"Alas, our Director Zhao is still shy, isn't he?"

Seeing Zhao Sheng's old face flushed, Song Wei even had a feeling that the prank had succeeded.

In these days, where can you find a man over the age of thirty who will blush, this can be said to be a rare species.

"Uh~"

Zhao Sheng was a little speechless for a moment, this Song Wei didn't know when she started to joke with him so much.

Therefore, this person still can't be single all the time, otherwise, he will start to get bored, and then he will have fun with the people around him.

At this time, the little nurse Yu Ning hurriedly ran in and said to Zhao Sheng, "Teacher Zhao, Teacher Li asked you to go and see a patient." ”

"Okay."

Zhao Sheng breathed a sigh of relief, stood up, and ran out of the office.

Seeing Zhao Sheng leave the office as soon as he slipped away, Song Wei smiled and said.

"Cut~"

"Such a big man, such a small burden, I don't care, what do you care about."

Out of the director's office, Zhao Sheng followed the little nurse Yu Ning to the disposal room, as soon as he entered the disposal room, Zhao Sheng saw a young man lying on the hospital bed, looking very strong, but a little unconscious.

Next to the hospital bed, there was also an eldest sister who looked like she should be the mother of a sturdy guy.

Being so young and with such a strong body, but now he is in a coma, and his face is normal, Zhao Sheng suddenly felt a little strange.

"Dr. Lee."

Zhao Sheng saw Li Mujia and said hello.

"What's going on?"

After a pause, Zhao Sheng asked Li Mujia again.

"I suddenly fell into a coma at home, and then I was sent over."

Li Mujia replied.

"The heart rate is 98 beats per minute, and the blood pressure is not measured."

After a pause, Li Mujia said why he asked the little nurse Yu Ning to call Zhao Sheng over.

"Undetectable?!"

Zhao Sheng was immediately shocked.

Clinically, if blood pressure cannot be measured, it may be due to the following conditions: 1. Blood pressure is too low to cause blood pressure to be undetectable; 2. The heart rate caused by rapid atrial fibrillation is absolutely uneven, which makes it difficult to monitor blood pressure, resulting in blood pressure that cannot be measured; 3. Tachycardia, such as hemodynamic instability caused by ventricular fibrillation, ventricular flutter and ventricular tachycardia, will lead to blood pressure inability to be measured.

Looking at this guy's situation, there is no shock, so it is not that the blood pressure is too low and cannot be detected, it should be that the blood pressure is too high and cannot be detected.

"Yes, the sphygmomanometer for ECG monitoring didn't measure it, I used an old-fashioned sphygmomanometer and it didn't measure my blood pressure either."

Li Mujia nodded.

It was the first time she had encountered this situation, although she had encountered a situation where her blood pressure could not be measured before, but it was because of hemorrhagic shock, or shock caused by excessive fluid loss caused by other reasons, and her blood pressure was lower than the measured low value, so it was measured.

But like now, because the blood pressure is too high to be detected, she really hasn't met it, so she asked Zhao Sheng to come and take a look.

You should know that the measurement range of a normal mercury sphygmomanometer is 0~40kPa, which is 0~300mmHg.

The mercury sphygmomanometer can't measure it, so it means that the blood pressure of the guy in front of him has exceeded 300mmHg.

"You're the patient's mother, right?"

Zhao Sheng thought about it and asked the eldest sister standing beside the bed.

"Hmm."

"Doctor, what's wrong with my son?"

The eldest sister asked in a panic.

"His current blood pressure is too high to be detected by ordinary blood pressure monitors, so he should be monitored by invasive arterial blood pressure, and only when the actual blood pressure is measured can we proceed to the next step of diagnosis and treatment."

Zhao Sheng pondered for a moment and said, now conventional instruments can't measure it, so the only way to do it is to use invasive arterial blood pressure monitoring.

Invasive arterial blood pressure monitoring is a method of directly measuring blood pressure by inserting an arterial catheter into an artery, which can realize continuous measurement of arterial blood pressure, timely and accurately understand the changes in blood pressure, and provide a path that can be sampled repeatedly, and the size and amplitude of the pressure waveform can reflect the state of cardiac output, peripheral vascular resistance and intravascular volume to a certain extent.

Because the blood pressure is too high to be detected, invasive arterial blood pressure monitoring must be used, to be honest, Zhao Sheng is also the first time to encounter this situation.

"Doctor, this is impossible, my son is only 25 years old, he has always been in good health, he has been working out, he can't have high blood pressure!"

The eldest sister said very incomprehensibly.

She herself has no high blood pressure, her parents and her son's grandparents don't have high blood pressure, this big family, there is no high blood pressure, her son is so young, how can he get high blood pressure? !

"Now his blood pressure is very high, we only need to find out his actual blood pressure value and monitor the changes in blood pressure, otherwise, such a high blood pressure is very dangerous."

Facing the eldest sister with a stunned face, Zhao Sheng could only explain as much as possible.

To be honest, it is indeed extremely rare for a 25-year-old young man, who was previously healthy and has been exercising, to suddenly develop such a very high-risk high blood pressure.

"That... Then do it, doctor. ”

The eldest sister hesitated for a moment, but only nodded, since she came to the hospital, she could only listen to the doctor.

Not to mention that the blood pressure is so high that the eldest sister is incomprehensible, that is, why the son, who has always been in good health, suddenly fell into a coma at home, and the eldest sister is also incomprehensible to this.

"Okay."

"Dr. Li, I'm going to do invasive arterial blood pressure monitoring."

Zhao Sheng nodded and said to Li Mujia.

"Okay."

Li Mujia also nodded.

Fifteen minutes later.

The guy who has done a good job of invasive arterial blood pressure monitoring has measured the real blood pressure at this time.

【335/182mmHg！！！ 】

Zhao Sheng swore that he had never seen such high blood pressure since he had been a doctor for so long, let alone met it, and he had never heard of it.

Li Mujia and Song Wei, who were standing on the side, were also stunned when they saw the measured blood pressure.

"Eldest sister, does your son have high blood pressure? Or do you have a history of high blood pressure in your family? ”

Zhao Sheng couldn't help but ask the eldest sister.

Such high blood pressure, under normal circumstances, will only occur if the extremely severe hypertension is poorly controlled, or if the drug is taken for a long time and the drug is suddenly stopped, and the guy in front of him does not look like he has essential hypertension.

"No, my son has been working out, he is in good health, and no one in the family has high blood pressure."

The eldest sister thought for a while and said.

Hearing the eldest sister's words, Zhao Sheng nodded, as he thought, it is basically impossible for such a young guy to have primary hypertension, and it has developed into such a severe condition as it is now.

So after ruling out the possibility of essential hypertension, there is a high probability that it is secondary hypertension, such as the effect of [drug]?

Zhao Sheng thought in his heart.

(End of chapter)