Chapter 719： : 25% progress bar!

Although Chen Cang didn't know what the truth meant!

But he felt that if he could find out the diagnosis of the disease in Yi, the prompt for the next task would appear.

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

However, the matter of Yu Yi was suppressed by Qin Xiaoyuan not to let out, not because of other things, but because of fear of 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 "minded people" from all walks of life.

Maybe various doors will appear.

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

This has become one of Chen Cang's most recent concerns.

Chen Cang feels that if the cause of Yu Yi's disease can be understood, this progress bar may be truly completed, and the next task will be triggered!

However, it is now necessary to wait for the inspection results and reports.

In the afternoon of the same day, Director Zheng of ICU called and told Chen Cang: "Director Chen, the results of Yu Yi's inspection came out. Come and see."

After hearing this, Chen Cang went to the ICU in a hurry after finishing the matter at hand.

At this point, Yu Yi had woke up.

This gave Chen Cang a little bit more anticipation. Perhaps a direct dialogue with Yu Yi would give Chen Cang more clues!

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

Seeing Chen Cang coming in, his eyes suddenly lighted up: "Come here, just right, we are discussing Yu Yi's condition."

Chen Cang nodded and sat down, and Zheng Yongjun handed over the materials in it: "Director Chen, look, these are some of the tests you asked to do, as well as muscle tension testing, Xiao Zhao, what about Yu Yi? The situation. "

A lean man nodded and said, "Since the early morning of last night, the patient has had muscle twitches more than once. The cause is unknown, accompanied by arrhythmia, unstable blood pressure, high and low.

At first we suspected the sequelae of the surgery, and we were monitoring all night, and no one dared to sleep. "

"At about 8.25 am, the patient again experienced convulsions and convulsions for unknown reasons. After the patient's condition is stable, we are now going to call the neurology department and ask for a consultation."

"However, our preliminary judgment does not seem to be epilepsy, and the cause of muscle twitching is not yet found."

Zheng Yongjun nodded: "Director Chen, if you look at the EMG, there are obvious abnormalities on it."

Chen Cang nodded, and after looking through all the reports, he nodded immediately and said, "Actually, the main reasons for patients with convulsions, including lowering blood pressure and respiratory depression, may be related to codeine in the cough water. . "

When everyone heard it, they suddenly looked up!

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

Chen Cang continued: "Patients with long-term insomnia often take oral antipsychotic drugs, such as alprazolam, diazepam, dexazopiclone tablets."

"I just got the news from Yu Yi's father last night, so I checked some literature when I went back, and got the result: when codeine is combined with CNS, it can aggravate central respiratory depression and produce low Blood pressure and even arrhythmia. "

As soon as Chen Cang's words came to an end, everyone around them suddenly realized!

Codeine and anesthetics have such an effect!

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

But there is one more question!

Doctor Zhao asked curiously: "So ... Director Chen, why is there an abnormality in my electromyogram?"

Chen Cang is actually not very clear about this issue.

He also stayed up late last night to check the information and found no specific cause, but he still had some speculation.

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

"But in the case of meningitis, I checked the body yesterday, and the meningeal irritation sign was negative. If the cerebral infarction is stable, let's wait for the patient to stabilize to do a head nuclear magnetic resonance.

After everyone listened, they nodded!

In the eyes of the ICU and the emergency department, diseases like cerebral infarction seem to be too easy. In their eyes, as long as it is not a fatal disease, they can come slowly.

Is cerebral infarction troublesome?

It must be troublesome, but the brain infarction ...

And the patient's positive signs are not obvious. The most important thing now is the vital signs monitoring 48 hours after surgery.

Be sure to get through the dangerous period.

After discussions with Chen Cang and Zheng Yongjun, the clues are now 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 a moment of hesitation, he said: "The damage to the endothelium should be the main cause!"

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

Chen Cang shook his head: "I guess!"

After listening to Zheng Yongjun, he didn't laugh, but nodded in a deep conviction!

"When you say that, I seem to have cleared the clue."

"Yui itself has the conditions for deep vein thrombosis, that is, the damage to the vascular endothelium. In this way, the patient takes oral codeine and diazepam for a long time, and sudden arrhythmias!

At this time, Zheng Yongjun suddenly opened his eyes and said to Doctor Zhao, "Xiao Zhao, did you have a 24-hour dynamic electrocardiogram yesterday?"

Dr. Zhao's eyes suddenly lighted: "It's off, 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 issued a report.

After about ten minutes!

Dr Zhao said with an expression of excitement: "Come out! Director Zheng, there is! There is AF, and last night there was AF!"

As soon as this word came out, everyone suddenly became cheerful!

Chen Cang was also in front of her eyes.

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

The cause is: vascular endothelial damage is the basis of thrombosis.

And if atrial fibrillation caused by arrhythmia may be the cause of pulmonary embolism!

The diagnosis and treatment of diseases, as well as examinations, are important.

Many times ~ www.novelhall.com ~ Although the patient's disease has been treated, the root cause is not clear.

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

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

Chen Cang immediately rejoiced!

but……

Is 25% less than the next standard?

perhaps!

As soon as Chen Cang's eyes brightened, when the patient's vital signs returned to normal tomorrow, all the results came out, the diagnosis was clear, and the progress bar was enough!

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