Chapter 720 The Progress Bar Is 25%!
Although Chen Cang didn't know what the truth was referring to!
But he felt that if the diagnosis of Yu Yi's disease could be found out, the prompt for the next mission would appear.
The next day, Chen Cang went to work as usual.
However, Qin Xiaoyuan suppressed Yu Yi's matter from the outside world, not because of other reasons, but because he was worried that it would affect the normal order of the hospital.
It is still very troublesome to be a public figure, and if you are not careful, it will attract the attention of "minded people" from all walks of life.
There may be various doors.
Chen Cang looked at the progress bar, which remained at about 18 percent.
This matter has become one of the things that Chen Cang is most worried about recently.
Chen Cang felt that if the cause of Yu Yi's disease development and development could be clarified, the progress bar might be truly completed, and the next mission would be triggered!
However, now need to wait for inspection results and reports.
That afternoon, Director Zheng of the ICU called and told Chen Cang, "Director Chen, the results of Yu Yi's examination are out. Come and have a look."
After Chen Cang heard it, he went to the ICU in a hurry after finishing the work at hand.
At this time, Yu Yi had woken up.
This made Chen Cang a little more looking forward to it. Perhaps 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 sheet with some hesitation.
Seeing Chen Cang come in, his eyes suddenly 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, look, these are some of the tests you asked to do, as well as muscle tension tests, Xiao Zhao, tell me about Yu Yi. situation."
A lean man on the opposite side nodded and said, "Since the early morning of last night, the patient has experienced muscle twitching more than once, the cause is unknown, accompanied by arrhythmia, and the blood pressure is unstable, fluctuating high and low.
At first we suspected that it was the after-effects of the operation, and we were monitoring it all night, and no one dared to sleep. "
"About 8:25 in the morning, the patient experienced convulsions and convulsions again. The cause is unknown. After the patient's condition is stable, we are now going to call the neurology department and ask for a consultation."
"However, our initial judgment is not like epilepsy, and the cause of muscle twitching has not been found yet."
Zheng Yongjun nodded: "Director Chen, look at the electromyogram, there are obvious abnormalities on it."
Chen Cang nodded, and after doubling all the reports, he nodded and said, "Actually, the main reason for the patient's convulsions, including lower blood pressure and respiratory depression, may have a lot to do with the codeine in the cough syrup. ."
When everyone heard this, they immediately raised their heads in curiosity!
Zheng Yongjun also frowned: "Director Chen means..."
Chen Cang continued: "Patients suffer from long-term insomnia and often take antipsychotic drugs, such as alprazolam, diazepam, and eszopiclone tablets."
"I also just got this news from Yu Yi's father last night, so after I went back, I checked some literature and got the result: When codeine is combined with central nervous system depressants, it can aggravate central respiratory depression and produce low blood pressure. blood pressure, and even arrhythmias."
As soon as Chen Cang's voice fell, the people around him suddenly realized!
The combination of codeine and anesthetic has such an effect!
In this case, Yu Yi's symptoms last night can be explained clearly.
But, one more question!
Doctor Zhao asked curiously, "So... Director Chen, why does he have an abnormal electromyogram?"
In fact, Chen Cang is not very clear about this issue.
He also stayed up late last night to check the information, but he couldn't find the specific cause, but he still had some guesses.
Chen Cang said: "I have two suspicions, one is meningitis and the other is cerebral infarction."
"But for meningitis, I had a physical examination yesterday and the meningeal irritation sign was negative. For cerebral infarction, wait for the patient to stabilize and have a head MRI."
After everyone listened, they also nodded!
In the eyes of the ICU and the emergency department, diseases such as cerebral infarction seem to be too easy. In their eyes, as long as it is not a fatal disease, they can take it slowly.
Cerebral infarction trouble?
It must be troublesome, but cerebral infarction is not fatal...
And the patient's positive signs are not obvious, and now the most important thing is to monitor the vital signs for 48 hours after the operation.
Be sure to get through the dangerous period.
After Chen Cang, Zheng Yongjun and others finished discussing, everyone's 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 hesitating for a while, he said, "The damage to the vascular endothelium should be the main reason!"
This sentence made Zheng Yongjun stunned for a moment: "Oh?"
Chen Cang shook his head: "I guess!"
After Zheng Yongjun heard it, he didn't laugh, but nodded his head in deep thought!
"When you say that, I seem to have made the clues clear."
"Yu Yi himself has the condition for deep vein thrombosis, that is, the damage of the vascular endothelium. In this case, the patient will take codeine and tranquilizers for a long time, and the arrhythmia will suddenly occur!"
Speaking of this time, Zheng Yongjun's eyes suddenly lit up, and he said to Doctor Zhao, "Little Zhao, did you take a 24-hour dynamic electrocardiogram yesterday?"
Dr. Zhao's eyes suddenly lit up: "Go, but it's less than 24 hours!"
Zheng Yongjun: "How long has it been?"
"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.
It's been about ten minutes!
Dr. Zhao said excitedly: "Come out! Director Zheng, there is! There is atrial fibrillation, and there was atrial fibrillation last night!"
As soon as these words came out, everyone suddenly became enlightened!
Chen Cang's eyes also lit up, as expected, there are many people and great power.
Now, the pathogenesis of Yu Yi has finally been discussed.
The etiology has: vascular endothelial injury is the basis of thrombosis.
And if atrial fibrillation caused by arrhythmia may be the cause of pulmonary embolism!
Diagnosis and treatment of diseases and examinations are very important.
In many cases, although the patient's disease has been treated, the root cause is still unclear.
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 indicated by the system had arrived directly: 25%!
Chen Cang was instantly overjoyed!
But……
Twenty-five percent is still not enough to meet the standard of the next ring?
perhaps!
Chen Cang's eyes lit up. When the patient's vital signs return to normal tomorrow, all the results come out, the diagnosis is clear, and the progress bar is enough!