Chapter 486 The culprit! Antihypertensive drugs!

"Blood pressure, blood pressure..."

Xu Qiu stared at the value on the life monitor. At this time, the patient's blood pressure had risen again. Compared with the blood pressure of 120/79mmHg when he was admitted yesterday, it had increased to 132/83mmHg.

High is high, but it can barely be considered normal.

"No." Xu Qiu suddenly shook his head.

This value is absolutely abnormal!

He looked through the medical records and found that the patient's blood pressure fluctuated greatly. Between the time of admission and now, less than 24 hours later, the increase in systolic blood pressure reached 12mmHg, which was close to first-level hypertension.

"Or does she have high blood pressure?"

As soon as this conjecture came out, Xu Qiu felt that her mind had been opened up.

If he guessed correctly, the idiopathic hypertension during pregnancy more than a year ago was probably not an accident, but Yuan Yu had a basic medical condition of hypertension, otherwise it would not have been serious to that extent...

"There is no record of anything in the medical records."

Director Xiao and others were a little helpless.

Medical diagnosis is not about investigating the murder, but about mutual trust between doctors and patients and jointly uncovering the final cause of the disease.

But Yuan Yu obviously concealed too much. By coincidence, her condition was extremely tricky and complicated. When everyone wanted to find the real root cause, she fell into a coma.

This undoubtedly greatly increases the difficulty of diagnosis, causing doctors to not only see patients, but also to reason and decide cases...

"Call her husband over." Xu Qiu immediately made his next plan.

Not long after, the haggard husband arrived. The doctors took one look at him and couldn't help but show a trace of sympathy and admiration.

No matter what, this brother is really miserable and a real man.

"High blood pressure? I've never heard her mention this before..."

After arriving at the special care ward, Xu Qiu asked about the situation, and the man shook his head.

Xu Qiu frowned slightly.

The patient's blood pressure fluctuates so obviously. The most likely reason is that he did not take antihypertensive drugs!

Generally speaking, the half-life of long-acting antihypertensive drugs is about twenty-five hours. If taken irregularly, blood pressure will rebound and gradually increase.

After five half-lives, all remaining antihypertensive drugs in the body will be cleared by the body, and the blood pressure will rebound to its peak, even higher than the high pressure before control.

As for the difference between Yuan Yu after being admitted to the hospital and before, it is most likely that she fell into a coma and was unable to take medicine.

This results in frequent fluctuations in blood pressure.

"It's gone up a little higher."

Xu Qiu glanced at the life monitor and saw that her blood pressure had reached 134/85. Although her condition was extremely unstable and her blood pressure kept jumping, there was an upward spiral trend and it was obviously increasing.

It is very consistent with the symptoms of irregular taking of antihypertensive drugs.

"One more thing, pancreatitis... Until now, we have not found the cause of Yuan Yu's sudden acute pancreatitis, which quickly progressed to acute severe pancreatitis!"

Among patients with pancreatitis in Daxia, the most common causes are biliary tract disease, hyperlipidemia, and alcohol.

The latter two definitely have nothing to do with Yuan Yu.

The biliary system... is also extremely far-fetched to explain.

The patient did have gallbladder stones a few years ago, but this time there was no positive indication on the routine CT, which meant that either the patient's stones had disappeared, or the stones were composed of urate, cystine, etc., which could not be shown by CT.

But no matter what, this acute severe pancreatitis has little to do with the biliary system. Xu Qiu saw no signs of blockage in the ducts such as the gallbladder and pancreas, nor any similar symptoms.

Clinical diagnosis has always had a cause. Even for many unexplained rare diseases, it is just that human exploration of medicine has not yet reached that depth. It is not without reason.

Since pancreatitis occurs inexplicably and severe hypoxia suddenly occurs, there must be a source.

Xu Qiu's intuition told him that blood pressure should be the key to connecting all of this.

"You live in Linhai City?" he asked.

The man looked surprised.

Is it hopeless? Should he be asked to arrange the transportation route of the body in advance?

Thinking of this, his mood became extremely complicated, and he felt a sense of revenge, and he felt like he couldn't even breathe, and his heart seemed to have a wound being slowly torn open.

"what's on your mind?"

Xu Qiu interrupted him and said, "Hurry back and check the room for any antihypertensive medicine."

"medicine?"

"Well, it's possible that she has high blood pressure and is hiding it from us."

For patients with high blood pressure controlled by medication, antihypertensive drugs must be taken regularly every day, and are generally not difficult to find.

If Yuan Yu's husband cannot be found, then he will have to reconsider the causes of blood pressure fluctuations.

"How could she have high blood pressure? She never mentioned it to me...but I was never allowed to touch her dressing table..."

Yuan Yu's husband thought about it carefully and was suddenly startled.

He remembered that Yuan Yu had a very strange habit before going to bed. After drinking a glass of water, he also drank a glass of hot milk.

Every time he went out to help warm the milk, and when he came back, the water on the dressing table was just finished.

Looking back now - was it to pay for his medication?

Yuan Fu rushed home immediately, and more than forty minutes later, he appeared in Xu Qiu's office, panting.

Director Xiao, Director Jiang and others heard that the person was back and rushed over to check on the situation.

The other party actually held a box of medicine in his hand.

"Hydrofluorothiazide."

This is a medium-effective diuretic that is very effective in treating essential hypertension and is commonly used clinically.

"That's where the problem lies..." Xu Qiu sighed slightly.

"Yes, it's basically confirmed that he has high blood pressure. This patient has concealed a lot of things from us." Director Xiao's tone was full of complaints.

If it weren't for Xu Qiu, they would still be in the dark.

Since Yuan Yu had taken antihypertensive drugs before being admitted to the hospital, the antihypertensive effect could at least last for one or two days before a significant rebound would occur... Without Xu Qiu's keen attention to the blood pressure fluctuations, they would at most think that the patient's blood pressure was a little high, and attributed it to the other party's strange condition, and it was difficult to associate it with high blood pressure.

"High blood pressure... What's the use?" Director Jiang asked a sharp question.

Everyone was silent for a moment.

Indeed, there is only one key issue now.

Why is the patient's respiratory function getting worse and worse, and high-concentration oxygen cannot curb the trend of declining blood oxygen saturation...

At most, there is another question: why does pancreatitis occur.

However, it doesn't matter whether it is pancreatitis or not. At this moment, the patient is in danger. Regardless of whether he is a doctor in the emergency department, the most important thing is to save Yuan Yu's life.

Rescuing hypoxia and improving blood oxygen saturation are the top priorities at the moment!

"Discovering hypertension is of course useful. After all, the cause of pancreatitis and hypoxia has been found."

Xu Qiu took the medicine box from Yuan Fu and pulled out the instructions inside.

And the people present were even more confused.

What the hell is going on?