Doctor Started a Plug-in

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Just as Chen Cang was about to ask the man’s question, suddenly a tone appeared in Chen Cang’s mind!

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

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

After the mission is completed, it will receive a generous reward. Current Mission progress: 1%. 】

Chen Cang suddenly froze.

the truth?

What is the truth?

There are clues about special things hidden behind Yu Yi?

Chen Cang was fooled by the unexpected serial Mission of system.

However, this is not the time to struggle, and the Patient lifeform sign is very unstable now, not this time to struggle.

However, what made Chen Cang curious was that the man in front of him who said he was an agent turned out to be Yu Yi’s father?

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

Yu Yingcai’s hand shook a little: “Director Chen, is it really as serious as you said?”

Chen Cang Shen Sheng nodded: “It seems to be more serious. Now the diagnosis is unclear, the Patient lifeform sign is unstable, and the examination can’t be improved. We have now invited the expert in the hospital for consultation, but…the situation is special now, you still need to sign. “

After Chen Cang finished speaking, Yu Yingcai did not hesitate to sign decisively.

At this time, Chen Cang asked: “Is there anything wrong with Yu Yiping?”

Yu Yingcai shook his head: “There is no disease. Occupational disease is that some throat is uncomfortable, often, but this is not 2 days a day, there are 4 years.”

Chen Cang nodded asked another more concerned question: “Is there any history of absorbance?”

After Yu Yingcai heard it, he froze for a moment, and said with a serious expression, “No! Absolutely not! I was just worried about being aroused by a lot of bad habits in this circle, so I quit my job as an agent.”

Chen Cang nodded.

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

Shi Na has completed the ECG at this time.

Chen Cang took a look.

Suddenly frowned, this electrocardiogram is very atypical, basically can be said to have no features, which can not be used as a basis for diagnosis.

Chen Cang took a deep breath and calmed himself down.

The Emergency Doctor should calm down his thoughts anytime and anywhere, and calmly analyze all the clues.

Sudden onset, complexion pale for unknown reasons, difficulty breathing, coughing and hemoptysis, and even fainting!

There is typical convulsions, not necessarily epilepsy!

It may also be a manifestation of cerebral hypoxia…

What can cause sudden syncope?

Chen Cang checks one by one in his mind!

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

Arrhythmia, myocardial infarction? The electrocardiogram is normal and can basically be excluded!

Cerebral arteriosclerosis? Brain hemorrhage? blood vessels vagal syncope?

If these 3 possibilities are the case, cerebral hemorrhage is the most dangerous. Cerebral arteriosclerosis should not be affected, but now there is simply no time to check.

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

Meningeal irritation…

All are negative!

The accident of brain blood vessels 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 complexion changed.

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

However, at this time, Chen Cang suddenly became bright.

It is likely to be acute pulmonary embolism!

Young onset, syncope, hemoptysis, pleural effusion, pericardial effusion, accompanied by difficulty breathing…

Moreover, this difficulty in breathing is sudden!

Thinking of this, Chen Cang suddenly complexion changed.

If it is suspected of acute pulmonary embolism, 1st Step requires clinical probability assessment!

Chen Cang quickly picked up the stethoscope and continued to improve the relevant examination. At this time, the auscultation sound heard faintly discernable diastolic galloping rhythm, as well as the hyperactivity of the second heart sound of the pulmonary artery!

As a result, the probability of pulmonary embolism has increased to more than 60% at once!

If you need to confirm the diagnosis, you need to check the row level to confirm the diagnosis!

However, can the Patient support the angiography?

If you don’t, it’s more troublesome now!

How to do?

Because of the acute onset of pulmonary embolism, first-aid treatment must be done, and then anticoagulation treatment, and surgery if necessary!

At this time, the door of the rescue room suddenly opened, Chen Cang turned to look, and several directors rushed in.

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

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

After coming in, Qin Xiaoyuan directly asked: “Little Chen, what’s the situation?”

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

Patient’s face was blue and purple, and the whole person was in a state of suffocation.

The electrocardiogram monitor di di di drops the alarm again.

Qin Xiaoyuan complexion changed, hurried forward, looking at the state of Patient, judging the lifeform sign, immediately said: “Intubation!”

Chen Cang froze, stood up immediately, and began to prepare!

How can this happen at this time?

Chen Cang puzzled!

Qin Xiaoyuan said to Lele on the side: “Preparation of dexamethasone 15mg intramuscular injection, epinephrine 1mg intramuscular injection!”

Although Chen Cang didn’t say much, he was stunned: Is this… Anti-allergic?

When is Patient allergic?

At this time, the laryngoscope is ready to be completed, Chen Cang can’t care about the other, ready to intubate!

At this time, he suddenly discovered that there was an allergic rash on the throat!

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

If this continues, sooner or later the airway will be completely blocked!

Suddenly, Chen Cang’s scalp numb!

What kind of Patient is this?

If it wasn’t Dean Qin’s timely arrival, Chen Cang was thinking…how long can he react?

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

Patient is now highly suspicious of pulmonary embolism and has syncope itself. If allergies occur and cause abnormalities in the respiratory tract, the mortality rate will be as high as 100/90!

After emergency treatment, after about 3 minutes, Patient’s breathing stabilized.

Chen Cang glanced at Qin Xiaoyuan a little with amazement.

Perhaps this is expert?

But this time, Qin Xiaoyuan asked Chen Cang: “What’s going on?”

Chen Cang explained Yu Yi’s condition.

Finally said: “I now highly suspect pulmonary embolism!”

Qin Xiaoyuan picked up the stethoscope and looked at it, then took an electrocardiogram for a while, and nodded said:

“If you add the allergic rash just now, the probability is as high as 100/90!”