Chapter 2: This blood pressure is too high.
"Are you the doctor who will attend the general surgery tonight?" The man looked at Wu Xiangdong standing in front of him, and his expression suddenly changed: "No, you can't check my wife's body. Don't we have a female doctor in our hospital?"
The sudden rage of the family members directly blindsided the nurse beside her. She glanced at the handsome Wu Xiangdong in front of the door, and then glanced at the family members next to her, and she suddenly felt as if she was in a mirror.
"Comrade, you brought your wife to the hospital for medical treatment. Let's ask the doctor to check it and use medicine to reduce the fever. Isn't it better than anything else?"
The nurse tried to keep her tone as calm as possible to avoid irritating the fragile hearts of the family members, but she still underestimated the man's self-esteem in this regard.
"No! If we don't have a female doctor, we won't treat this disease. At worst, we'll find another hospital." The man seemed determined and refused to let go no matter how much the nurse explained.
But none of them noticed that the condition of the pregnant woman lying on the examination bed was changing little by little. Just when the two sides were in a stalemate, a sharp sound suddenly sounded in the consulting room.
"She must stay, there is no negotiation!" Having learned the lesson from his previous life, Wu Xiangdong didn't care about talking nonsense with the man, but pushed him away and strode to the pregnant woman.
"What do you want to do? I'm warning you, don't try to touch my wife, or I'll break your fingers!" When the man saw Wu Xiangdong walking around him and coming to the bed, he immediately became alert, looking like a bomb.
Furry cat.
Seeing that he was blocking her, Wu Xiangdong pointed at the pregnant woman and his tone became stern: "Open your eyes and see what she is like now. Is this a symptom of a normal fever?!"
The sudden angry shout made the man tremble all over. He instinctively turned back to look at the pregnant woman, and was immediately startled.
At this time, the pregnant woman's expression was extremely painful, her teeth were clenched tightly, and even her lips began to turn purple, as if she was suffering from hypoxia.
"Doctor, what's wrong with her? She was fine when she came here, so why is she like this now?" The man was a little flustered. He didn't bother to find fault at this time and asked Wu Xiangdong quickly.
Seeing the man showing weakness, Wu Xiangdong said coldly: "Your wife is suffering from more than just mastitis. According to her current condition, her life is very likely to be in danger."
As soon as this statement came out, everyone present was confused.
The man was even more stunned. You must know that he brought his wife to the hospital for a check-up just to check for a simple fever. No matter how serious it is, it is unlikely to be life-threatening.
"Doctor, I offended you just now. I apologize to you, but you don't have to make up lies to fool me."
The man's self-righteousness made Wu Xiangdong laugh out loud.
Even though Wu Xiangdong in his previous life had been working at the grassroots level for several years, he had also honed his skills. Not only was he proficient in everything, including domestic and foreign women and children, he even attracted patients from urban and provincial capitals.
However, Wu Xiangdong's silence caused the man to misunderstand.
"Look, did I get it right? I think you are exaggerating and trying to fool me because I don't understand medicine. I didn't expect that Hamada Hospital doesn't even have a decent doctor. You still want to criticize me for your level.
Level general hospital, bah!”
The man looked disdainful, obviously not wanting to waste time here, but just as he was about to help the patient get up, he noticed something unusual.
"Daughter-in-law, what's wrong with you?"
"Daughter-in-law, open your eyes and look at me!"
"Daughter-in-law, please say something quickly and don't scare me!"
The patient lying on the examination bed at this time, no matter how much he shouted, his whole body did not respond at all, as if he had fallen into a coma.
Urgent calls resounded throughout the consulting room, and even sharp sounds passed through the room and echoed in the silent corridor.
"What is she?!"
The emergency nurse was also frightened by the scene in front of her. The patient suddenly became unresponsive. Even an ordinary person with no medical knowledge knew that something serious was going to happen!
"Don't just stand there, measure the patient's blood pressure first, and then connect the patient to the ECG monitoring equipment. At the same time, closely monitor the patient's heart rate and breathing changes." Seeing the patient's condition change, Wu Xiangdong immediately began to issue orders.
