When a doctor opened a plug-in

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

Ding!Trigger the hidden mission: the first ring of truth: rescue Yu Yi!

There are clues about 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 is the truth?

There are clues to special things hidden behind Yu Yi?

Chen Cang was confused by the system's unexpected serial mission.

However, now is not the time to entangle, the patient's vital signs are very unstable, not the time to entangle this.

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 trembled a little: "Director Chen, is it so serious as you said?"

Chen Cang nodded in a deep voice: "It seems more serious. The diagnosis is unclear. The patient's vital signs are unstable. The examination can't be perfected. We have now asked 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 did not hesitate and signed it decisively.

At this time, Chen Cang asked, "Is Yu Yi usually sick?"

Yu Yingcai shook his head: "There is no illness. Occupational diseases are some uncomfortable throat, often, but this is not a day or two. It has been four or five years."

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

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

Chen Cang nodded.

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

Shi Na has completed the electrocardiogram at this time.

Chen Cang took a look.

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

Chen Cang took a deep breath and calmed himself down.

Emergency doctors should calm their thinking anytime and anywhere, and calmly analyze all clues.

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

There are 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 was completely normal, and it just dropped just now. It was because of the pericardial effusion, so it was directly ruled out!

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

Cerebral arteriosclerosis?Brain hemorrhage?Vasovagal syncope?

If these three are possible, cerebral hemorrhage is the most dangerous, and cerebral arteriosclerosis should not be enough, but there is no time to check.

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

Meningeal irritation...

All feminine!

The cerebrovascular accident can basically be ruled out!

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

Aortic stenosis?

Aortic dissection?

Or... acute pulmonary embolism?

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

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

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

It may be acute pulmonary embolism!

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

Moreover, this breathing difficulty is sudden!

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

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 related examinations. At this time, he heard the Ruoruuo diastolic galloping rhythm and the hyperactivity of the second pulmonary heart sound!

As a result, the possibility of pulmonary embolism suddenly increased to more than 60%!

If you need to make a diagnosis, you need to check and arrange each level to make the diagnosis clear!

However, can patients now support the radiography?

If you don't do it, it will be more troublesome now!

How to do?

Because the onset of pulmonary embolism is urgent, emergency treatment must be done, then anticoagulation treatment, and surgery if necessary!

At this moment, the door of the rescue room suddenly opened, and Chen Cang turned around to see that several directors rushed in.

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

This morning, there was an annual meeting held in the neighboring province. They set off in the morning and only came back now.

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 at this time.

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

The ECG monitor alarmed again.

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

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

How could this happen at this time?

Chen Cang puzzled!

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

Although Chen Cang didn't say much, he was taken aback: This...is anti-allergic?

When did the patient become allergic?

At this time, the laryngoscope was ready to be completed, and Chen Cang couldn't take care of the others and was ready to intubate!

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

There was even hoarseness, and even throat edema began to appear!

If this continues, the respiratory tract will be completely obstructed sooner or later!

Suddenly, Chen Cang's scalp became numb!

What kind of patient is this?

If it weren't for Dean Qin's arrival in time, Chen Cang wondered...how long can he react?

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

Patients are now highly suspicious of pulmonary embolism, and they may have fainting. If allergies occur, causing respiratory tract abnormalities, the mortality rate will be as high as 90%!

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

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

Perhaps this is the master?

But at this time, Qin Xiaoyuan asked Chen Cang: "What's the matter?"

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

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

Qin Xiaoyuan picked up the stethoscope and looked at it, then held the electrocardiogram in silence for a moment, nodded and said:

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