"Boss Zheng, I thought about looking for you a few days ago." Zhang Weiyu said, "But Director Wei said that he would do the same for the inspection, so it would be too late for you."

"Yes." Zheng Ren nodded, Director Wei was right.

"The patient is a young man from my main store in Viagra. It's quite far from Fengxian."

"Hmm? Main store? Are you not the main store?" Su Yun was surprised.

Generally, the main store is located in the imperial capital, super first-tier cities like the Magic City, and branches bloom all over the country. This is the normal business model.

But the main store of this Wanya store is actually in Fengxian County.

Since ancient times, Xuzhou has been one of the nine states in the world. Fengxian is also an ancient city, with some historical legends.

"Old shop, family-born, my old man refused to move the shop to the imperial capital no matter what he said." Zhang Weiyu said, "Old man, the hundred-year-old plaque in the house is more life-than-life than I said it twice, and I was almost driven out of the house."

This is also conceivable, Zheng Ren nodded. This is what tradition is.

"A distant relative at home had a cerebral hemorrhage last fall and recovered well after the operation, but the child didn't want to go to school, so he went to the store to work." Zhang Weiyu said, "It was okay to take medicine after the operation to control blood pressure, but the blood pressure became higher and higher after a few months."

The patient was an 18-year-old boy who suddenly had headaches and consciousness disorders six months ago. He went to the local hospital for treatment and was diagnosed with cerebral hemorrhage on the left basal ganglia area-lateral ventricle.

The blood pressure was measured at 220/110 mmhg when admitted to the hospital. Considering intracranial hypertension, an intracranial hematoma was immediately performed.

After the operation, 10 mg of enalapril maleate orally, once a day.

At the beginning, I took oral antihypertensive drugs and performed antihypertensive treatment, and my blood pressure was controlled at 110-120/70-80 mmhg. The situation was quite good. But as time went by, my blood pressure became higher and higher.

But after all, he is a young man, and his attention to his body is not high enough. It is good to be able to take medicine on time every day. As for taking blood pressure every day, he only persisted for about a month and did not continue to take care of it.

He felt uncomfortable a few days ago and took his blood pressure at 180/120 mmhg. As for the intermediate process, the patient himself did not describe it clearly.

This scared him, and he hurriedly went around to look around and found Zhang Weiyu in the imperial capital.

This is the whole story.

The medical history is not complicated. The patient has a family history of hypertension in his home, but the others are taking oral antihypertensive drugs, and the blood pressure control is fine.

There is no uncontrollable blood pressure like him.

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

"Director Wei took me to see Director Zhang. At that time, Director Zhang suspected that it was an adrenal problem, so he did a related examination." Zhang Weiyu said.

Director Zhang Lin said: "The patient later changed the dressing and added dosage, and took amlodipine benzenesulfonate orally, 5mg twice a day, terazosin hydrochloride, and 4mg orally every night. After controlling his blood pressure for a few days, he went back."

"I thought it was probably the adrenal glands, but it was fine if I had an adrenal gland nuclear magnetism and renal angiography."

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

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

The most common secondary hypertension is nephrogenic hypertension, endocrine hypertension and some other rare inducing factors.

"How high and how heavy are the patients?" Zheng Ren asked.

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

He was a little fat. Zheng Ren thought for a while and asked, "Is snoring awesome?"

"Awesome, I don't dare to sleep with him. I feel like the bed is swaying when I was snoring." Zhang Weiyu smiled. "When I was hospitalized, I was in a single room and the ward was snoring and ran away by him."

"Do you suspect it is obstructive sleep apnea hypoventilation syndrome?" Su Yun asked.

"This is the problem that stubborn hypertension can be considered." Zheng Ren said.

"Well, I also suspect it is obstructive sleep apnea hypoventilation syndrome." Director Zhang Lin said, "The patient has been asked to do kidney enhancement, but the hospital on that side is very unfamiliar with Osahs examination and will not do it."

This is also normal. Although obstructive sleep apnea hypoventilation syndrome is more common, you will encounter many people who snore every night, and the yin and yang are stuttering, like singing an opera.

However, the induced hypertension can be basically controlled, and as long as you take the medicine appropriately, it is relatively rare for you to control it.

"Boss Zhang, tell me about his snoring." Zheng Ren is more interested in the patient's snoring now.

"Don't mention Boss Zheng." Zhang Weiyu sighed and said, "I went home for the New Year and stayed for only two days before running back because he snored."

"During the New Year, the store business is good, so it's been open. Neighbors are too lazy to cook and come to treat them. When I went back, I thought about drinking and chatting with my family. But I could hear him snoring through a wall."

Zheng Ren listened quietly.

"That's the snoring, I feel the walls swaying." Zhang Weiyu complained, "That's not all. As I hit, I felt like I was exhausted. Once I heard him snoring, there was no sound in the middle, and it stopped for 50 seconds... It took about a minute."

According to Zhang Weiyu's statement, Zheng Ren has basically clarified the patient's condition.

"I was afraid that he would have another cerebral hemorrhage, so I didn't know that others died in bed, so I got up and prepared to go and have a look. When I walked to the door, the snoring started again, and I went back to continue to sleep."

"You said, snoring is not enough. Who can stand it if you scare people in the middle of the night? I stayed at home for two days during the Chinese New Year and ran back."

People who sleep in the same room or bed find that the patient has apnea, and they often wake up the patient because they are worried that their breathing cannot resume. The apnea is often terminated with gasping, waking up or loud snoring.

This condition is called apnea, which is a manifestation of sleep apnea hypoventilation syndrome.

Most people can start breathing on their own due to hypoxia when snoring, but the person in front of them has been holding their breath for a little longer.

Because there is no way to check the body, Zheng Ren can only guess, and it is hard to say whether it is right.

"Boss Zhang, are you still busy with this old store in Dianfeng County?" Su Yun suddenly asked.

"The small county town closes early and rarely has nightlife." Zhang Weiyu didn't know why the topic changed here, but he still said something.
Chapter completed!