After checking the room in the morning, the nurse said that there was a patient outside looking for her.
I said: There will be an outpatient clinic tomorrow, why are you running here today? Still running to the inpatient department?
Pushing open the door, I saw that it was one of my old sick masters, Master Zhao.
When Master Zhao saw me, he looked particularly excited: "Dr. Wang can be considered to have seen you, my brother suddenly suffered a cerebral hemorrhage the day before yesterday, and now he is still in a coma and living in an intensive care unit!" When he was taken to the hospital, his blood pressure was 240. ”
I said, "Is it in our hospital?" ”
Master Zhao said, "No, what about in XX Hospital?" ”
I said, "Then why did you come to me?" ”
Master Zhao: "You said that I have been suffering from high blood pressure for so many years, will I suddenly have cerebral hemorrhage one day?" ”
I said, "How old is your brother?" How many years have you had high blood pressure? How well is it usually controlled? ”
Master Zhao: "My brother is 49 years old, and he has been suffering from high blood pressure for seven or eight years, and he usually doesn't take much medicine." ”
I said, "What is your brother's blood pressure?" ”
Master Zhao: "I heard that it looked like in one hundred and seventy-eight." ”
I said, "That is to say, your brother has had high blood pressure for at least seven or eight years, and his blood pressure is usually around 180, but he never takes medicine to control it, right?" ”
Master Zhao: "Hmm! ”
I asked again, "Your high blood pressure has been around for ten years, right?" I've been looking for me for ten years! ”
Master Zhao: "Well, when I was 51 years old and 40 years old, I found that my blood pressure was high and I began to look at several places. Later, after looking for you, it has been relatively stable, and I have been looking for you to review it over the years. ”
I said, "When you found high blood pressure, how much was the highest blood pressure?" ”
Master Zhao: "The highest is also one hundred and eighty-nine." ”
I asked, "After I came to see me later, how much was it controlled over the years?" ”
Master Zhao: "Later, after you gave me the medicine, the blood pressure has been around 130/80, sometimes there is a little lower 120/70, and a little higher 140/90. But most are within 130/80. ”
I said, "You've had high blood pressure for 11 years, but you've been well controlled, you can take medicine for a long time, and I've always recommended you to live a healthy life." But your brother has been having high blood pressure for seven or eight years, and he has never controlled his blood pressure, and his blood pressure has always been around 180. Then this cerebral blood vessel will harden, and the pressure on the cerebral blood vessel will be great. If you think about our cerebral blood vessels, we generally bear a blood pressure of 130 mmHg, but your brother's long-term blood pressure is about 180 mmHg. Just like a balloon, blowing too much air, the balloon can not withstand such a large pressure, then the balloon may burst. Our cerebral blood vessels will also burst out due to excessive pressure, which is cerebral hemorrhage. So your brother doesn't control his high blood pressure and now has a cerebral hemorrhage. And your blood pressure control is good, naturally don't worry. ”
Master Zhao: "Oh, I also told my brother many times to let him control his blood pressure, but he didn't listen, saying that it was okay." Say no headache, no dazzle, no dizziness, no need to take medicine. Dr. Wang, do you think my brother can still wake up? I haven't dared to tell the old lady about it now! ”
I said: "This is not easy to say, the amount of cerebral hemorrhage is different, the bleeding site is different, the treatment time is different, it will affect the results." But after a day or two of coma, it seems that the prognosis is not very good, and the family should be mentally prepared. Sometimes it can be very troublesome, and a long-term coma is equivalent to a vegetative person, and the cost will be very large. Let's observe for a few days. ”
Master Zhao: "Are you familiar with XX Hospital?" Can you give the doctor a word and let the care take care of it. My brother's conditions are also average. ”
I said, "I don't know each other directly. But living in an intensive care unit is expensive in itself, and there is not much point in talking. I went back and asked my classmates to see if they knew each other, and to see what the situation was. ”
Master Zhao: "Thank you Dr. Wang, am I not going to have cerebral hemorrhage as long as I control my blood pressure?" ”
I said: "Control your blood pressure, monitor your blood pressure, continue to live a healthy life according to what I say, eat healthily, don't smoke or drink, insist on exercising, don't be too fat, don't stay up late, check lipids and blood sugar every year." Do well these then the likelihood of cerebral hemorrhage is very low, don't worry. ”
After talking with me for half a day, Master Zhao finally left with confidence!
We have been telling everyone to pay attention to high blood pressure. High blood pressure is very cunning, if you pay attention to it, control it, it will not annoy you; the more you ignore high blood pressure, do not control high blood pressure, then high blood pressure will quietly damage blood vessels, damage the heart, damage the kidneys, damage the brain and so on. Until one day, because of high blood pressure caused cerebral hemorrhage, just like Lao Zhao's younger brother. There are also many people who have myocardial infarction, cerebral infarction, heart failure, kidney failure, aortic dissection and other malignant diseases because of high blood pressure.
Hypertension is relatively easy to control, as long as we control it early and control it well, then there will be almost no complications. However, once hypertension develops into complications such as heart, brain and kidneys, then the treatment is not only expensive, but also the patient suffers a variety of huge pain, and even endangers the patient's life.
This was originally a very simple truth, but why did Master Zhao's brother not understand it?
Master Zhao is very aware of the harm of high blood pressure, so he has controlled high blood pressure, so now it is fine, fine!
Master Zhao's younger brother did not know whether he knew the harm of high blood pressure, so he did not want to control high blood pressure, and now he was in a coma and was admitted to a care unit!
Master Zhao did not dare to tell the old woman that his brother was unconscious...