The most common aortic disease is the aortic aneurysm just mentioned. Like myocardial infarction, some patients with aortic aneurysm have atypical and strange symptoms. Even jaw pain can be caused by an aortic aneurysm. "Cervical spondylosis" can be a myocardial infarction, a cerebral aneurysm, and of course a cervical aneurysm can also be an aortic aneurysm. Because the areas affected by these diseases can partially overlap anatomically 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 call 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 tumor thrombus formed when blood flows out of the blood vessel after a true aortic aneurysm ruptures.
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. A ruptured aortic aneurysm is a rupture of three membranes. Aortic dissection is a condition in which the intima is ruptured but the adventitia is not ruptured temporarily. After the intima ruptures, blood flows to the media and tears the aorta from top to bottom. To put it figuratively, 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 also be atherosclerosis and hypertension. The fatal cases of both diseases are acute rupture and massive bleeding.
How to suspect Aki¡¯s mother¡¯s aortic disease, instead of what Aki¡¯s mother¡¯s doctor friend said is that this little blood pressure fluctuation is not a serious problem. This is about 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 Beidosan. It is impossible for prenatal doctors to measure the blood pressure of patients in person because there are too many patients. The nurse did the overly simple medical examination like taking blood pressure. The doctor never told which blood pressure must be measured, so the patient just 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? Dropped forty or fifty?
Liu Li, who prescribes the medicine, is worried. How can she, a young doctor, dare to prescribe large amounts of antihypertensive medicine to pregnant women, so that the blood pressure drops suddenly? 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 measurements on both sides of the patient's limbs were different.
Young doctors and young nurses all learn from each other. When experienced medical staff feel that the blood pressure is wrong, they should re-measure the blood pressure of both limbs. The reason why the medical staff were less vigilant this time was because Axi¡¯s mother¡¯s blood pressure did not go 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 blood pressure can reach sixty or seventy. Axi's mother didn't. When it was high, it was less than two hundred, and when it was low, one hundred and twenty was nothing.
Liu Li, on the other hand, 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.