Xiao Bai is a recruit of Corey, so the things that need to run more errands are basically arranged for him to go. For example, the work of preoperative visits. If everyone doesn't want to go, they will let him do the work. Over time, his experience accumulated very quickly.
A few days ago, he took the thick preoperative visit sheet to various surgical departments as usual. One of the cases not only increased his insight, but also verified the theory.
This patient is a patient with cholecystitis and gallbladder polyps. I thought it was a simple anesthesia. However, seeing the indicators such as hemoglobin on the test form that was almost about to explode, he felt that it was definitely not so simple.
Normally, it is not normal for a male hemoglobin to exceed 160. However, this patient directly exceeded 180.
At the same time, another lazy person in his heart seems to be saying: Why do you care so much? Tomorrow is not your anesthesia. Besides, just one cholecystitis can do something.
However, reason told him: If our anesthesiology department does not guarantee the safety of patients, will patients still be safe?
Based on the clue of high hemoglobin, he asked the patient a number of questions:
Do you usually have a habit of smoking? Do you live at high altitudes?
People who smoke or live at high altitudes may experience increased hemoglobin reflexes due to lack of oxygen. For example, people in Qinghai, Tibet and other regions. Less than 99% blood oxygen saturation is a common condition, which is directly related to too high hemoglobin.
Is there high blood pressure? Is there coronary heart disease?
A large amount of hemoglobin is bound to lead to an increase in blood viscosity. Therefore, over time, the heart will also adaptively increase its thickness to increase myocardial strength. High blood pressure and heart disease are natural things.
After a series of investigations, this person has neither a large number of smoking habits nor a history of life at high altitudes, what is the reason for that?
Could it be that there is something wrong with this person's respiratory system?
Theoretically, if there is a problem with the respiratory system, it is likely that chronic hypoxia will lead to increased hemoglobin reflexes. However, it is not supported on the film. Interrogating myself, I also said that I was usually very good.
What's the reason for that? Xiao Bai was confused for a while?
Suddenly he thought of a very foreign name - OSAHS syndrome.
OSAHS, abbreviation for obstructive sleep apnea-hypopnea syndrome, refers to apnea and hypoventilation caused by upper airway collapse obstruction during sleep, accompanied by snoring, sleep structure disorders, frequent hyposaturization, daytime sleepiness, and other conditions. The main manifestation is snoring, snoring like thunder and suspension.
Compare one by one, the person's symptoms are all hit with theory.
Therefore, Xiao Bai immediately wrote "OSAHS syndrome" on the interview list.
Looking back, this person's big head, thick neck and weight of 200 pounds can be explained. According to a large number of studies, snoring can lead to conditions such as obesity; in turn, obesity can also aggravate snoring.
If surgery is involved, the biggest problem for such patients is respiratory safety, followed by cardiovascular and cerebrovascular accidents.
Others may also cause delayed awakening due to obesity or insomnia, anxiety, etc.
If it is in ordinary life, cardiovascular and cerebrovascular accidents are the main reason for the sudden death of such people.
After this case, Xiao Bai has seen it again. In his heart, he also warned himself: In the future, if you visit under anesthesia, you must ask whether to snore when you see a fat man.
Finally, I also remind everyone that we must control our weight. If the person next to your pillow snores like thunder, don't let it go!
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