Chapter 2062 The Story of Snoring (Monthly Ticket 72500 Plus More × 145)

"Boss Zheng, a few days ago I was thinking about asking you to have a look." Zhang Weiyu said, "But Director Wei said that we should do the inspections almost, so it won't waste your time."

"Yes." Zheng Ren nodded, Director Wei was right.

"The patient is a guy from the head office of my shop, which is quite far from Feng County."

"Huh? Main store? Isn't this the main store?" Su Yun was surprised.

Generally, the main store is set up in super-first-tier cities such as Imperial Capital and Magic City, and it is the normal business model for branch stores to bloom all over the country.

But the main store of this Xingyang store is actually in Feng County.

Since ancient times, there are nine states in the world, and Xuzhou is one of them. Feng County is also an ancient city with quite a few historical legends.

"Old shop, passed down in the family, my old man will never move the shop to the imperial capital." Zhang Weiyu said, "Old man, the century-old plaque in the house is more important than life. I said it twice, almost kicked out of the house."

This is also conceivable, Zheng Ren nodded. That's what tradition is.

"A distant relative in the family had a cerebral hemorrhage last fall. The postoperative recovery was okay, but the child didn't want to go to school, so he went to work in the store." Zhang Weiyu said, "After the operation, he took medicine to control blood pressure. It was okay at first, but after several After a month, the blood pressure is getting higher and higher."

The patient was an 18-year-old boy who suddenly developed headache and disturbance of consciousness half a year ago. He went to the local hospital for treatment, and a CT scan of the head revealed cerebral hemorrhage in the left basal ganglia-lateral ventricle.

When she was admitted to the hospital, her blood pressure was 220/110 mmHg. Intracranial hypertension was considered, and intracranial hematoma resection was performed immediately.

Enalapril maleate 10 mg was taken orally once a day after the operation.

At the beginning, I took antihypertensive drugs orally and took antihypertensive treatment. The blood pressure was controlled at 110-120/70-80 mmHg, and the situation was not bad. But over time, blood pressure gets higher and higher.

But after all, he is a young guy, and he still doesn't pay enough attention to his body. It is considered good to be able to take the medicine on time every day. As for the daily blood pressure measurement, he only insisted on it for about a month, and he did not continue to take care of it.

He felt unwell again a few days ago, so he measured his blood pressure, which was 180/120 mmHg. As for the intermediate process, the patients themselves did not describe clearly.

This time he was terrified, so he hurriedly looked around and found Zhang Weiyu who was in the imperial capital.

That's how the whole thing came about.

The medical history is not complicated. The patient has a family history of high blood pressure, but other people take a kind of antihypertensive drug orally, and their blood pressure is well controlled.

There is no such thing as his stubborn, uncontrollable blood pressure.

Because of family history, Zheng Ren ruled out many hereditary diseases.

"Director Wei took me to Director Zhang. At that time, Director Zhang suspected that it was a problem with the adrenal glands, so he did relevant examinations." Zhang Weiyu said.

Director Zhang Lin said: "Later, the patient changed the dressing and increased the dosage. He took amlodipine besylate 5mg twice a day and terazosin hydrochloride 4mg every night. After a few days the blood pressure was controlled and then returned."

"I thought it might be something about the adrenal glands, but I did an MRI of the adrenal glands and a renal angiogram, and nothing happened."

This examination is very detailed, and the possibility of nephrogenic hypertension is almost ruled out.

Hypertension is mainly divided into two types: primary and secondary, each of which has many branches. Director Zhang Lin's consideration is very comprehensive, and the tendency is relatively clear. The consideration is secondary hypertension.

The most common secondary hypertension is nephrogenic hypertension, endocrine hypertension and other very rare predisposing factors.

"How tall and how heavy is the patient?" Zheng Ren asked.

"1.8 meters, more than 230 catties." Zhang Weiyu said.

His body was a bit fat, Zheng Ren thought for a while and asked, "Is the snoring bad?"

"It's amazing, I dare not sleep with him. The snoring one feels like the bed is shaking." Zhang Weiyu laughed, "When I was in the hospital, I was in a single room, and all the people in the ward were driven away by his snoring."

"Do you suspect obstructive sleep apnea hypopnea syndrome?" Su Yun asked.

"Stubborn high blood pressure, this problem can be considered." Zheng Ren said.

"Well, I also suspect obstructive sleep apnea-hypopnea syndrome." Director Zhang Lin said, "The patient has been given an enhanced MRI of the kidneys, but the hospital there is very unfamiliar with the OSAHS examination and will not do it. "

This is also normal, although obstructive sleep apnea-hypopnea syndrome is relatively common, and many people in life will snore every night, with yin and yang frustrating, like singing an opera.

However, the induced high blood pressure can basically be controlled, as long as appropriate medication is taken. Uncontrollable and relatively rare.

"Boss Zhang, tell me about his snoring." What Zheng Ren is more interested in now is the patient's snoring.

"Don't mention Boss Zheng." Zhang Weiyu sighed, and said, "I went home for the Chinese New Year, and only stayed for two days before running back because of his snoring."

"For Chinese New Year, the business of the store is good, so it has been open all the time. The neighbors in the neighborhood came over to treat guests because they were too lazy to cook. When I went back, I thought about drinking and chatting with my family. But I could hear him snoring through the wall. Voice."

Zheng Ren listened quietly.

"That snoring, I feel like the walls are shaking." Zhang Weiyu complained, "That's not enough, it's like he's out of breath in the middle of snoring. Once I heard him snoring, and there was no sound in the middle. , stopped for a full 50 seconds...it took about 1 minute."

According to Zhang Weiyu, Zheng Ren has basically understood the patient's condition.

"I was afraid that he would have another cerebral hemorrhage. Others would not know if he died on the bed, so I got up and went to have a look. When I walked to the door, the snoring started again, so I went back to sleep."

"You said, snoring is not a big deal. No one can bear to scare people like this in the middle of the night. I stayed at home for two days during the Chinese New Year, and then ran back."

Sleepers in the same room or bed find that the patient has apnea, and often worry that the breathing will not resume and wake the patient up. The apnea usually ends with panting, waking up or loud snoring.

This condition is called apnea and is a manifestation of sleep apnea-hypopnea syndrome.

Most people who snore can start to breathe on their own due to lack of oxygen, but this one in front of him also held his breath for a little too long.

Since there was no way to do a physical examination, Zheng Ren could only guess. As for whether it was right or not, it was hard to say.

"Boss Zhang, is this old shop in Dianfeng County still busy?" Su Yun asked suddenly.

"In a small county, it closes early, and there is very little nightlife." Zhang Weiyu didn't know why the topic changed here, but he still had something to say.

The young master next to Boss Zheng can't neglect either. He even neglected Boss Zheng. He has a lot of adults, so he won't be angry. But this young master will be difficult to serve, and there may be some troubles at that time.