I Can See Health

   Chapter 798 Blood pressure disappearing?

   in the blink of an eye.

It has been four months since Lu Chen came to Guanghai.

   He has completely integrated into this environment and is familiar with the role of deputy director of the department.

   As for classmate Lao Gu, although this guy came later than Lu Chen, he integrated better than Lu Chen!

   And his relationship with Xu Shan...

  This problem is very serious, Lu Chen found that Lao Gu was in the quagmire of love.

   He would run to Xu Shan every day after get off work or when he had private time.

   euphemistically, is to discuss scientific research.

   Sima Zhao's heart is well known to passers-by.

   Whenever Gu Xinyue mentioned this, Lu Chen could only give him a blank look.

   If it is really a day-to-day discussion of scientific research issues, it is unlikely that a national nature bid has not been written yet, right?

   However, everyone is a runner.

   is the object here.

  Xu Shan's identity background matches Gu Xinyue quite well.

The only disadvantage of    is that both of them are doctors, so they may not have much time to take care of their families.

  …

   Today, Gu Xinyue took a day off and was going out on a date with Xu Shan.

   Lu Chen, a high-level doctor, could only temporarily take over from Gu Xinyue's position.

  Everyone was very excited when they saw Director Lu Chen rounding the room.

   However, as soon as they got to the ward, the students couldn't laugh.

   Director Lu Chen has so many questions!

   And all kinds of difficult and tricky questions, he has a lot of special sisters.

  Every time a patient is checked, everyone is frightened.

  Lu Chen is a very good inheritance of the habits of Li Yao's mentor when he was in Beijing.

  Room rounds and questions, must stun the students!

   When Lu Chen's ward round was over, everyone breathed a sigh of relief.

   is finally over!

   "The doctor's order that needs to be adjusted just now, as well as the supplementary medical course record, everyone go back and revise it properly." Lu Chen told everyone.

   All the students went back to the doctor's office.

  Lu Chen returned to his deputy director's office.

  Although the national application was unsuccessful, he still has a lot of other things to do.

  The establishment of TAVR data should be gradually improved.

  …

  While Lu Chen was reading the latest TAVR documents, there was a knock on the office door.

   "Director Lu! 26 beds in the ward for rescue!"

   With the sound, Lu Chen immediately stood up, put on his white coat, and quickly opened the office door.

   At the door, a little nurse in the department stood with a worried look on his face.

   Seeing Lu Chen coming out, she hurriedly said: "Director Lu, 26 beds for rescue! Cardiac arrest, blood pressure and pulse can't be felt, Dr. Hua asked me to find you!"

   "Let's go!" Lu Chen didn't say anything, and immediately ran to the ward.

   Doctor Hua, as mentioned by the nurses, is the attending doctor of other groups in the department.

  Lu Chen, as the deputy director of the department, should participate in a timely manner as long as it is a rescue incident.

   came to bed number 26.

   As soon as he entered the house, he saw a group of doctors and nurses around the bed.

  Lu Chen frowned. If he had a sudden cardiac arrest, he should have CPR? !

   Now a group of people are around, what are you doing?

   I walked in and saw that the patient on the hospital bed was lying on the bed in good condition. Although his face was not very good-looking, his heart definitely did not stop!

  The ECG monitor also shows that the heart rate is only more than 100 times.

  Lu Chen was confused by what was in front of him.

   On the hospital bed, the patient is not very old, only less than 30 years old.

   The health on her head is 67 (--).

   Definitely sick, but not to the point where cardiac arrest is required.

   "What's the situation, didn't it say that the heart has stopped and the blood pressure and pulse are gone?" Lu Chen lowered his voice and asked the young nurse beside him.

   At this time, the young nurse was also confused.

   She only knew that Dr. Hua said that the patient's heart had stopped and asked her to go to Director Lu. She didn't know anything about the other situation.

Beside the hospital bed, a slightly older nurse quickly said, "Director Lu, that's how it is. We just measured the patient's blood pressure, and both of her arms were measured, but the blood pressure could not be measured, so she felt the radial artery. They didn't feel the pulse either. We tried several people to feel the pulse, but they couldn't feel it. Dr. Hua asked Xiao Fang to find you."

  Lu Chen clarified the situation.

   The young nurse just came to the department and said that the patient had no blood pressure and pulse, but it was impossible to measure it.

   is just not measurable.

   does not mean that the patient's heart has stopped, and it does not mean that the patient is gone, so there is no need for rescue or CPR at all.

   The little nurse lowered her head in embarrassment.

  Lu Chen didn't mean to blame her, but instead looked at the patient on the hospital bed.

  A person is so good, how can he not measure his blood pressure?

   How can you not feel the radial artery?

   "Did you touch carefully?" Lu Chen asked as he started to use it himself.

   "Everyone touched it, but none of them touched it." Dr. Hua whispered.

   Once Lu Chen got started, it was strange, he really didn't feel any beating.

  Lu Chen lightly pressed his fingers on the radial artery of the patient's left hand, but he could not feel the pulse. He increased the pressure, but still did not feel the pulse.

   The patient's palm was cold, as was his right hand.

  In this case, it is normal that the blood pressure cannot be measured by the cuff attached to the upper extremity.

  Lu Chen frowned, why is this happening?

   He looked up at the ECG monitor, the heart rate was clearly 110 beats per minute, and the heartbeat was okay, but the blood pressure was indeed not measured!

   Such a young man has no symptoms of cerebral ischemia such as dizziness, and should not have hypotension.

   "Measure the blood pressure of the lower extremities." Lu Chen thought about it and said.

  The young nurse immediately brought a large cuff and tied it directly to her leg.

  …

   This time, I finally got my blood pressure measured.

   However, this blood pressure is the blood pressure of the popliteal artery of the thigh, and does not represent the blood pressure of the upper extremity.

  Lu Chen reacted at once, which can only explain one problem!

   Patient This is a problem with the blood vessels of the upper extremities, not the heart.

   Back to the doctor's office.

   Dr. Lu Chen Chaohua said: "It is very likely that the blood vessels in the patient's upper limbs are blocked, and the blood cannot pass through, so the pulse and blood pressure cannot be measured, and the limbs are cold."

"Mmmm." Dr. Hua nodded quickly, "After Director Lu reminded me just now, I also figured out that it is probably thromboangiitis obliterans, which is an inflammatory disease of blood vessels, which may cause vascular damage. Chronic occlusion is manifested by decreased skin temperature, paleness, cold limbs, severe pain in limbs, weak or even disappearing pulse, and undetectable blood pressure."

   Dr. Hua's basic knowledge is good, and a lot of things come to mind at once.

   "Well, there is a possibility." Lu Chen nodded slightly, and then added, "But this thromboangiitis obliterans is more common in young men who like to smoke."

   "This patient, it's probably not that simple!"

   (end of this chapter)