Chapter 719: The progress bar is 25%!
Although Chen Cang didn’t know what the truth was referring to!
But he felt that if he could find out Yu Yi's disease diagnosis, the prompts for the next task would appear.
The next day, Chen Cang went to work as usual.
Yu Yi's affairs were suppressed by Qin Xiaoyuan and refused to be rumored, not because of anything else, but because of concerns that it would affect the normal order of the hospital.
Being a public figure is still very troublesome, and if you are not careful, it will attract the attention of "minded people" from all walks of life.
Maybe various doors will appear.
Chen Cang looked at the progress bar and kept it at about 18%.
This matter has become one of Chen Cang’s most worried things recently.
Chen Cang felt that if the cause of Yu Yi's disease can be clarified, this progress bar may be truly completed and the next task can be triggered!
However, now we need to wait for the inspection results and reports.
That afternoon, Director Zheng of ICU called Chen Cang and told Chen Cang: "Director Chen, Yu Yi's inspection results have come out, come and have a look."
After hearing this, Chen Cang finished handling the matter at hand and hurried to go to the icu.
At this time, Yu Yi had already woken up.
This made Chen Cang feel a little more anticipated. Perhaps the direct conversation with Yu Yi will give Chen Cang more clues!
However, he went to the doctor's office first, and Director Zheng was hesitating with Yu Yi's report at this time.
When he saw Chen Cang coming in, his eyes lit up: "Here, it's just right, we are discussing Yu Yi's condition."
Chen Cang nodded and sat down aside, and Zheng Yongjun handed over the materials in his hand: "Director Chen, look, these are some of the tests you told you to do, as well as muscle tone tests. Xiao Zhao, tell me about Yu Yi's situation."
A lean man opposite nodded and said, "Since the early morning of last night, the patient had muscle twitches more than once. The reason is unknown, accompanied by arrhythmia, unstable blood pressure, and frequent highs and lows.
At first we suspected it was a sequelae of the surgery, and we were monitoring all night, and no one dared to sleep."
"At about 8:25 in the morning, the patient had convulsions and convulsions again. The reason was unknown. After the patient's condition was stable, we are now preparing to call the neurology department and request a consultation."
"However, we have initially judged that it is not like epilepsy, and we can't find the cause of muscle twitching yet."
Zheng Yongjun nodded: "Director Chen, look at the electromyography, and there are obvious abnormalities on it."
Chen Cang nodded and looked through all the reports, and nodded immediately and said, "In fact, the main reason for the patient's convulsions, including lower blood pressure and respiratory depression, may be closely related to codeine in the cough water."
When everyone heard this, they looked up curiously!
Zheng Yongjun also frowned: "Director Chen means..."
Chen Cang continued: "Patients have long-term insomnia and often take oral psychostatic drugs such as alprazolam, diazepilon, and gozopiclone tablets."
"I just got this news from Yu Yi's father last night, so after I went back, I checked some documents and got the results: when codeine and central nervous system inhibitors are used in combination, it can aggravate central respiratory depression and produce hypotension, and even cause arrhythmia."
As soon as Chen Cang finished speaking, the people around him suddenly realized!
But the combination of codeine and anesthetics has such an effect!
In this way, Yu Yi's symptoms last night can be explained clearly.
But, there is another problem!
Dr. Zhao asked curiously: "So... Director Chen, why does he have an abnormal electromyography?"
Chen Cang was actually 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 checked my body yesterday. If the meningeal irritation sign is negative, if the patient is cerebral infarction, I will go to have a skull magnetic field after the patient is stable."
After hearing this, everyone nodded!
In the eyes of ICU and the emergency department, cerebral infarctions seem to be too easy. In their eyes, as long as it is not a fatal disease, you can take it slowly.
Is it troublesome to cerebral infarction?
It must be troublesome, but cerebral infarction is not life...
Moreover, the positive signs of the patient are not obvious. The most important thing now is the monitoring of vital signs at 4 o'clock after the operation.
Be sure to pass the dangerous period.
After Chen Cang and 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 moment, he said: "The damage to the endothelium should be the main cause!"
This sentence made Zheng Yongjun stunned: "Oh?"
Chen Cang shook his head: "I guess!"
After hearing this, Zheng Yongjun did not laugh, but nodded in deep thought!
"After you say that, I seem to have figured out the clues."
"Yu Yi has the conditions for deep vein thrombosis, which is the damage to the endothelium. In this way, the patient will take codeine and diarrhea for a long time and suddenly feel arrhythmia!"
At this time, Zheng Yongjun suddenly had his eyes lit up and he said to Dr. Zhao: "Xiao Zhao, have you done a 24-hour dynamic electrocardiogram yesterday?"
Dr. Zhao's eyes lit up immediately: "It's gone, but it's less than 24 hours!"
Zheng Yongjun: "How long has it been?"
“Eighteen hours or so.”
Zheng Yongjun: "Enough! Report! See if there is any atrial fibrillation!"
Dr. Zhao nodded quickly, got up and hurried to get the device and report it.
About ten years passed!
Dr. Zhao said excitedly: "Here comes out! Director Zheng, there is! There is atrial fibrillation, and there is atrial fibrillation last night!"
As soon as these words came out, everyone suddenly became enlightened!
Chen Cang's eyes also lit up. It turns out that there are many people and great power.
Now, Yu Yi's pathogenesis has finally been discussed.
The cause is: vascular endothelial injury is the basis of thrombosis.
And if atrial fibrillation caused by arrhythmia may be the cause of pulmonary embolism!
The diagnosis and treatment of diseases and examination and testing are very important.
Many times, although the patient's disease is treated, the final reason is not clear.
At this time, Chen Cang and Iciu's team completed a detailed disease inference process.
At this moment, Chen Cang suddenly found that the task progress bar prompted by the system reached directly: 25%!
Chen Cang was immediately delighted!
But……
Is it less than the next link standard after 25%?
perhaps!
Chen Cang's eyes lit up. When the patient's vital signs return to normal tomorrow, all the results will come out and the diagnosis will be clear, and the progress bar will be enough!
Chapter completed!