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Between life and death
Open head trauma, unconscious. Can Dr. Liu, who is dying, survive the difficult time?
The patient's name is Zhang Ming, 42 years old, and he is a white-collar worker. Accidentally got into a car accident on the way to work, resulting in severe open head trauma.
According to witnesses at the scene, Zhang Ming's car was not fast at the time of the incident, but after colliding with another vehicle, his head hit the steering wheel hard, causing severe skull fractures and brain damage.
"High blood pressure is an important cause of intracerebral hemorrhage." "When high blood pressure develops, especially the so-called 'hypertensive crisis', the walls of blood vessels become extremely fragile and can easily rupture, causing massive bleeding. "
There are three levels of high blood pressure:
Grade 1 hypertension: systolic blood pressure 140-159 mmHg or diastolic blood pressure 90-99 mmHg;
Grade 2 hypertension: systolic blood pressure 160-179 mmHg or diastolic blood pressure 100-109 mmHg;
Grade 3 hypertension: systolic blood pressure ≥ 180 mmHg or diastolic blood pressure ≥ 110 mmHg.
Medical studies have shown that systolic blood pressure of more than 180 mmHg or diastolic blood pressure of more than 120 mmHg significantly increases the risk of intracerebral hemorrhage. Especially for patients with head trauma, this "hypertensive crisis" is more likely to induce severe intracerebral hemorrhage.
"Therefore, we must control high blood pressure as soon as possible and reduce the risk of cerebral hemorrhage." "Otherwise, the consequences will be unimaginable." "
For the rest of his treatment, Dr. Liu kept a close eye on Zhang's blood pressure. Through medication, Zhang Ming's blood pressure gradually returned to the normal range, and the dangerous situation was alleviated.
However, due to the severe damage to the brain tissue during the hemorrhage, Zhang Ming is still in a coma, and the prognosis is still uncertain.
A few days later, Zhang Ming finally woke up. Doctors found that his consciousness had returned to normal, but his right limb movement was limited, and some degree of hemiplegia may remain. This is due to local brain tissue necrosis due to intracerebral hemorrhage.
"We must develop a targeted rehabilitation program to minimize this sequelae." Dr. Liu told the nurse and explained Zhang Ming's condition in detail.
In the following treatment process, Zhang Ming's physical condition gradually improved. After active medication and rehabilitation, his blood pressure was well controlled and his limb function gradually recovered. After more than a month of treatment, Zhang Ming was finally discharged from the hospital and regained his basic ability to take care of himself.
"Being able to save a life is my greatest gratification as a doctor." "But we also need to be aware that the health risks caused by high blood pressure are very serious, especially for patients with head trauma, and we should be extra careful." "
The body's blood pressure is determined by a combination of the amount of blood pumped out by the heart and the resistance of the blood vessels. Normally, an adult has a systolic blood pressure between 90-140 mmHg and a diastolic blood pressure between 60 and 90 mmHg. Once it exceeds this range, it is defined as hypertension.
"The dangers of high blood pressure are manifold." "It can not only cause bleeding in the brain, but can also cause serious complications such as heart disease, kidney disease, retinopathy, etc. Therefore, as long as you find that your blood pressure is high, you must take effective measures to control and treat it in time. "
Medical studies have shown that for normal people, as long as the systolic blood pressure is kept below 140mmHg and the diastolic blood pressure is kept below 90mmHg, the risk of various complications can be reduced.
However, once hypertension appears, especially the so-called "hypertensive crisis", it must be taken seriously and aggressive treatment measures must be taken.
"We generally recommend seeking medical attention if your systolic blood pressure is over 160 mmHg or diastolic blood pressure is over 100 mmHg. If the systolic blood pressure reaches 180 mmHg or the diastolic blood pressure reaches 120 mmHg, it is considered a 'hypertensive crisis' and must be treated immediately. Dr. Lau said.
This is the so-called "three cordons":
1. If the systolic blood pressure is 160mmHg or the diastolic blood pressure is 100mmHg, you should seek medical attention in time;
2. Systolic blood pressure of 180mmHg or diastolic blood pressure of 120mmHg is a hypertensive crisis and needs immediate treatment;
3. If blood pressure continues to rise, it is likely to induce serious complications such as cerebral hemorrhage, which is life-threatening.
Therefore, everyone must be vigilant, measure blood pressure regularly, and take measures in time once blood pressure is found to be high. Only in this way can we effectively prevent and control high blood pressure and avoid some serious consequences. Dr. Liu advised.
Not long ago, Dr. Lau came across another similar case. A 50-year-old middle-aged man also suffered head trauma caused by a car accident, and his blood pressure was as high as 200/130mmHg when he was admitted to the hospital, which is a typical "hypertensive crisis". Doctors tried to control high blood pressure and perform surgery, but in the end, they could not save the life of the injured man.
"This time it's another lesson." Dr. Liu said with emotion, "We must attach great importance to the harm of hypertension to trauma patients and take effective measures to control it as soon as possible." Only in this way can the occurrence of such tragic events be minimized. "
For Zhang Ming's case, if his high blood pressure was not controlled in time at that time, it was likely to lead to irreversible consequences like the previous case. Fortunately, under the careful rescue of Dr. Liu, Zhang Ming finally survived and regained his basic ability to take care of himself.
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(The story in the article is purely fictional, if there is any similarity is purely coincidental, if the body is not well, seek medical help in time)