742 Pregnant women with edema

Yesterday Wei Dabao worked the night shift.

Coming to take over, Wei Dabao's mood is completely different from before.

The Bajingzi Traditional Chinese Medicine Hospital, which was turned a blind eye to in the past, now seems to have some sadness of parting, and even the peeling wall skin has a trace of sadness. Wei Dabao is rare in literature and art, this is in a good mood, so he doesn't mind being sentimental.

"Brother Bao, I heard that you are going to the Sword Association Hospital?" asked the doctor on the day shift after meeting.

"Hey. Wei Dabao pretended to be mysterious and said very seriously, "It hasn't been announced yet, don't spread it." ”

"Awesome!" said the day doctor, thumbs up, half-truthfully, "you're going to make a lot of money." Brother Bao, if you have the chance, remember to tell me. ”

"No matter what happens, it's not to cure the disease and save people. Wei Dabao said with a smile, "Are you busy during the day?"

If it is in the provincial capital, there will be a lot of shift handover, even if the outpatient clinic is not allowed to drip now, there will be more than a dozen or dozens of patients in the observation room every day who are not enough to be hospitalized, but they dare not let them go home at will.

But Bajingzi Traditional Chinese Medicine Hospital is different, when it is busy, there will be 2-3 patients for observation here, and there is no shift content is the norm.

"No one. The doctor on the day shift said, "Today's class is good, Brother Bao, come on." ”

"A must!" Wei Dabao clenched his right hand into a fist to cheer himself up.

There is not a single patient, and it is the ideal class for every emergency department doctor on duty.

The reason why it is ideal is because it is difficult to appear. This is only an imaginary state, otherwise it would not be called an ideal.

"By the way, a pregnant woman went for a check-up. The day shift doctor said, "People from the school infirmary." ”

"Yo he, go along!" Wei Dabao smiled, "Is there something wrong?"

Wei Dabao just asked casually, if there was really something, it would be impossible to come to Bajingzi Traditional Chinese Medicine Hospital. Although it is a little closer to the university, the level of medical care is like that.

"The blood pressure is a little high and the legs are a little swollen. "Nothing else. By the way, the right upper abdomen is a little uncomfortable, so I asked my family to accompany me to do a B ultrasound, just come back and take a look and send it away. ”

"Oh!" Wei Dabao changed his clothes? Send the day shift doctor away.

It's already late October? It's getting dark earlier. Wei Dabao touched the heater and complained to the nurse? "Why is the heating not hot. ”

"You think you're at home. "The nurse on duty said?" It's going to have to be a few more days. ”

Duty is on duty, don't catch a cold? Wei Dabao cares about this. If you go to the special needs ward of Kenkyup Hospital...... As soon as he thought of this, a wave of excitement rose in Wei Dabao's heart.

The general ward can't hold itself anymore? The place I want to go to is a special needs ward!

What kind of patients does Section Chief Wu receive? Wei Dabao knew it in his heart.

Working in a special needs ward, there is no need for a salary from the Sword Association Hospital, and a big red envelope alone is enough.

The more Wei Dabao thinks about it, the happier he becomes, is Section Chief Wu really slow? How many days has it been? Why hasn't it moved?

Holding "Diagnostics" and reading it, the words on it are so ripe that I can almost recite them backwards.

Wei Dabao also knows that the so-called backing is, and there is no need at all.

"Doctor? B-ultrasound says it's nothing, you look at the report. "A man under 30 years old came back pushing a wheelchair? Holding the report in his right hand and handing it to Wei Dabao.

Glancing, Wei Dabao said? "Well, think it's neuropathic pain? The liver and gallbladder are fine. Does it hurt badly? How many days has it hurt? Have you had nausea and vomiting?"

Three questions for the soul? Wei Dabao has long been used to it.

"Not disgusting? Didn't throw up either. It just started hurting today, and I was just worried that the more it hurt, the worse it gets. After tossing around, I feel much better. The pregnant woman said.

Wei Dabao looked at the B-ultrasound report with his eyes, and out of the corner of his eye, he seemed to see something wrong, and he turned his head suspiciously.

I know what is wrong with myself, Wei Dabao has long developed the style of a "gentleman" who tries not to look at women.

But for doctors, this is a big flaw. Glancing at the pregnant woman, Wei Dabao was stunned.

The pregnant woman sat in a wheelchair with two hands on the armrests of the wheelchair, swollen like small steamed buns.

Wei Dabao immediately thought of what the doctor on the day shift had said - high blood pressure.

Is it pregnancy-induced hypertension?

Gestational hypertensive disorders are specific to pregnancy, including gestational hypertension, preeclampsia, eclampsia, chronic hypertension complicated by preeclampsia, and chronic hypertension. The incidence rate in China is 9.4%, and 7%~12% is reported abroad.

It has a serious impact on maternal and infant health and is one of the leading causes of maternal and perinatal morbidity and mortality.

A boring text in "Diagnostics" appeared in Wei Dabao's mind.

Although it has not yet reached the point of reciting backwards, there is no problem with memorizing it upright. It's just that now Wei Dabao doesn't have time to be complacent, he looked at the pregnant woman's "white fat" hand in a daze, and asked, "What is your blood pressure?"

"Doctor, we'll go back if it's okay. ”

Wei Dabao and the patient's family said in unison.

The two looked at each other, and Wei Dabao asked again, "What was your blood pressure when you came?"

"Forgot. ”

"......" Wei Dabao was speechless, he didn't dare to look at the pregnant woman more, and got up and called the nurse to measure blood pressure.

"Doctor, I'm just afraid of cholecystitis and appendicitis or something. The patient's family said, "Do a B-ultrasound, we'll go back if it's okay." ”

"Look at your blood pressure first. Wei Dabao said, "What are the swollen hands?" ”

"That's fat. The man smiled, "My lover can eat it especially after she is pregnant, I like it both sour and spicy, and it is not yet a day, and I will see if it is a dragon and phoenix fetus in a few days." ”

Wei Dabao frowned, reached out and pressed the back of the pregnant woman's hand.

A small "pit" appeared on the back of the hand, which has not been restored for a long time.

"It's edema, not fat. Wei Dabao said, "Take off your shoes, your feet have been big recently." ”

Pregnant women wear a cotton shoe, the kind of old-fashioned blue cloth. This kind of thing is rare in the provincial capital, and there are still a few old people selling handmade cotton shoes in the morning market of Bajingzi.

At a glance, Wei Dabao guessed the truth.

Pregnant women have edema of both lower limbs, with the heaviest feet. I can't wear the shoes I wore before pregnancy, so I can only wear large cotton shoes.

Hypertension, edema, and proteinuria develop after 20 weeks of gestation.

Mild cases may be asymptomatic or mildly dizzy, with mild elevated blood pressure, accompanied by edema or mild proteinuria; severe cases: headache, dizziness, nausea, vomiting, persistent right upper quadrant pain, etc., blood pressure may increase significantly, proteinuria may increase, edema is obvious, and even coma and convulsions.

A description of pregnancy-induced hypertension appeared in Wei Dabao's mind.

That's what the book says.

Wei Dabao had never treated similar patients before, and his experience was impossible to talk about, so he could only judge according to the description in Diagnostics.