Chapter 2063： Snoring story

"Zheng boss, I have been looking for you to look at it a few days ago." Zhang Weiyu said, "But Director Wei said that it is almost done after the inspection, not to delay your time."

"Yeah." Zheng Ren nodded, and Director Wei was right.

"The patient is a little guy in my store's main store. It's quite far from Fengxian."

"Well? Head office? You are not the head office?" Su Yun surprised.

The general head office is set up in the super first-tier cities such as the Imperial Capital and the Magic Capital. It is the normal business model that the branches are blooming all over the country.

But this shop, the head office is actually in Fengxian.

Since the ancient times Kyushu, Xuzhou is one of them. Feng County is also an ancient city, quite a few historical legends.

"Old shop, family biography, my father said that he would not move the store to the Imperial Capital." Zhang Weiyu said, "The old man, the hundred-year-old plaque in the house is more important than the life. I said twice, almost Was taken out of the house."

This is also imaginable, Zheng Ren nodded. This is the tradition.

"A distant relative in the family, cerebral hemorrhage last fall, the recovery is okay after the operation, but the child does not want to go to school, go to the store to work." Zhang Weiyu said, "after the medication to control blood pressure, start okay, but a few After a month, blood pressure is getting higher and higher."

The patient was an 18-year-old boy. He had a sudden headache and disturbance of consciousness six months ago. He was seen at a local hospital. He underwent a CT scan of the left basal ganglia-lateral lateral cerebral ventricle hemorrhage.

The blood pressure was 220/110 mmHg when admitted to the hospital. Considering intracranial hypertension, an intracranial hematoma resection was performed.

Oral administration of enalapril maleate 10 mg once daily.

The initial oral antihypertensive drug, antihypertensive treatment, blood pressure control at 110-120/70-80mmHg, the situation is still good. But as time goes on, blood pressure is getting higher and higher.

But after all, is it a young boy, and the level of attention to the body is still not high enough. It is not bad to be able to take medicine on time every day. As for the blood pressure every day, he only persisted for about 1 month, and he did not continue to control it.

He felt uncomfortable a few days ago and measured his blood pressure, 180/120mmHg. As for the middle process, the patient itself is not clear.

This can scare him, and he went around to see it, and found Zhang Weiyu in the Imperial Capital.

This is the reason for the whole thing.

The medical history is not complicated. There is a family history of hypertension in the patient's home, but other people are taking a kind of antihypertensive drug orally, and the blood pressure control is good.

There is no such stubborn, uncontrollable blood pressure as him.

Because of family history, Zheng Ren ruled out many hereditary diseases.

“Director Wei took me to find Director Zhang. At that time, Director Zhang suspected that it was a problem of the adrenal gland, and he did the relevant examination.” Zhang Weiyu said.

Director Zhang Lin said: "The patient later changed the medicine, added volume, oral amlodipine besylate, 5mg twice a day, terazosin hydrochloride, 4mg per day orally, blood pressure control for a few days and then went back."

"I thought it should be the adrenal gland, but the surface of the adrenal nucleus, and kidney angiography, nothing."

This examination is very detailed and almost ruled out the possibility of renal hypertension.

Hypertension is mainly divided into primary and secondary, each with many branches. Director Zhang Lin's consideration is very comprehensive, and the tendency is relatively clear. Considering secondary hypertension.

The most common secondary hypertension is renal hypertension, endocrine hypertension, and other rare predisposing factors.

“How tall is the patient, multiple?” Zheng Ren asked.

"One meter eight, 230 kilograms." Zhang Weiyu said.

Some of the posture is too fat, Zheng Ren thought about it and asked, "Is it very snoring?"

"Great, I dare not sleep with him, and the snoring, I feel the bed is sloshing." Zhang Weiyu laughed. "When I was hospitalized, I was alone in a single room. People in the ward were beaten and snorted."

"Do you suspect an obstructive sleep apnea hypopnea syndrome?" Su Yun asked.

"Intractable high blood pressure can be considered as this problem." Zheng Rendao.

"Well, I also suspect that it is obstructive sleep apnea hypopnea syndrome." Director Zhang Lin said, "The patient has been made to strengthen the nuclear magnetic resonance of the kidneys, but the hospital on that side is very strange to the OSAHS examination and will not do it." ”

This is also normal, although obstructive sleep apnea hypopnea syndrome is more common, there will be many people in life who have a snoring for a night, yin and yang, like a singing drama.

However, the induced hypertension can be basically controlled, as long as the appropriate medication is taken. It is difficult to control, it is still relatively rare.

"Boss Zhang, you talk about his snoring." Zheng Ren is now more interested in the patient snoring.

"Don't mention Zheng Boss." Zhang Weiyu sighed and said: "I went home in the New Year and only ran back after two days, just because he was snoring."

"The Chinese New Year, the store business is good, it has been open, the neighbors are too lazy to cook and ran over to treat. I went back to think about drinking and drinking with my family. I can hear him snoring through a wall. sound."

Zheng Ren listened quietly.

"The screaming, I feel the wall is swaying Zhang Weiyu complained, "This is not counting, playing, the middle is just like the airless. Once I heard him snoring, there was no sound in the middle, and it stopped for 50 seconds... It took about 1 minute. ”

Listening to Zhang Weiyu's statement, Zheng Ren has basically clarified the patient's situation.

"I am afraid that he will bleed again. When others die in bed, they don't know. They are ready to go and see. Go to the door, and the snoring sounds again. I will go back and sleep."

"You said, it’s not a snoring. It’s so scary in the middle of the night, who can get it. I lived at home for two days and ran back.”

In the same room or in the same bed, the patient was found to have apnea, often worried that the breathing could not be restored and the patient was awakened, and the apnea was terminated with gasping, waking or loud snoring.

This condition is called apnea and is a manifestation of sleep apnea hypopnea syndrome.

Most people snoring can start breathing because of hypoxia, but in front of him, the time of suffocation is too long.

Because there is no way to check the body, Zheng Ren can only guess, as for the wrong, it is hard to say.

"Zhang Boss, is this old Fengxian County store still busy?" Su Yun suddenly asked.

"Small county, close the door early, there is very little nightlife." Zhang Weiyu did not know why the topic was converted here, but he still has something to say.

The young man next to Zheng’s boss can’t be neglected. Even sloppy Zheng boss, there are a lot of adults, not angry. But the young man is hard to wait on, and then he may be making a moth out.

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