Chapter 715： : Hide task

Just as Chen Cang was preparing to ask the man's question, a sudden sound appeared in Chen Cang's mind!

【Ding! Trigger Hidden Mission: The First Ring of Truth: Rescue Yu Yi!

Behind Yu Yi are some clues about special things, please investigate.

After the mission is finally completed, you can get rich rewards. The current progress of the mission: 1%. 】

Chen Cang immediately froze.

the truth?

What's the truth?

Behind Yu Yi's clue about something special?

Chen Cang was fooled by the sudden serial task of the system.

However, this is not the time for tangles, and now the patient's vital signs are very unstable, not the time for tangles.

However, what made Chen Cang curious was that the man who said he was an agent turned out to be Yu's father?

Chen Cang nodded. At this time, Lele took the notice.

Yu Yingcai's hand was a little trembling: "Director Chen, is it as serious as you say?"

Chen Cang nodded in a deep voice: "It seems to be more serious. Now the diagnosis is unknown, the patient's vital signs are unstable, and the examination cannot be completed. We have now invited experts in the hospital for consultation, but ... now the situation is special, you still need to sign. "

After Chen Cang's remarks, Yu Yingcai did not hesitate to sign decisively.

At this time, Chen Cang asked, "Is there any illness in Yu Yiping?"

Yu Yingcai shook her head: "There is no disease. Occupational disease is that some throats are uncomfortable, often, but this is not a day or two, it is four or five years."

Chen Cang nodded and asked a more concerned question: "Is there a history of absorption?"

After Yu Yingcai heard it, he suddenly hesitated, and said solemnly, "No! Absolutely not! I was worried that I would be aroused by many bad habits in this circle, so I resigned in person to be his agent."

Chen Cang nodded.

After asking a few more questions, he turned back to the rescue room.

Shi Na has completed the ECG at this time.

Chen Cang took a look.

Suddenly frowning, this electrocardiogram is very atypical and basically can be said to have no features, which cannot be used as a basis for diagnosis at all.

Chen Cang took a deep breath and calmed himself down.

Emergency doctors should calm their minds and analyze all clues calmly anytime, anywhere.

Sudden onset of illness, pale for unknown reasons, difficulty breathing, coughing, hemoptysis, and even syncope!

Have typical twitches, not necessarily epilepsy!

It may also be a manifestation of cerebral hypoxia ...

What can cause sudden syncope?

Chen Cang's mind checked one by one!

Orthostatic hypotension? Hypertensive encephalopathy? The blood pressure is completely normal, just lowered just now, or because of pericardial effusion, so rule out!

Arrhythmia, myocardial infarction? The ECG is normal and can be ruled out!

Cerebral arteriosclerosis? Cerebral hemorrhage? Vasovagal syncope?

If these three are possible, cerebral hemorrhage is the most dangerous, and cerebral arteriosclerosis should not be, but now there is no time to check at all.

Chen Cang got up, took out the flashlight, and checked his eyes for light reflection!

Meningeal sign ...

All are negative!

Cerebrovascular accidents can basically be ruled out!

At this time, the answer is ready.

Aortic stenosis?

Aortic dissection?

Or ... acute pulmonary embolism?

Thinking of this, Chen Cang suddenly changed his face.

If it is these three diseases, it can be life threatening at any time!

However, at this moment, Chen Cang suddenly became cheerful.

It is likely to be acute pulmonary embolism!

Youth onset, syncope, hemoptysis, pleural effusion, pericardial effusion, accompanied by dyspnea ...

Moreover, this dyspnea is sudden!

Thinking of this, Chen Cang suddenly changed his face.

If acute pulmonary embolism is suspected, the first step is to evaluate the clinical possibility!

Chen Cang quickly picked up the stethoscope and continued to improve the relevant examinations. At this time, the auscultation sound heard the diastolic running horse rhythm and the second heart sound of the pulmonary artery!

In this way, the possibility of pulmonary embolism suddenly increased to more than 60%!

If you need to confirm the diagnosis, you need to check the rankings step by step to clear the diagnosis!

However, can patients now support themselves for angiography?

If you don't do it, it will be more troublesome now!

How to do?

Because of the acute onset of pulmonary embolism, emergency treatment must be done before anticoagulation treatment, and surgical treatment if necessary!

At this time, the door of the rescue room suddenly opened. Chen Cang turned around and saw several directors rushing in.

Li Baoshan, Qin Xiaoyuan, Tao Yan, Niu Tianfu and others came in!

This morning, an annual meeting was held in the next province. They set off in the morning and are now back.

After entering, Qin Xiaoyuan asked directly: "Xiao Chen, what's the situation?"

Chen Cang was about to speak, and suddenly the patient's breathing became more intense at this time.

The patient's face was blue and purple, and the entire person was in a state of belching.

The ECG monitor alarmed again and again.

Qin Xiaoyuan's face changed, and he hurried forward, looked at the patient's condition, and judged his vital signs. He immediately said, "Intubation!

Chen Cang suddenly stood up and started to prepare!

How could this happen at this time?

Chen Cang is puzzled!

Qin Xiaoyuan said to Le Le, "Preparing intramuscular injection of dexamethasone 15mg, intramuscular injection of adrenaline 1mg!"

Although Chen Cang didn't say much, he was stunned: Is this ... anti-allergic?

When is the patient allergic?

At this time, the laryngoscope was ready, and Chen Cang couldn't care less about the others, and was ready to intubate!

At this time, he suddenly discovered that allergic rash appeared in the throat!

Even hoarseness appeared, and even throat edema began to appear!

This way, the respiratory tract is completely obstructed in the morning!

Suddenly, Chen Cang became numb!

What kind of patient is this?

If it wasn't for the timely arrival of Dean Qin, Chen Cang was thinking ... how long can he react?

This is the case of emergency department, you must be prepared for rescue at any time.

Patients are now highly suspicious of pulmonary embolism, and they have syncope. If allergies occur, causing respiratory tract abnormalities, the mortality rate will reach 90%!

After the emergency treatment ~ www.novelhall.com ~ About three minutes later, the patient's breathing calmed down.

Chen Cang glanced at Qin Xiaoyuan with a stun, and was a little more amazed.

Maybe this is the master?

But at this time, Qin Xiaoyuan asked Chen Cang: "What's going on?"

Chen Cang then explained Yu Yi's condition.

Finally, "I now highly suspect pulmonary embolism!"

Qin Xiaoyuan picked up his stethoscope and looked up, then took an electrocardiogram for a moment and nodded and said:

"If you add the allergic rash just now, the probability is up to 90%!"

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