Chapter 716 Hidden Mission

Just when Chen Cang was about to ask the man a question, a prompt sound suddenly appeared in Chen Cang's mind!

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

There are clues of some special things hidden behind Yu Yi, please investigate clearly.

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

Chen Cang was stunned.

the truth?

What truth?

Are there clues to special events behind Yu Yi?

Chen Cang was confused by the system's sudden chain of tasks.

However, now is not the time to be entangled. Now the patient's vital signs are very unstable, so this is not the time to be entangled in this.

However, what made Chen Cang curious was that the man in front of him who said he was the manager was actually Yu Yi's father?

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

Yu Yingcai's hand trembled a little: "Director Chen, is it really as serious as you said?"

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

After Chen Cang finished speaking, Yu Yingcai signed it decisively without hesitation.

At this time, Chen Cang asked, "Does Yu Yiping have any illness?"

Yu Yingcai shook his head: "There's nothing wrong with it. Occupational disease is just a sore throat, often, but it's not a day or two, it's been four or five years."

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

After Yu Yingcai heard it, she was stunned for a moment, and said with a serious expression, "No! Absolutely not! I was just worried that I would be provoked by many bad habits in this circle, so I personally resigned to be his manager."

Chen Cang nodded.

After continuing to ask a few questions, he returned to the rescue room.

Shi Na has completed the electrocardiogram at this time.

Chen Cang took it and took a look.

Suddenly frowned, this electrocardiogram is very atypical, basically it can be said that there are no features, which can not be used as a basis for diagnosis.

Chen Cang took a deep breath and calmed himself down.

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

Sudden onset, unexplained paleness, difficulty breathing, coughing and hemoptysis, and even syncope!

Have typical convulsions, not necessarily epilepsy!

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

What can cause sudden syncope?

Chen Cang checked one by one in his mind!

Orthostatic hypotension? Hypertensive encephalopathy? The blood pressure is completely normal, it just dropped just now, or because of pericardial effusion, so it is directly ruled out!

Arrhythmia, myocardial infarction? The electrocardiogram is normal, basically can be ruled out!

Cerebral arteriosclerosis? Brain hemorrhage? Vasovagal syncope?

If these three possibilities, cerebral hemorrhage is the most dangerous, cerebral arteriosclerosis should not be, but now there is no time to check.

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

Meningeal irritation sign...

All are negative!

Cerebrovascular accidents can basically be ruled out!

At this time, the answer is ready to come out.

Aortic stenosis?

Aortic dissection?

Or... an acute pulmonary embolism?

Thinking of this, Chen Cang's expression changed suddenly.

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

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

Most likely acute pulmonary embolism!

Youth onset, syncope, hemoptysis, pleural effusion, pericardial effusion, with dyspnea...

Moreover, this dyspnea is sudden!

Thinking of this, Chen Cang's expression changed suddenly.

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, he heard the faint diastolic galloping rhythm of the auscultation sounds, as well as the hyperactivity of the second heart sound of the pulmonary artery!

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

If you need to make a diagnosis, you need to check the rows step by step to make a clear diagnosis!

However, can the patient support an angiography now?

If you don't do it, it's even more troublesome now!

How to do?

Because of the acute onset of pulmonary embolism, emergency treatment must be performed, followed by anticoagulation therapy, and surgery if necessary!

At this time, the door of the emergency room suddenly opened, Chen Cang turned around and saw several directors rushed over.

Li Baoshan, Qin Xiaoyuan, Tao Mi, Niu Tianfu and others walked in!

This morning, there was an annual meeting in the next province, they left in the morning and are only now returning.

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

Chen Cang was about to speak when suddenly the patient's breathing became more intense.

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

The ECG monitor beeped again.

Qin Xiaoyuan's expression changed, he hurriedly stepped forward, looked at the patient's condition, judged the vital signs, and immediately said, "tracheal intubation!"

Chen Cang was stunned, got up immediately, and started to prepare!

How could this happen at this time?

Chen Cang was puzzled!

And Qin Xiaoyuan said to Lele on the side: "Prepare dexamethasone 15mg intramuscular injection, epinephrine 1mg intramuscular injection!"

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

When did the patient become allergic?

At this time, the laryngoscope was ready, and Chen Cang was ready to intubate!

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

There was even a hoarse voice, and even laryngeal edema began to appear!

If this goes on, the airway will be completely obstructed sooner or later!

Suddenly, Chen Cang's scalp felt numb!

What kind of patient is this?

If it wasn't for President Qin's arrival, Chen Cang was thinking... How long would it take for him to react?

The emergency is like this, you have to be ready for rescue at any time.

The patient is now highly suspected of pulmonary embolism and has syncope. If allergies occur and cause respiratory abnormalities, the mortality rate will be as high as 90%!

After emergency treatment, the patient's breathing stabilized after about three minutes.

Chen Cang glanced at Qin Xiaoyuan in amazement, and was a little more amazed in his heart.

Perhaps, this is the master, right?

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

Only then did Chen Cang explain Yu Yi's condition.

Finally, he said: "I now highly suspect a pulmonary embolism!"

Qin Xiaoyuan picked up the stethoscope and looked at it, then took the electrocardiogram and was silent for a moment, then nodded and said:

"If you add the allergic rash just now, the probability is as high as 90%!"