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【2606】The doubt lies here

The most common aortic disease is the aortic aneurysm just mentioned. Like myocardial infarction, some patients with aortic aneurysm have atypical and strange symptoms. Including jaw pain, it can be an aortic aneurysm. "Cervical spondylosis" can be a symptom of heart disease.

An infarction can be a cerebral aneurysm, a cervical aneurysm, or of course an aortic aneurysm. Because the areas affected by these diseases, anatomically speaking, can partially overlap with the neurovascular range involved in cervical spondylosis.

What is an aortic aneurysm? The aorta is the largest arterial tube in the human body. The "tumor" on this blood vessel is an aortic aneurysm. The word "tumor" here is enclosed in quotation marks, indicating that this tumor is different from what we often say.

There are differences between tumors. It is an enlarged, balloon-shaped tumor formed by pathological expansion of blood vessels. It is not considered a tumor, but we still call such a tumor a true aortic aneurysm. Pseudo aortic aneurysm is a true aortic aneurysm.

After the tumor ruptures, blood flows out of the blood vessels to form a tumor thrombus.

Speaking of aortic aneurysm, let’s talk about another disease that is easily confused with it in clinical practice called aortic dissection. What is the difference between aortic dissection and aortic aneurysm? This means that the wall of the aorta is divided into three layers, the intima

Media and adventitia. Aortic aneurysm rupture is when all three membranes are ruptured. Aortic dissection is when the intima is ruptured and the adventitia is not ruptured temporarily. After the intima is ruptured, blood flows to the media and tears the aorta from top to bottom. To put it graphically, it is

, tear off the inner and outer skin of the rubber tube and fill it with water in the middle.

The causes of these two diseases can be atherosclerosis and hypertension. When fatal, both diseases are caused by acute rupture and massive bleeding.

How to suspect Aki's mother's aortic disease, instead of the blood pressure fluctuations that Aki's mother's doctor friend said are not serious. This is due to the patient's recent "strange symptoms" of high and low blood pressure.

"When her blood pressure was measured, the nurse measured it, right? She didn't fix one limb to measure the blood pressure, right?"

Xie Wanying went to the prenatal check-up clinic in Beito San. It is impossible for the prenatal check-up doctor to measure the patient's blood pressure in person because there are too many patients. The nurse does the overly simple medical examination such as measuring blood pressure. The doctor never told which side of the blood pressure must be measured.

, the patient casually stretched out a hand for the nurse to measure. Measuring blood pressure is generally a practice item for intern nurses in Beito San, and there is no such awareness of measuring the blood pressure of one limb on a fixed basis.

Yaxi's mother's blood pressure suddenly shot up. She was prescribed antihypertensive medicine. After taking it, it dropped. By how much? Did it drop by forty or fifty?

Liu Li, who was prescribing the medicine, was worried. How could she, a young doctor, dare to prescribe a large amount of antihypertensive medicine to pregnant women, causing the sudden drop? No wonder the more she thought about it, the more something was wrong. She just didn't think that it might be because the blood pressure of the patient's limbs on both sides was not measured properly.

Same reason.

Young doctors and young nurses all learn from mistakes. When experienced medical staff feel that the blood pressure is wrong, they will re-measure the blood pressure of both limbs. The reason why the medical staff were less vigilant this time is

Because Yaxi’s mother’s blood pressure is not off the charts. Clinically terrifying high blood pressure has been mentioned before, it can jump to more than one hundred or two hundred, and low pressure can reach sixty or seventy. Yaxi’s mother does not have it, it is less than two hundred when it is high, and it is less than two hundred when it is low.

One hundred and twenty was nothing at that time.

On the other hand, Liu Li felt that something was wrong with Yaxi's mother. Yaxi's mother said that her hands and feet were getting colder recently. She didn't know if it was because the fetus was getting bigger and her waist was becoming more and more uncomfortable.

This chapter has been completed!
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