Aortic aneurysms are common aortic diseases. Like myocardial infarction, some patients with aortic aneurysms have atypical and strange symptoms. Even jaw pain can be caused by aortic aneurysms. "Cervical spondylosis" can be caused by myocardial infarction, cerebral aneurysm, and cervical aneurysm can also be caused by 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 artery in the human body. The "tumor" on this blood vessel is an aortic aneurysm. The word "tumor" here is in quotation marks, indicating that this tumor is different from the tumor we often talk about. It is a swelling formed by pathological expansion of blood vessels, balloon-shaped, like a tumor, and it is not a tumor, but we still call this tumor a true aortic aneurysm. A false aortic aneurysm is a tumor thrombus formed when blood flows out of the blood vessel after the true aortic aneurysm ruptures.
Speaking of aortic aneurysm, we have to talk about another clinical disease that is easily confused with it, called aortic dissection. What is the difference between aortic dissection and aortic aneurysm? This is because the wall of the aorta is divided into three layers, the intima, the media and the adventitia. Aortic aneurysm ruptures when all three layers of membranes are broken. Aortic dissection is when the intima ruptures but the adventitia does not rupture temporarily. After the intima ruptures, blood flows to the media and tears the aorta from top to bottom. To put it in a more vivid way, it is like tearing open the inner and outer skins of the rubber tube and injecting water in the middle.
The causes of these two diseases can be atherosclerosis and hypertension. Both diseases are fatal when they cause acute rupture and massive bleeding.
How did they suspect that Yaxi's mother had aortic disease, instead of the blood pressure fluctuations that Yaxi's mother's doctor friend said were not a big deal? This is because of the patient's recent "strange symptoms" of high and low blood pressure.
"When she took her blood pressure, it was the nurse who did it, right? And she didn't fix one limb to measure the blood pressure, right?"
Xie Wanying had been to the prenatal checkup clinic at Beidu No. 3 Hospital. It was impossible for the prenatal doctor to measure the patient's blood pressure in person because there were too many patients. The nurses did the overly simple medical examination of measuring blood pressure. The doctor did not tell which side the blood pressure must be measured on, and the patient just stretched out one hand for the nurse to measure. Measuring blood pressure is generally a practice item for intern nurses at Beidu No. 3 Hospital, and there is no awareness of measuring the blood pressure of one limb.
Yaxi's mother's blood pressure suddenly spiked, and she was prescribed antihypertensive medicine. After taking it, it dropped. How much did it drop? By 50 or 60?
Liu Li, who was prescribing the medicine, felt uneasy. How could a young doctor like her dare to prescribe a large amount of blood pressure medicine for a pregnant woman? No wonder she felt something was wrong the more she thought about it. She just didn't think it might be because the blood pressure of the patient's two limbs was different.
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Young doctors and nurses learn from their mistakes. When experienced medical staff feel that the blood pressure is not right, they will re-measure the blood pressure of both limbs. The reason why the medical staff were not vigilant this time was because Yaxi's mother's blood pressure did not go off the charts. It was said before that the blood pressure in the clinic was terrible, jumping to more than 100 or 200, and the low could be 60 or 70. Yaxi's mother did not have that. When it was high, it was less than 200, and when it was low, 110 or 20 was nothing.
On the other hand, Liu Li felt that something was wrong with Yaxi's mother. She said that her hands and feet had been feeling colder recently. She wondered if it was because the fetus was growing bigger and her waist was becoming more and more uncomfortable.
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