Chapter 272: High Blood Pressure
"Auntie, don't be too sad, your daughter's operation went relatively smoothly, and now she is out of danger, as long as she recuperates well after surgery, there is still a possibility of complete recovery."
Seeing the patient's mother crying so sadly, Li Xiyang had to be comforted in various ways.
The family sobbed and said slowly, "My daughter married into their family a year ago, and she was fine before she left home, why is it like this now?"
At the beginning, she didn't listen to persuasion, she had to marry this man,
Now he was beaten so badly that he had surgery.
My mother's heart hurts and regrets, but there's nothing I can do.
I admit that I didn't agree with her marrying far away at the beginning, and I did have the idea of doing it for myself.
After all, her father is gone, I am just this one daughter, she is leaving me, and I am really alone.
But I'm really afraid that if she marries and will be bullied in the future, no one will be her backer, and she will be bullied by the other party's family.
Sure enough, it happened.
How could they be willing to put such a heavy hand! ”
The woman sighed as she spoke, and Li Xiyang probably heard the cause and effect clearly.
is nothing more than a daughter who marries far away, and in the end her life is unhappy and suffers domestic violence.
This is undoubtedly the most painful for a distant dummy.
No matter how disobedient the child is, she will still be her daughter after all.
Li Xiyang asked, "So, are you planning to divorce them?" ”
The woman stopped crying, her expression full of confusion.
Her daughter's temper, she understood.
Just now she said that the divorce was just angry talk, and how she will live in the future depends on what her daughter means.
If her daughter is still determined to follow others, she will use a few ox carts and don't even want to pull her back.
Wan Wan sighed helplessly and said, "This matter will have to wait until the child wakes up." ”
"Anyway, Dr. Li, I want to thank you, thank you for saving my daughter, and also, just now Auntie was excited for a while, making a lot of noise in the ward, and making noise to other patients in the hospital to rest, Auntie has caused you trouble, apologize to you." The woman said ashamedly.
Li Xiyang smiled, "It's okay, I understand Auntie's feelings." ”
"Okay, let's talk for a while, Auntie, are you feeling better?"
"In this way, I'll take your blood pressure again, and I'll put it at ease!"
As he spoke, Li Xiyang tied the blood pressure monitor to the woman's arm again.
"Auntie, take it easy, let's take another test."
"Hmm!"
Soon the results came out, and it was indeed better than just now, but it was still a little high.
"Auntie, how long have you had high blood pressure?"
The woman shook her head, "I can't remember, it's been years." ”
Li Xiyang nodded, in fact, high blood pressure occurs gradually, and most patients can't say a definite time point.
"Then have you been to the hospital for a diagnosis, is it caused by eating habits, or is it family inheritance?"
The woman said, "I'm sick with an old problem, I haven't stopped blood pressure medication for so many years, in fact, I have also been to the hospital, and the doctor said to pay attention to your diet and maintain a good mood.
Can... But you say, how can I keep a good mood?
I literally break my heart every day about this.
I have to talk about the cause of my high blood pressure, starting from my father's generation, I have high blood pressure when I am older, and several of my brothers also have high blood pressure.
By the way, my daughter also has high blood pressure,
But it doesn't matter, she's a young man, not like us with old arms and legs. ”
Li Xiyang shook his head, there are still many people who think that high blood pressure is not a serious disease, and even think that young people with high blood pressure are fine.
In fact, early hypertension may cause dizziness, headache, heart season, neck stiffness, insomnia, fatigue, etc., but these symptoms are atypical, and many diseases and even normal people may appear, so they are easy to be ignored.
However, if high blood pressure is not controlled, the patient will tolerate the high pressure over time.
If the above symptoms are reduced, the symptoms of high blood pressure will be less felt.
When the blood pressure is controlled normally, many patients recall the previous state and find that the brain is still "very unclear" when they find high blood pressure, but they can't perceive it at that time.
For example, Li Xiyang received a male patient in his 40s, and the other party's blood pressure was very high at that time, but he did not take medicine, the reason was "not uncomfortable to take any medicine".
Later, after working overtime for several days in a row, my blood pressure rose sharply, and I started taking medication because of my severe headache.
After his blood pressure was normal, he recalled that now that he thinks about it, it turns out that it is still abnormal, and he often has insomnia and nightmares, his head is heavy, he can't concentrate when playing cards, and he often makes "faint moves".
Now that the blood pressure is normal, these symptoms are gone.
In fact, the absence of symptoms does not mean that there is no harm.
Long-term hypertension can damage the lining of the arteries, and then lead to atherosclerosis due to the combined action of other risk factors such as hyperlipidemia.
Atherosclerosis of the coronary arteries of the heart is coronary heart disease.
Atherosclerosis of cerebral blood vessels is cerebrovascular disease.
Atherosclerosis of the renal arteries and glomeruli is kidney disease.
Therefore, long-term hypertension can lead to heart, brain, and kidney complications.
However, this process occurs gradually, and it is difficult for the patient to perceive it during the process.
When arteriosclerosis is aggravated and most of the lumen of the blood vessels are blocked, symptoms such as coronary heart disease, cerebrovascular disease, and kidney disease will appear.
When symptoms appear, is it too late to retreat?
It's like boiling a frog in warm water, and by the time the frog feels it, it may not be able to escape from the danger.
Li Xiyang once saw a case of a 33-year-old female patient who said that she started to have head pain a year ago, thinking that she had not rested well and did not take it seriously.
Because she worked in the hospital, one day she passed by the physical examination center and went to measure her blood pressure, and the result was a systolic blood pressure of 220mmHg.
At that time, the first reaction of colleagues in the physical examination center was that the blood pressure monitor was broken, and then they found 3 people to replace the 3 blood pressure monitors, and the results were almost the same, and everyone was stunned.
Immediately after further examination, the final diagnosis was "Takayasu's arteritis, renal artery stenosis, renovascular hypertension",
Later, with oral antihypertensive drugs and renal artery stenting, blood pressure was finally controlled.
In fact, high blood pressure generally does not last too long, and often complications are controlled before they occur.
So the lady was lucky to have discovered the cause in advance.
But in many cases, more people with high blood pressure are tragic.
I remember that when he was interning in Yuncheng, there was a 38-year-old male patient in the ophthalmology clinic.
Presented with "visual model lake, nausea, and gradual loss of vision for 1 week",
The ophthalmologists were taken aback by the fact that the ophthalmologists were surprised by the obvious edema of bilateral papillae and a blood pressure of 280/170mmHg.
The director of the ophthalmology department said that it is estimated to be malignant hypertension, so he should be admitted to the hospital directly.
After being admitted to the hospital, the patient repeatedly asked about his medical history, and the patient recalled that during a physical examination 7 years ago, the doctors in the unit all muttered that his blood pressure was a little high, but did not give him a clear explanation, so he did not care.
2 years ago, when he accompanied his father to measure his blood pressure, he used his father's electronic blood pressure monitor to measure his systolic blood pressure of 200mmHg.
So it passed and it was never checked again.
After admission, the examination showed mild anemia, proteinuria, hypokalemia, serum creatinine 481 μmol/L, elevated aldosterone, adrenal fullness, multiple acute infarcts in the basal ganglia of the brain, left ventricular hypertrophy, mitral regurgitation, and increased cortical echogenicity in both kidneys.
The glomerular filtration rate was 26.48ml/min, which had decreased significantly and was close to uremia.