Chapter 490 【490】Emergency Patient Arrives

The teacher was willing to communicate, and Xie Wanying said frankly: "I feel like she has an infection."

"It must be an infection that causes peritonitis and fever."

"Teacher Sun, I mean, maybe it came from a pelvic infection."

"Oh -" Sun Yubo suddenly said, pointing his finger at the student's head: smart!

The nurse shouted at the end of the corridor: "Emergency patients are here, Doctor Sun!"

The sound of wheels rolling came in from the door of the ward, and the people from the emergency department pushed the lathe all the way to the treatment room of the department where the temporary extra bed was located.

He is an obese patient, a middle-aged man, and he may not be able to move very well, so he needs several people to lift him up.

The emergency nurse who escorted the patient to the ward handed the medical record to Xie Wanying, turned around and left. The emergency department below was busy.

After getting the emergency medical record and opening it, Xie Wanying quickly browsed through the emergency records and focused on the key points.

There was no ECG monitor anymore, so the nurse used a manual blood pressure meter to measure the patient's blood pressure. After the measurement, she found that the blood pressure was high, with the systolic blood pressure almost 156 and the diastolic blood pressure almost 80. This patient seems to be different from the patients with massive bleeding admitted to surgical gastrointestinal emergencies.

Sun Yubo hung up a stethoscope to listen to the patient's heart and lungs, then turned around and asked the student: "What condition did the emergency department say he was in?"

"Constipation, pain in the chest. It turned out that the emergency room suspected a myocardial infarction, and the electrocardiogram showed no obvious myocardial infarction. They may have something to do with Director Shen, so Director Shen called to collect them." Xie Wanying grabbed the teacher who was reading the medical records and made a report.

Two people work together quickly.

The patient's family members accompanied the patient up and introduced themselves: "I am his sister. His wife and children are not here, but at home. I came here to do some business, but suddenly fell ill and called me. I happen to know Director Shen." , asked Director Shen what he should do in this situation. Director Shen said that he should be admitted to the hospital first to check the situation. He said that he had been constipated for several days after all. "

"High blood pressure?" Sun Yubo asked, thinking of the things his leader asked him to pay attention to on the phone.

"It's 156, 80 now." The nurse is here, reporting the blood pressure value.

No more monitors. Sun Yubo scratched his head to decide which patient's monitor to remove and put on this patient. The biggest problem is that many of the tests were sent in without being done. At least it is necessary to determine roughly what is causing the pain. If it is not a heart disease, could it be a stomach or esophageal disease? An emergency CT scan should give a clearer direction.

Maybe the emergency department is too busy to arrange for the patient to have an examination, or maybe they think that the patient's focus is high blood pressure and there is no need to do a CT immediately. You need to ask the patient's family: "Has he had high blood pressure before?"

"No, I haven't heard him say that he has high blood pressure. I find it strange. The doctor below said that it is normal for him to be so fat and have high blood pressure. Maybe he doesn't check his blood pressure on weekdays, so he doesn't know." The patient's sister said, "I want to say that I am also fat, but I don't have high blood pressure. I have measured my blood pressure. Director Shen said that not all fat people will have high blood pressure."

It is not true that obese people will have high blood pressure, just like thin people will not have high blood pressure. High blood pressure can be roughly divided into two types according to its causes. If high blood pressure is simple without other diseases, it is called essential hypertension. If high blood pressure is caused by other diseases, it is called secondary hypertension.

It is very important for doctors to figure out where the patient's high blood pressure comes from.