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Chapter 715: Hidden Mission

Just as 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 the truth: Rescue Yu Yi!

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

After the task is finally completed, you can receive generous rewards. The current task progress is: 1%.]

Chen Cang was stunned.

the truth?

What's the truth?

Are there clues of special things hidden behind Yu Yi?

Chen Cang was confused by this sudden chain of tasks in the system.

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

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

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

Yu Yingcai's hand was trembling: "Director Chen, is it really as serious as you said?"

Chen Cang nodded in a deep voice: "It seems to be more serious. The diagnosis is unknown now, the patient's vital signs are unstable, and the examination cannot be improved. We have asked the hospital experts to conduct consultations, but... the situation is special now, and you still need to sign."

After Chen Cang finished speaking, Yu Yingcai signed the letter without hesitation.

At this time, Chen Cang asked: "What disease do Yu Yi usually have?"

Yu Yingcai shook his head: "There is no disease. Occupational disease is just a little uncomfortable with throat. It's often, but it's not been a day or two, four or five years."

Chen Cang nodded and asked another question that he was more concerned about: "Is there any history of absorbance?"

After hearing this, Yu Yingcai was stunned for a moment, and said with a serious expression, "No! Absolutely no! I was just worried that I would be troubled by many bad habits in this circle, so I resigned myself to be an agent for him."

Chen Cang nodded.

After asking 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.

I suddenly frowned. This electrocardiogram is very atypical and can be said to be characterized by no characteristics, which cannot be used as a basis for diagnosis.

Chen Cang took a deep breath and calmed himself down.

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

The onset suddenly, with pale complexion, difficulty breathing, coughing, hemoptysis, and even fainting due to unknown reasons!

There are typical convulsions, not necessarily epilepsy!

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

What causes sudden fainting?

Chen Cang checked one by one in his mind!

Orthostatic hypotension? Hypertensive encephalopathy? Blood pressure is completely normal. It was just lowered, but it was due to pericardial effusion, so it was directly ruled out!

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

Cerebral arteriosclerosis? Cerebral hemorrhage? Vascular syncope?

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

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

Meningeal irritation...

All negative!

Accidents in cerebrovascular can basically be ruled out!

At this time, the answer was about to come out.

Aortic stenosis?

Aortic dissection?

Or...acute pulmonary embolism?

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

If these three diseases are present, life-threatening at any time!

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

It is likely to be acute pulmonary embolism!

Youth is sick, fainting, hemoptysis, pleural effusion, pericardial effusion, accompanied by dyspnea...

Moreover, this dyspnea is sudden!

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

If it is suspected to be acute pulmonary embolism, the first step is to evaluate the clinical possibility!

Chen Cang quickly picked up the stethoscope and continued to improve the relevant examination. At this time, he heard the auscultation sounds, the vague diastolic galloping horse rhythm and the hyperactivity of the second heart sound of the pulmonary artery!

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

If a diagnosis is required, the diagnosis needs to be confirmed!

But, can patients now support the angiography?

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

what to do?

Because pulmonary embolism occurs urgently, first aid treatment must be performed, and anticoagulation treatment must be performed, and surgical treatment should be performed if necessary!

At this time, the door of the rescue room suddenly opened. Chen Cang turned around and saw several directors rushing towards him.

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

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

After coming in, Qin Xiaoyuan asked directly: "Xiao Chen, what's the situation?"

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

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

The electrocardiogram monitor called the alarm again.

Qin Xiaoyuan's face changed, he hurried forward, looked at the patient's condition, judged his vital signs, and immediately said: "Transtracheal intubation!"

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

How could this happen at this time?

Chen Cang is puzzled!

Qin Xiaoyuan said to Lele on the side: "Prepare for dexamethasone 15mg intramuscular injection and adrenaline 1mg intramuscular injection!"

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

When did the patient get allergic?

At this time, the laryngoscope was ready, and Chen Cang didn't care about anything else and was preparing to intubate!

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

Even hoarseness appeared, and even laryngeal 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 timely arrival, Chen Cang was wondering... how long would he react?

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

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

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

Chen Cang looked at Qin Xiaoyuan with some surprise, and felt a little more amazed inside.

Maybe, this is a 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 highly suspect it is a pulmonary embolism now!"

Qin Xiaoyuan picked up the stethoscope and looked at it. Then he was silent with the electrocardiogram for a moment, nodded and said:
Chapter completed!
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