[問題] 值班時遇到的~
前天值班遇到一個怪現象
一個病人血壓高
右手BP: 200/90 mmHg
左手BP: 126/92 mmHg
給了將降血壓藥以後
右手BP: 117/61 mmHg
左手BP: 77/57 mmHg
兩手radial pulse不同 之前有past Hx: old CVA, HTN, lung cancer 住院
當時有懷疑會不會是 aortic dissection (沒有背部撕裂痛 只有胸悶痛)
聽心音感覺有明顯 "修修修" 的聲音 (此時就算是murmur 我也把他當成血管音XD)
call內科CR CR也粉緊張地跑來看
chest CT有做過non contrast
Cardiac echo 報告都沒有打此finding 我也看不太出來....XD
舊病例也顯示之前住院左右手BP差粉多
手,脊椎也沒有受過傷哩 女兒說自從母親CVA後就有此現象
有沒有強者可以解惑一下的? 感激不盡......
那以後他的血壓值要以那一手為準呢?
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