Chapter 151: Abnormal High Blood Pressure
When Wang Zhi and others came out of the hospital, it was just a little past ten o'clock in the morning, the scenery of the West River was good, and it was close to the sea, although it was just summer, but it was not very hot, it was a good time to play, Wang Zhizheng said that a few people planned to go to the scenic area of the West River to play, and received a call from Zhou Yiqian.
"Wang Zhi, how is your classmate's situation?" Zhou Lao asked with concern as soon as he opened his mouth.
"Fortunately, I'm awake now, I just got an acupuncture, and it won't take long to recover." Wang Zhi said.
"Hehe, are you not going to come today?" Zhou Yiqian said with a smile, this is the main purpose of his call.
"It doesn't feel interesting, it's better not to come, I'm young and vigorous, so as not to offend people in vain." Wang Zhi said with a smile, he is young and vigorous, he should be old and vigorous, he has seen the prosperous era of Chinese medicine where hundreds of schools of thought are contending and famous doctors gather, and the current Chinese medicine industry is indeed very disappointing to him.
"You! is still young and vigorous, it should be young and wise, there are so many people on the scene, and there is only one person who sees it. Zhou Yiqian said with a smile.
"Lift me up, I'll be proud." Wang Zhi said with a smile, no wonder people often say that the more capable people are, the more approachable they are, and his sturdy Xie Guoqiang and Pan Anmin are all good people, and Zhou Yiqian is no exception.
"Okay, let's not talk about it, try to rush back if you have time, today is a consultation and exchange, unlike yesterday, there are a few typical cases, it's good to come and see." Zhou Yiqian said.
"Since you said so, I'll be back." Wang Zhi said that he knew that this was the main purpose of Zhou Yiqian's call, and the older generation of medical masters always hoped that there would be a successor, and he couldn't help but accept this piece of heart.
"You're going back to Huxi again?" Seeing Wang Zhi hang up the phone, Shui Yu asked cutely. The last thing I want to go back is her, Cui Yan and Qian Senhu are very happy.
"Zhou Laodu called to urge. If you don't go back, you can't do it. Wang Zhi said with a smile. If someone else gives face, you have to carry it yourself, and the face is given by others, so you can't do without it.
Shui Yumeng is just whining. She naturally knew the severity, and several people stopped the car. He went straight to the west of the lake.
When they arrived in Huxi, it was still twelve o'clock at noon, and the four of them first found a place to have lunch, and Shui Yumeng went back to the hotel alone. Wang Zhi and the three went to the scene of the provincial party committee.
"You kid. Where did you sneak up this morning? As soon as Wang Zhi entered the door, Jiang Yuanhua complained when he saw it, Wang Zhi went to Xihe and didn't greet him, he went to the hotel to wait for someone this morning, but he was almost late.
"A classmate had a car accident and went to Xihe. This is not just rushing back. Wang Zhi explained that at this time, a group of people had just finished eating. The afternoon exchange meeting has not officially begun, and several people are drinking tea in the reception hall.
Of course, the time in between was not long, Wang Zhi and Jiang Yuanhua chatted for less than ten minutes, and everyone entered the conference room in a sparse manner.
Walking into the conference room, Wang Zhi was suddenly startled, the layout inside was different from yesterday's.
Yesterday's arrangement book was put together several large tables, and everyone debated in a circle, but today it may be because of the consultation, the tables are put together in two rows, leaving a wide aisle in the middle, not to mention a wide aisle, and a space of one person wide in the middle of each table, and some chairs are placed in the aisle, which seems to be a temporary place for the patient to sit.
After entering the door, Wang Zhi looked for it, his seat was still there, and he led Qian Senhu and a few people over.
"Why didn't Dr. Wang come in the morning?" Soon after sitting down, a voice sounded next to Wang Zhi, and he looked up to see that it was Li Yan, and this Li Yan's table was still next to him.
"Something happened, deal with it." Wang Zhi said with a smile. …,
Not long after a few people sat down, Zhou Yiqian and Kang Enxi walked in again, Zhou Yiqian came in and swept it, saw Wang Zhi, nodded with a smile, and said hello, but Kang Enxi's eyes were a little complicated.
"Colleagues, we have diagnosed three cases this morning, and there are five more cases this afternoon, and these five patients are more complicated than the three cases in the morning. Zhou Yiqian opened his mouth and said, of course, these words are all some scenes.
As the saying goes, there is no second in literature, there is no first in martial arts, and people in the Chinese medicine industry are actually a group of stinky sour, and the most important thing is fame, and at this time, they are naturally willing to be compared by others.
After Zhou Yiqian finished speaking, someone helped a middle-aged woman in her fifties outside the door, and the middle-aged woman came in with a slightly misty eye.
By the time the middle-aged woman reached the middle-aged chair in the hallway, someone sent a message in front of a group of doctors.
Wang Zhi picked it up and saw that it was the patient's case report and medical history information.
It stands to reason that there is no need to send information and cases for this kind of consultation, although TCM treatment also depends on the past medical history, but at this time, after all, it is a bit of a comparative nature, and whether the patient's past medical history can be seen is also a kind of doctor's ability.
In fact, otherwise, this patient is found temporarily, if no information is given, it will inevitably seem a little unfair, now all kinds of information and test results are put in front of you, everyone's starting point is the same, and when the time comes, the treatment inference depends on their ability.
