Xiao Li, 38 years old, has always been in good health, but in recent years he has suffered from inexplicable headaches. (The picture and text are unrelated) Warm communication during postoperative visit The photo is from the 2nd "Renxin Cup Most Beautiful Angels in White Photo Collection Competition" Photographer: Sun Yanlin Over time, she discovered a pattern: whenever she encountered something, her head would hurt. Occasionally I hear people say that people with high blood pressure will have headaches, and they ask her to go measure her blood pressure. At first, she didn't take it seriously and said: I'm only in my 30s and it's impossible for me to have high blood pressure. Although she was not anxious, others were. Her husband had noticed that her temper was getting worse in recent years. What worried him most was that his wife got a headache when she got angry, and he suspected it might be high blood pressure, so he lied and said he had won a blood pressure monitor in a lottery. When he got home, he took his wife's blood pressure test immediately. The value was over 120, which was nothing special. Coincidentally, that day was the first day of Xiao Li's menstrual period. His already unstable mood was immediately ignited. After a quarrel, he could only obediently go to cook. Just after I finished cooking a dish, I heard some humming sounds coming from the bedroom. When I pushed the door open, I saw my wife lying on the bed with her head in her hands. When asked, he said he had a headache. I quickly took out the blood pressure monitor and measured it, it was over 200. When they saw this number, they were both stunned and had no idea what was going on. After Xiao Li stabilized a little, the two decided to go to the hospital for a thorough check-up. After arriving at the hospital, my blood pressure was no longer high. The two people thought that the doctor was helpless, but then they heard the doctor say: It might be pheochromocytoma. The two people who didn't know what was going on underwent abdominal CT scans as instructed by the doctor. The results of the examination surprised them: there was a tumor on their waist. The two people, still in shock, immediately decided to be hospitalized for surgery. However, the doctor delayed arranging the surgery. Anxious Xiao Li went to the doctor, who told her that this operation was extremely dangerous and not that simple. Before the operation, she had to control her emotions, expand the volume and stabilize her blood pressure. In addition, the anesthesia department had to intervene in advance, and a thorough safety plan had to be made during the operation for it to be successful. A few days later, the doctor removed her adrenal gland tumor under general anesthesia. In order to prevent possible adrenal crisis caused by sudden tumor removal, she was admitted to the intensive care unit. Before being discharged from the hospital, Xiao Li came to thank the doctor who performed the surgery on her. The doctor smiled and said: This is the result of our team's efforts, and thank you for your trust and cooperation. [Knowledge Point] Proper perioperative management is crucial for pheochromocytoma surgery: it is necessary to expand volume and lower blood pressure before surgery; the anesthesiology department should make every effort to stabilize the circulation during surgery; avoid squeezing and cutting blood vessels during tumor removal and inform the anesthesiology department as soon as possible; prevent and treat adrenal crisis after surgery. [Warm Tips] Follow us, there are a lot of professional medical knowledge here to help you understand the anesthesia issues in surgery~ |
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