a very strange habit before going to bed. After drinking a glass of water, he also had to drink a glass of hot milk.

Every time he went out to help warm the milk, and when he came back, the water on the dressing table just finished drinking.

Now let’s go back and see – was it to help him take medicine?

Yuan Fu immediately rushed home. After more than 40 minutes, he appeared in Xu Qiu's office panting.

Director Xiao, Director Jiang and others heard that the person was back, so they rushed over to check the situation.

The other party was really holding a box of medicine in his hand.

“Hydrofluthiazide.”

This is a medium-effect diuretic, which has a good effect in the treatment of primary hypertension and is commonly used in clinical practice.

"The problem lies here..." Xu Qiu sighed slightly.

"Yes, hypertension is basically diagnosed, and this patient has concealed a lot of things from us." Director Xiao said with complaints in his tone.

If it weren't for Xu Qiu, they would still be in the dark now.

Since Yuan Yu had taken antihypertensive drugs before he was admitted to the hospital, the antihypertensive effect could last at least one or two days before it would rebound significantly... Without Xu Qiu's keen notice of blood pressure fluctuations, they at most felt that the patient's blood pressure was a little high. Due to the other party's strange condition, it was hard to associate it with hypertension.

"What's the use of hypertension...?" Director Jiang asked a sharp question.

Everyone was silent.

Indeed, there is actually only one key issue now.

Why do patients' respiratory function worse and worse? High concentration of oxygen delivery cannot curb the trend of continuous decline in blood oxygen saturation...

I'll add another question: Why does pancreatitis occur?

However, it doesn’t matter whether the pancreatitis is not important. The patient is at stake. No matter whether he is an emergency department doctor, the most important thing at the moment is to save Yuan Yu’s life.

Relieving hypoxia and improving blood oxygen saturation are the top priorities at present!

"It is of course useful to find hypertension. After all, the cause of pancreatitis and the cause of hypoxia have been found."

Xu Qiu took the medicine box from Yuan Fu's hand and took out the instructions.

And the people present were even more confused.
Chapter completed!