"yes!"
The nurse who reacted immediately picked up the blood pressure monitor on the table and prepared to measure the patient. At the same time, Wu Xiangdong took a step forward, pushed the man in front of him away, and began to examine the patient.
Due to the patient's sudden disturbance of consciousness, Wu Xiangdong first assessed the patient's GCS coma index. This score was invented by two neurosurgery professors at the University of Glasgow in the UK in 1974 and can be used to evaluate the patient's consciousness.
But when he picked up the flashlight and opened the patient's upper eyelid to reveal the pupil, he couldn't help but gasp.
The pupils on both sides are unequal, with a diameter of 2 mm on the left and 3 mm on the right. They are slow to respond to light. Spasm of arterioles, retinal edema, and exudation accompanied by hemorrhage can be seen in the retina of the fundus. This is a typical symptom of elevated intracranial pressure accompanied by eclampsia.
Wu Xiangdong's heart sank. You must know that the normal value of intracranial pressure is generally 10-15mmhg. If it is greater than 15mm, it is called increased intracranial pressure. At this time, the patient's bilateral pupils are unequal, and the intracranial pressure is obviously much higher than 15mm.
If symptoms are not treated at this time, the patient will suffer from severe headache, nausea and even projectile vomiting.
As for eclampsia, also called convulsions, it is one of the five symptoms of pregnancy-induced hypertension in pregnant women. It can also be referred to as gestational hypertension!
Just when Wu Xiangdong was preparing for further examination, the nurse next to him discovered a problem. His heart suddenly trembled and he immediately asked Wu Xiangdong for help.
"Doctor Wu, why can't the patient's blood pressure be measured?"
At this time, the nurse was so anxious that she was covered in sweat, and the front brim of her white swallowtail hat had been imprinted through, forming streaks of sweat stains.
But no matter how much she used the balloon to inflate, the mercury column on the blood pressure monitor still fluctuated.
When Wu Xiangdong saw this, his heart sank. There could be situations where the mercury sphygmomanometer could not measure the blood pressure. Apart from the extreme blood pressure of the patient and the symptoms of shock, there was only one last possibility left.
"I'll do it!" Wu Xiangdong grabbed the sphygmomanometer, aligned it horizontally with the patient's heart, and at the same time placed the stethoscope on the undulations of the brachial artery with two fingers on the patient's cubital fossa, and immediately began to pressurize.
Puff, puff...
Wu Xiangdong quickly squeezed the inflatable balloon, and the cuff placed on the patient's elbow expanded little by little, and the mercury column that had been hidden at the bottom of the blood pressure monitor gradually began to climb up.
80mmhg…
120mmhg…
160mmhg…
Through the stethoscope, Wu Xiangdong still could not hear the beating sound of his heart.
"Doctor Wu, the mercury column on the sphygmomanometer has climbed to 200mmhg!" The nurse looked at the rising mercury column and was inevitably a little anxious.
At this time, Wu Xiangdong had already made some judgments based on the value of the sphygmomanometer. He did not hesitate and squeezed the balloon with all his strength, directly pushing the mercury column to his head.
300mmhg!
This is the maximum limit that a mercury sphygmomanometer can measure.
As the mercury column reached its peak, Wu Xiangdong began to twist the deflation valve on the balloon to slowly deflate it.
290mmhg…
280mmhg…
270mmhg…
Finally, when the mercury reached 260 mmhg, the first sound of pulse fluctuations came from the stethoscope next to Wu Xiangdong's ear.
Seeing the mercury level on the blood pressure monitor begin to fluctuate regularly, the nurse who was silently paying attention to the changes had a look of astonishment on her face.
"Oh my god, the patient's systolic blood pressure is actually 260mmhg?!"
This is the first time the nurse has encountered such a high systolic blood pressure. After all, the systolic blood pressure of a normal person is only around 120mmhg. Even the most severe grade three hypertension is only around 200mmhg, but the number in front of her is already exceeded.
Chapter completed!