In the brain surgery ward of the hospital, a middle-aged man sat on the ground and cried out: "How can I be so miserable..." It turned out that the man's wife, Ms. Li, died unfortunately after coming to the hospital for treatment because of a stroke (cerebral hemorrhage), only 36 years old!
It turned out that Ms. Li was diagnosed with high blood pressure 5 years ago, because the blood pressure situation was fine, the doctor prescribed her a beta lek, she had been taking it according to the doctor's instructions before, and the blood pressure was also better controlled. But on this day, when eating in the morning, I suddenly felt a severe headache, vomiting, and then unconscious, fainted, Ms. Li's husband saw the situation, so he immediately called 120 and sent her to the hospital to see the emergency department.
In the emergency department, after the doctor asked about the medical history and preliminary physical examination, he started the stroke green channel, gave Ms. Li a head CT, and measured blood pressure, did electrocardiogram, biochemistry and other examinations, and the blood pressure was 165/105mmHg, which was significantly higher! Soon, the results of the head CT came out, which was a severe cerebral hemorrhage!
There was no other option, the doctor arranged emergency surgery, the brain surgeon performed craniotomy hematoma removal, and after the operation arranged for her to be admitted to the brain surgery intensive care unit. Ms. Li's husband was anxious outside the ward, hoping that his wife would recover as soon as possible. But the ending is very tragic, poor Ms. Li is still aggravated because of the aggravation of the disease, the formation of brain hernia, although the doctor tried their best to treat, or unfortunately died.
Why did Ms. Li die of sudden cerebral hemorrhage when she was only 36 years old?
It turned out that she had high blood pressure 5 years ago, taking beta lek for a long time, but because she had recently eaten beta lek, unfortunately there was an epidemic on the liver, afraid of going to the hospital too troublesome, and the risk of being infected by the virus, she did not buy it in time, she thought that the usual blood pressure control was good, there would be no major incident. But who knows, after suddenly stopping the drug, her blood pressure soared, and she herself did not have the habit of monitoring blood pressure, which led to the tragedy.
What is cerebral hemorrhage?
Cerebral hemorrhage and cerebral infarction are collectively known as stroke, also known in medicine as hemorrhagic stroke, which is one of the cerebrovascular accidents, accounting for about 20%-30% of cerebrovascular diseases. As the name suggests, cerebral hemorrhage is the rupture of cerebral blood vessels due to certain factors, resulting in blood flowing into brain tissue.
The main symptoms of cerebral hemorrhage are severe headache, vomiting, hemiplegia, speech dysfunction, mental and cognitive impairment, etc., which can be life-threatening when severe, and the occurrence and severity of these symptoms depend on the amount of bleeding.
There are 2 common causes of cerebral hemorrhage, one is hypertension cerebral hemorrhage, Ms. Li belongs to this type, and the other is aneurysm or vascular malformation cerebral hemorrhage: the cause is aneurysm or vascular malformation, the cause may be related to congenital heredity.
The doctor reminds: Eat Betarak, don't do these things again
Betalac, medically known as metoprolol, is a classic representative drug of highly selective beta-1 blockers. It can not only effectively reduce blood pressure, but also inhibit the overactive sympathetic nervous system, inhibit neurotransmitter secretion, reduce heart contractility, slow down heart rate, delay and reverse the enlargement of the heart, and reduce the burden on the heart of patients with hypertension. So for patients with high blood pressure, it can not only lower blood pressure, but also protect the heart.
Clinically, betalek has a wide range of applications, and is widely used in the adjuvant treatment of hypertension, angina, coronary heart disease, chronic heart failure and other diseases, with remarkable effects, is the basic medication for many common chronic diseases, reimbursement is also within the scope of China's medical insurance, and the price is close to the people, accepted by the public. However, betalunk as a prescription drug, when taking, be sure to pay attention to carefully read the instructions, the following things do not do.
1) Do not stop the drug without authorization
We know the situation of Ms. Li, Betalek can not suddenly stop the drug, because it has a drug discontinuation reaction, will be because of the sudden discontinuation reflex leading to sympathetic activation, heart rate acceleration, for hypertensive patients, heart rate fluctuations will also affect blood pressure, so there is a risk of acute cardiovascular and cerebrovascular accidents. If you want to stop the drug should be carried out under the guidance of a doctor, and the dose should be reduced gradually, the withdrawal process takes at least two weeks, and the process of drug reduction must always pay attention to changes in the body. The medication cannot be stopped until there is no abnormality in the body.
2) Do not take other anti-arrhythmic drugs without authorization
We know that Betalek can play a role in slowing down the heart rate and protecting the heart, so it is necessary to monitor the heart rate regularly when taking it, and also avoid taking it with other drugs that affect the heart rate, so as not to cause slow heart rhythm. If you want to take it, you must go to the hospital regularly for examination and testing under the evaluation of a professional doctor before taking it. If something goes wrong, the doctor will adjust the medication according to the situation.
summary
Ms. Li's tragedy gives us the inspiration that hypertension must be taken seriously, otherwise it is a silent killer, which can damage important target organs such as brain and heart, and once hypertension is diagnosed, it is necessary to standardize the use of antihypertensive drugs to prevent improper medication from causing blood pressure to be up to standard. We need to remember that for the average patient, blood pressure should drop below 140/90mmHg, if there is nephropathy, diabetes, etc., it needs to be reduced to less than 130/80mmHg, and the advanced age can be appropriately relaxed to 150/90mmHg.
Nowadays, with the intensification of the aging of the population, the number of people suffering from cardiovascular and cerebrovascular diseases is also increasing year by year, and the more we know about these diseases and drugs, the more helpful it is to the health of our families and ourselves. Therefore, you must follow the doctor's instructions to take medicine and escort the health of yourself and your family.
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