Seeing that everyone began to read the information, Wang Zhi naturally looked at it, the patient Yang Xiuhua, 53 years old this year, has a history of hypertension for ten years, and has been maintained by antihypertensive drugs.
This time the condition is still high blood pressure, but the strange thing is that this time the blood pressure has been for half a month, but it has not been able to come down, at the beginning it is down today, and it will inevitably rise again tomorrow, but in the last few days, it can't be lowered by any way.
"Dear colleagues, you have already read the cases and various test reports, and now you can start to discuss them, and colleagues in need can also come forward and check them yourself." Seeing that everyone put down the information in their hands, Zhou Yiqian spoke.
Hearing Zhou Yiqian's words, a group of doctors were pondering, this case, the information has been very clear, the patient's various examinations are normal, but the blood pressure is only high, which is a bit weird, and no one is willing to act first.
"Mr. Kang is a guest from afar, so you should come first." Jiang Yuangu said.
"Then I'll take a look first." Kang Eun-hee smiled, stepped forward to take his pulse, checked it for a while, and then returned to his seat, silent.
"I wonder what the result of Mr. Kang's diagnosis is?" Jiang Yuangu asked.
"We still need to think about it." Kang Enxi said, the meaning is self-evident, that is, there is no conclusion for the time being, this situation is not uncommon in diagnosis and treatment, some complex diseases doctors cannot diagnose at once, and it is reasonable to consider it.
Seeing that Kang Eun-hee also needed to be considered, some people who were originally eager to try hurriedly restrained the thoughts in their hearts.
During yesterday's debate, many people present said how the Korean doctor was, and also expressed their disdain for Kang Enxi, in fact, they all knew in their hearts that Kang Enxi's own medical skills were not bad, and even Kang Enxi's illnesses that needed to be considered were definitely not simple.
"And that colleague would like to come up and check it out?" Zhou Yiqian saw that no one spoke, so he had to ask.
"No one wants to see it, so I'll take a look." Seeing that there was silence at the scene, Wang Zhi stood up and said.
"Dr. Wang can see it, it's great." Kang Eun-hee laughed.
Wang Zhi didn't answer, walked forward, took the patient's pulse, and then pressed it all over his body, and then walked to the seat and sat down. …,
"What is Dr. Wang's diagnosis?" Jiang Yuangu asked, his emotions had always been complicated for this young descendant who defeated Sima Feng.
Although Sima Feng was expelled from his division, but after all, his medical skills were the best in the typhoid faction, and Wang Zhi defeated Sima Feng, wouldn't it mean that no one in the entire typhoid faction was better than Wang Zhi?
"Hehe, I suspect that it is caused by insufficient blood supply to the vertebral artery system, and there is also the cervical nerve, which means that the patient has increased blood pressure caused by the stimulation of the sympathetic nerves." Wang Zhi came to a conclusion lightly, although he said that he was suspicious, but the confidence on his face could be seen by everyone, and it was obvious that he had already reached a conclusion.
"Caused by insufficient blood supply to the vertebral artery system?" Hearing Wang Zhi's words, many people were a little puzzled, where did this judgment come from.
"I wonder why Dr. Wang came to this conclusion?" Kang Enxi asked, he checked it first just now, and he hasn't made a conclusion yet, and Wang Zhi just finished reading it and came to a conclusion, this is a naked slap in the face, Kang Enxi naturally wants to question it.
"Hehe, this conclusion is naturally based on the patient's situation, is it still out of thin air?" Wang Zhi said with a smile.
"It was said in the medical record just now that the patient has no other symptoms in the body, but only the cervical spine has a problem, and when I checked it just now, I also found that the left side of the patient's first cervical vertebra is tender, which means that her first cervical vertebra may be out of alignment."
Kang Enxi's mind can be seen by everyone present, Wang Zhi is naturally no exception, smiled slightly, and began to explain to himself: "Everyone knows the situation of the cervical spine, from top to bottom, it is one to seven cervical vertebrae, and I also found that there was a small dislocation of her first cervical vertebra and the second cervical vertebra facet joint, and the first cervical vertebra shifted a little to the left, and it was this small dislocation that brought serious consequences." ”
"What?" Hearing Wang Zhi's analysis, everyone was surprised, when they looked at the medical records just now, they all found a small problem in the patient's spine, but no one linked high blood pressure to the problem of the cervical spine.
"Dr. Wang is really careful, but I don't know what is directly related to the patient's high blood pressure." Kang Enxi was even more burned, and he even ignored the problem on the cervical spine.
"This cervical vertebra is the vertebral artery, which is responsible for supplying blood to the brain Under normal circumstances, the sympathetic nerve and vertebral artery will not be compressed, but when the first cervical vertebra and the second cervical vertebra are misaligned, the vertebral artery will be squeezed, and the blood flow will naturally be reduced, and then cause cerebral ischemia, in this case, will the blood pressure drop?" Wang Zhi asked rhetorically.
"This," Kang Eun-hee was speechless for a moment, he actually made such a low-level mistake, and he could ask such a question just now.
The human brain is the center that regulates life activities, and insufficient blood supply to the brain will naturally cause dysfunction and abnormally high blood pressure.