People's blood pressure may change 24 hours a day. The best time to measure blood pressure is at eight or nine in the morning, or three or four in the afternoon. Anyone who has experienced medical treatment has this experience. It can be said that it has become common sense in medicine.
If it is surgery, blood pressure will change even more, but no matter how it changes, there are rules to find. Today, if you take a closer look at Du Mouzhi's cesarean section anesthesia sheet, her blood pressure changes are very bizarre. Why?
Look at the picture, the symbol of blood pressure is high pressure v, low pressure ^, Du 9:15 surgery, blood pressure observation starts at 8:40 and ends at 10:00. 1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1.1. 100-70 (surgery)
After reading it, do you have many questions? Common sense: Pregnant women have slightly elevated blood pressure before giving birth. According to Du's anesthesia list, Du's blood pressure is normal, and severe low pressure occurs at 8:55, which is a manifestation of shock state.
At this time, ephedrine was used and blood pressure increased. When the treasure is taken out, the blood pressure rises by 130-80. After using oxytocin, my blood pressure gradually dropped. So, does Du’s blood pressure change meet the characteristics of patients with cesarean section? Here, I found a document to refer to.
obtained from this: During the cesarean section, the patient had three nodes for lowering blood pressure, ① After the anesthesia floor plan was fixed (the anesthetic area was successful, and the feeling disappeared). ②When the fetus is removed. ③After the fetus is removed. It has obvious statistical value.
Everyone looked back at the blood pressure values observed during Du's cesarean section and compared them.
Du’s first drop point in blood pressure is 60-35, and the time is 8:55.
The second blood pressure drop point is at 9:35, after taking it out.
When Bao was born, Du's blood pressure remained at 130-80, which is different from the obvious statistical value of literature. This is abnormal. What’s even more abnormal is that the first blood pressure drop point was 8:55. In Du’s surgical record, it is clearly recorded that anesthesia started at 8:50. Will the anesthesia take effect after five minutes?
This is true, is Du too sensitive? The blood pressure suddenly fell and he was in shock. The operation started at 9.15. At this time, 20 minutes have passed since the onset of effect. Did you miss the best opportunity or are you a little anxious?
see the picture to obtain. Anesthetics for cesarean section usually take effect in about 20 minutes, and it only took five minutes. This is not in line with common sense. Is it a general idea of anesthesia?
So, Doctor Zheng, should you come out to clarify the facts? Did you do this cesarean section? If it is false, based on the doctor's professional ethics and minimum conscience, is it necessary to respond to it?
does not wrongly accuse a good person, but letting a bad person like this is a shame and humiliation in the industry!
This article is out of curiosity, and it is another matter, but medicine should be rigorous to fully protect the safety of patients' lives. If there is any error, please correct me!
