Section 236
"Look at his face, Director Hu's face is gradually turning red!"
"No way? Could it be that Director Hu fainted because of allergies?!"
Everyone present was a doctor. Looking at the red spots on his body, most likely they thought it was an allergy.
Zhang Yi nodded and said: "Yes, I suspect that the reason for his fainting was not sudden death, but allergies!"
Zhou Qihong looked at Zhang Yi in disbelief.
Damn, this guy touched Director Hu's carotid artery twice during the whole process. How did he know he was allergic? ?
There was a hint of appreciation in the eyes of Jin Zhenglun and Xu Chang.
So many doctors at the scene didn't notice it, but he was the only one who found it.
I really can't believe that this guy's surgery was so good, but he was still observing so carefully.
At this time, the young man next to him wearing glasses and slicked back hair also glanced at Zhang Yi silently.
It turns out that he is Zhang Yi.
The doctor who defeated Xiao Zhiwen was also his opponent today.
But even if it is syncope caused by allergies, what are the allergens?
Da Beitou raised his head and glanced at the many leaders present, and then asked:
"It does sound like an allergy, but what are Director Hu's allergens?"
There happened to be a doctor from West China Orthopedic Surgery at the scene who said:
"Our Director Hu didn't eat anything this morning. I remember that he went to the imaging department after leaving the operating room, and then came directly for a meeting.
If we really want to talk about allergens...could it be something I ate in the imaging department or a radiation allergy? "
When Zhou Qihong heard this, he quickly shook his head and said:
"No, Director Hu has been working in the hospital for so many years. If he had been allergic to radiation, he would have been allergic to it long ago. It couldn't be now."
While Zhou Qihong said this, a young man brought an oxygen pillow from nowhere. There was no oxygen tube on site, so he had to directly open the valve at the mouth of the tube to give Director Hu oxygen.
Zhang Yi was also thinking carefully in his mind.
What are Director Hu’s allergens?
Sometimes, no matter how many anti-allergy drugs you use, it will be ineffective if you don’t find the allergen and cut off its connection with the patient.
But Director Hu only went to the imaging department?
"Did Director Hu eat anything else yesterday or the day before yesterday?" Zhang Yi asked.
The orthopedic surgeon shook his head and said:
"No? I remember that we all ate food from the canteen. I used to eat like this. I didn't see the director having any allergies?"
After listening, Zhang Yi lowered his head and carefully observed Director Hu lying on the ground.
With oxygen, the symptoms of shortness of breath were slightly relieved.
But the red spots on his body showed no signs of fading.
What kind of allergy could it be? !
At this moment, the man with glasses and a big back suddenly said:
"Dean Zhou, I suspect it's not an allergy! Although the most common symptom of erythema is an allergy, it may not be the case.
In addition to allergies, other diseases that cause red spots on the body include skin eczema, syphilis, and the immune disease lupus erythematosus!
Combined with the fact that Director Hu often stayed up late and lacked sleep, it may have caused low immunity. After the virus invaded, it attacked the immune system again, which led to the current situation.
I know that we doctors have to look carefully to make a correct diagnosis.
So I don’t think it should be defined too hastily as an allergy, and should be treated as lupus erythematosus! "
While talking, the big-backed man looked at Zhang Yi who was squatting on the ground.
The implication is that Zhang Yi said it was an allergy without careful observation. He was too hasty and not serious at all.
When Da Beitou said this, many doctors at the scene also thought it made sense.
Lupus erythematosus does have this symptom.
Maybe Director Hu is really not allergic.
Just at this time, the medical staff from the emergency department also rushed over.
Carrying stretchers and various medical supplies, they ran all the way.
In the conference room, everyone also consciously made way for the emergency department.
"Dean Zhou, we are coming."
"Save people first!" Zhou Qihong quickly pointed at Director Hu lying on the ground and said.
The emergency doctors in West China are very experienced.
Especially the one in front of me, Gao Tianqi.
38 years old, assistant to the director. When the deputy director retires, he will become the deputy director of the emergency department.
The strength is also outstanding.
Gao Tianqi walked over, pushed Zhang Yi away, and squatted next to Director Hu.
After some examination, the nurse performed ECG monitoring.
Blood pressure hg, respiration 27 times/min, heart rate 116 beats/min, body temperature 37.6°C.
Judging from the vital signs, there are no major problems.
But it’s often the problem that doesn’t see the big problem that is the problem.
He turned his head towards Gao Tianqi and said:
"Assistant Gao, my initial inference is that it is lupus erythematosus. Director Hu often stays up all night to perform surgeries. His low immunity is invaded and infected by the virus, so there are so many red spots on his body."
Gao Tianqi observed the red spots on Director Hu's chest and abdomen, nodded, and said:
"It does look a bit similar. While Director Hu's symptoms are still relatively mild, let's rush back to the emergency room for examination.
If it is really lupus erythematosus, it can be treated directly with non-steroidal anti-inflammatory drugs plus antimalarial drugs.
Director Zhou, don't worry too much, Director Hu will leave it to us for emergency treatment. "
Just as several emergency doctors were preparing to carry Director Hu on a stretcher and take him away.
Zhang Yi suddenly stopped him and said:
"No, you can't use non-steroidal drugs to treat it! Director Hu doesn't have lupus, he's just allergic! And it's allergic to contrast agents!"
Chapter 183 Amazing! How did Zhang Yi figure it out?
"What the hell? Allergic to contrast agents?"
"What is he talking about? What allergic to contrast agents?"
"Director Hu is allergic to contrast agents? Shouldn't it be lupus? The red spots on his body look like lupus."
"Where did Director Hu go to infuse contrast agents? Don't talk nonsense, okay!"
At the scene, many young doctors at West China were skeptical of Zhang Yi's speculation.
Even Lu Gao, who was leaning in the corner, couldn't help but whispered:
"Also allergic to contrast agents? What a boast! In my opinion, it's lupus!"
Liu Zifei turned her head and rolled her eyes quietly...
This idiot...
Just know how to sing the opposite tune, don't you know how to observe carefully? ?
She didn't think it was lupus, it was indeed more like allergies.
As for the allergen being the contrast agent, she had not expected this.
There are also patients who are allergic to contrast agents.
A small number of patients will experience allergic reactions such as nausea, vomiting, itchy skin and erythema after cardiovascular angiography.
That is because most of the contrast agents on the market are of two types, one of which can cause severe allergic reactions.
The first type is ionic contrast agents, such as 60%-76% diatrizoate.
There is also a non-ionic contrast agent, such as Uvichrom, Iohexol, Omnipaque, etc. and low-osmotic ionic contrast agents.
The first contrast agent, diatrizoate, requires an iodine allergy test before use.
If the patient is allergic to the first contrast agent, it cannot be used, and only the second one can be used.
However, a small number of patients with the second one will also experience symptoms such as nausea, vomiting, itchy skin, etc.
So what Zhang Yi said is not impossible.
But where did Director Hu get the contrast agent?