Chapter 719

Although Chen Cang doesn't know what the truth means!

But he felt that if he could find out the diagnosis of Yu Yi's disease, the hint of the next task would appear.

The next day, Chen Cang went to work as usual.

The matter of Yu Yi was suppressed by Qin Xiaoyuan, not because of others, but because it worried about affecting the normal order of the hospital.

As a public figure, it is still very troublesome. If you are not careful, it will attract the attention of "interested people" from all walks of life.

Maybe there will be all kinds of doors.

Chen Cang looked at the progress bar and kept it at about 18%.

This matter has become one of Chen Cang's most worried things recently.

Chen Cang feels that if we can understand the causes of Yu Yi's disease, this progress bar may be really completed and the next task can be triggered!

However, we now need to wait for the inspection results and reports.

That afternoon, director Zheng of ICU called and told Chen Cang, "director Chen, Yu Yi's inspection results are out. Come and have a look."

After hearing this, Chen Cang handled the matter at hand and hurried to the ICU.

At this time, Yu Yi has awakened.

This makes Chen Cang look forward to it. Maybe the direct dialogue with Yu Yi will give Chen Cang more clues!

However, he went to the doctor's office first. Director Zheng was holding Yu Yi's report and hesitated.

Seeing Chen Cang coming in, his eyes lit up: "come here, just in time, we are discussing Yu Yi's condition."

Chen Cang nodded and sat down, while Zheng Yongjun handed over the materials in his hand: "director Chen, you see, these are some tests you told to do, as well as muscle tension test. Xiao Zhao, tell me about Yu Yi."

A skinny man nodded and said, "since the early morning of last night, the patient has had more than one muscle twitch for an unknown reason, accompanied by arrhythmia, unstable blood pressure, high and low.

We suspected it was the sequelae of the operation at the beginning. We were monitoring it all night and we didn't dare to sleep. "

"At about 8:25 in the morning, the patient had convulsions and convulsions again. The reason is unknown. After the patient's condition is stable, we are now ready to call the neurology department and ask for consultation."

"However, our preliminary judgment is not like epilepsy. We can't find the cause of muscle convulsion."

Zheng Yongjun nodded: "director Chen, look at the EMG. There are obvious abnormalities on it."

Chen Cang nodded. After reading all the reports, he immediately nodded and said, "in fact, the main reasons for the patient's convulsions, including decreased blood pressure and respiratory depression, may be closely related to the codeine in the cough water."

As soon as they heard this, they looked up curiously!

Zheng Yongjun also frowned: "director Chen means..."

Chen Cang continued: "patients have long-term insomnia and often take orally psychoinhibitory drugs, such as alprazolam, diazepam and dextropropiclonal tablets."

"I just got the news from Yu Yi's father last night, so I checked some literature after I went back and got the results: when codeine is combined with central nerve suppressants, it can aggravate central respiratory depression, produce hypotension and even cause arrhythmia."

As soon as Chen Cang's voice fell, people around him suddenly realized it!

Codeine combined with anesthetics has such an effect!

In this way, Yu Yi's symptoms last night can be explained clearly.

However, there is another problem!

Doctor Zhao asked curiously, "so... Director Chen, why does he have abnormal EMG?"

Chen Cang is not very clear about this problem.

He also stayed up late last night to check the information and didn't find the specific cause, but he still had some guesses.

Chen Cang said, "I have two doubts. One is meningitis and the other is cerebral infarction."

"But for meningitis, I had a physical examination yesterday. If the meningeal stimulation sign is negative and the patient has cerebral infarction, go and have a cranial MRI when the patient is stable."

After hearing this, they also nodded!

In the eyes of ICU and emergency department, cerebral infarction seems too easy. In their eyes, they can take it slowly as long as it is not a fatal disease.

Is cerebral infarction troublesome?

It must be troublesome, but the cerebral infarction is not fatal

Moreover, the positive signs of the patient are not obvious. Now the most important thing is the monitoring of vital signs 48 hours after operation.

We must get through the dangerous period.

After the discussion between Chen Cang and Zheng Yongjun, the clues are clear.

However, Zheng Yongjun suddenly looked at Chen Cang and asked, "director Chen, why do you think Yu Yi got this disease?"

This question made Chen Cang silent!

After hesitating for a moment, he said, "the damage of vascular endothelium should be the main cause!"

This sentence made Zheng Yongjun suddenly stunned: "Oh?"

Chen Cang shook his head: "I guess!"

After hearing this, Zheng Yongjun didn't laugh, but nodded because he thought it was!

"When you say that, I seem to have sorted out the clues."

"Yu Yi has the condition of deep venous thrombosis itself, that is, the injury of vascular endothelium. In this way, the patient will take codeine and diazepam orally for a long time and have a sudden arrhythmia!"

At this time, Zheng Yongjun suddenly brightened his eyes and said to Dr. Zhao, "Xiao Zhao, did you have a 24-hour ambulatory electrocardiogram yesterday?"

Dr. Zhao's eyes lit up: "it's down, but it's less than 24 hours!"

Zheng Yongjun: "how long?"

"About eighteen hours."

Zheng Yongjun: "enough! Report! See if there is atrial fibrillation!"

Dr. Zhao nodded quickly, got up and hurried to get the device and report.

After ten or so!

Dr. Zhao said excitedly, "come out! Director Zheng, yes! There is atrial fibrillation. There was atrial fibrillation last night!"

As soon as this remark came out, everyone suddenly became enlightened!

Chen Cang was also in front of him. As expected, there were many people and great strength.

Now, the pathogenesis of Yu Yi has finally been discussed.

Etiology: vascular endothelial injury is the basis of thrombosis.

If atrial fibrillation caused by arrhythmia may be the inducement of pulmonary embolism!

The diagnosis, treatment and examination of diseases are very important.

Many times, although the patient's disease has been treated, in the final analysis, the reason is not clear.

At this time, Chen Cang and the ICU team completed a detailed disease inference process.

At this time, Chen Cang suddenly found that the task progress bar prompted by the system directly arrived: 25%!

Chen Cang was immediately delighted!

But

It's 25%. Is it not up to the standard of the next link?

Maybe!

Chen Cang's eyes brighten. When the patient's vital signs return to normal tomorrow, all the results will come out, the diagnosis will be clear, and the progress bar will be enough!