"Help, help, come and save him!" At nearly 22:00 on the evening of January 31 Chinese New Year's Eve, an anxious cry for help suddenly came from the door of the Emergency Department of the Third Affiliated Hospital of Guangzhou Medical University (hereinafter referred to as the "Third Hospital of Guangzhou Medical University") in Guangzhou, Guangdong Province. A woman and hospital security guards helped an obese, stumbling male patient.
The patient's name is Ah Hui (pseudonym), and he is only 36 years old. According to the family, the reunion of the Chinese New Year's Eve family was originally very happy, but at about 21:00 in the evening, Ah Hui suddenly could not speak clearly and his limbs were weak. At first, he thought he was just too tired to go to the hospital for the New Year. Unexpectedly, soon he could not move on one side, and his family did not feel right, so they immediately sent him to seek medical treatment.
The doctor measured Ah Hui's blood pressure, and it reached 280/130mmHg, which was as high as the explosive meter! (Normal people's general blood pressure is recommended to be controlled within 130/80mmHg.) ）
In further investigation, the doctor found that Ah Hui had cerebral hemorrhage, but he did not have cerebral artery malformations or cerebral hemangiomas, and why did he suddenly have "cerebral hemorrhage" at the age of 36?
Doctors found in the consultation that Ah Hui often has irregular work and rest, day and night upside down, usually rarely exercises, likes to drink high-sugar drinks, has appeared hypertension, high blood lipids but taboo to seek medical treatment... These "pits", have you also hit?
Cerebral hemorrhage in a 36-year-old man
Blood pressure soared to 280/130 mmHg
"As soon as he was admitted to the hospital, he went directly into the emergency room and measured his blood pressure, his blood pressure was very high, 280/130mmHg, hemiplegia in the left limb, the oratoriosis was not clear, we immediately judged that it may be acute cerebrovascular disease, with intracranial hemorrhage being the most likely." Peng Yuhua, deputy chief physician of the emergency department of the Third Hospital of Guangdong Medical College, introduced the hospital.
Blood pressure in normal people:
Systolic blood pressure
People with hypertension are divided into three levels:
Systolic blood pressure of 140-159mmHg is the first level, 160-179mmHg is the second stage, and above 180mmHg is the third level;
And Ah Hui's systolic blood pressure is as high as 280mmHg!
The situation is not good! The stroke center of the hospital immediately opened a green channel, arranged for Ah Hui to do a head CT examination, and the results showed that the right side of the brain was bleeding from the internal capsule, with a bleeding volume of about 10-20 ml, which was diagnosed as an acute stroke!
CT examination revealed acute cerebral hemorrhage.
Fortunately, the amount of bleeding was not large, there was no midline displacement, and there was no hernia formation, and under the consultation of the neurology department and neurosurgery department of the hospital, it was preliminarily judged that Ah Hui did not need surgery. Medical staff immediately do related treatment to control blood pressure and reduce cerebral edema. That night, Ah Hui was transferred to the neurosurgery department of the hospital for further treatment.
After a period of treatment, Ah Hui's condition became more and more stable, the affected limbs of hemiplegia could move, the language ability was gradually recovered, and the blood pressure was also lowered, and he could finally be discharged from the hospital on February 16.
These "bad" habits of his,
Do you have one?
Only 36 years old, suddenly "cerebral hemorrhage", what is the cause of it? According to Peng Yuhua, deputy chief physician of the emergency department of the Third Hospital of Guangdong Medical College, cerebral hemorrhage is more common in the elderly, and cerebral hemorrhage occurs in young and middle-aged people, mostly caused by cerebral artery malformations and cerebral hemangiomas, but When Ah Hui consulted the doctor, he did not find cerebral artery malformations and cerebral hemangiomas.
According to Ah Hui's family, he originally had basic diseases such as hypertension, hyperlipidemia, and hyperuricemia, and belonged to the "three highs" population. Although he has suffered from high blood pressure for two or three years, he has always been taboo to seek medical treatment, not to see a doctor or take medicine, and usually does not want to tell his family about the results of physical examinations.
Because of his work, he has irregular schedules, often reversed day and night, rarely exercises, and likes to drink high-sugar drinks. At 160 centimeters tall, he weighs more than 200 pounds and weighs heavily.
According to the doctor's analysis, the "three highs", obesity, bad living habits, coupled with long-term basic diseases but no regular medical treatment, years ago and fatigue, work and rest confusion and other factors, may have jointly induced Ah Hui's "cerebral hemorrhage" accident.
The doctor examined Ah Hui, who was in a recovery period.
Doctor's Reminder:
Avoid these "pits" and stay away from cerebrovascular diseases
Doctors remind that staying away from cerebrovascular diseases and a healthy lifestyle is important. Even young people, do not turn day and night upside down, often stay up late, but also pay attention to the combination of work and leisure, appropriate exercise, especially for those who exceed the weight, should lose weight appropriately, and young people should avoid or reduce the intake of foods and drinks with too much sugar every day.
Since the beginning of spring this year, the temperature has been low and long-lasting, and this climatic condition has increased the risk of inducing cardiovascular and cerebrovascular diseases. Especially in people with underlying diseases such as hypertension, coronary heart disease, and diabetes, the ability of systemic vascular regulation is worse than that of healthy people, and if the change in temperature causes blood pressure to fluctuate too much, it is more likely to induce cerebrovascular disease. Therefore, there must be standardized treatment and control of underlying diseases.
"Just like Ah Hui, if he can standardize the treatment of hypertension and control blood pressure and blood lipids, there may be no accidents." Peng Yuhua added.
Source: Guangzhou Daily
Editor: Tang Qiaoxia | Editor-in-chief: Li Ling, Natural
Editor: Liao Shouxi | Producer: Li Peng