These reports show that serum troponin, myoglobin, and plasma-D dimers are significantly increased, and BNP is slightly increased.

This further confirms Chen Xia's speculation.

Several senior directors are now impressed by Chen Xia. A young doctor who is not from a professional background actually has such an opinion. This level cannot be achieved by an average attending doctor.

Du Guobiao smiled and said, "Then tell us what inferences do you have."

Chen Xia explained: "I think so. The first is that the patient is a young woman with an acute illness, no emotional problems, no sleeping pills at home, and she is still washing clothes in the morning, eliminating consciousness disorders caused by sedation sleeping pills and drug use.

Second, the main clinical manifestations of patients are consciousness disorders, shock, and consciousness is significantly improved after correction, indicating that consciousness disorders are basically caused by shock, and the types of diseases that cause consciousness disorders are nothing more than these:

1. Diabetes acute diseases such as hypoglycemia, diabetic ketoacidosis and hyperosmotic coma, these conditions combined with blood sugar can be excluded.

2. Electrolyte disorders: especially severe hyponatremia, blood sodium 147mmol/L, removed!

3. Poisoning: There are many poisons of this type, which are the most difficult to determine. However, based on the medical history, we can temporarily rule out it out, or there is no clear evidence of poisoning.

4. Hepatic encephalopathy, pulmonary encephalopathy and uremia encephalopathy may also be generally excluded. However, patients with obvious abnormal coliform enzymatics should also pay attention to the abnormal liver function, such as the hepatic encephalopathy caused by acute liver damage.

5. Except for epilepsy seizures automatically, there is no need to say it.”

The three senior directors and several young doctors nodded together.

Chen Xia continued:

"We can actually figure out a clue: young women have acute illness - their past health and no special hobbies - sitting on washing clothes + oral contraceptives for a long time before the onset of the illness.

Main clinical manifestations: consciousness disorder + shock, consciousness problems are most likely caused by shock! For the time being, it is summarized as shock - positive situation: jugular vein filling is an exacerbated right heart load or a large amount of pericardial effusion,

Tachycardia + hypoxemia + electrocardiogram changes + slightly increased myocardial enzymes + significantly increased plasma D-dimers, which is a manifestation of thrombosis and activation of the fibrinolytic system.

Then pulmonary embolism can explain almost everything the patient is doing now.”

The three chief directors laughed after hearing this.

Du Guobiao even patted Chen Xia on the shoulder: "It turns out that he is a tiger father without a dog son. Xiao Xia, you are so surprising. You have convinced me."

Feng Runguang and Yu Guocheng also looked at the young man in front of him who was surprised with admiration.

At this time, the patient came back after the examination. Wu Shaochen rushed into the office and shouted loudly: "The examination results have come out, and it is highly suspected that it is pulmonary embolism."

Chen Xia sighed, "What a pity, if you can do a triple CT scan of chest pain, you can confirm it. You don't have to rely on experience to guess like you are now, and it will be a little bit of evidence. It is time-consuming and labor-intensive, and it is easy to make mistakes."

What is CT?

Several young doctors have become accustomed to Chen Xiashi's inexplicable words, and everyone takes their place. Since the diagnosis has been made, the next step is the treatment problem.

Just when everyone thought things were over, the good show had just begun.

When Bai Hua was placing on the table to write the emergency course record, the patient's husband's younger brother, the younger brother-in-law, quietly appeared behind him.

When the young man was shocked when he saw the record of the disease course that said "Estrogen caused by oral contraceptive pills..."

My eldest brother has been out for a year, so why is this sister-in-law taking birth control pills?

With three points of doubt and seven points of uncertainty, he quickly ran to Li Guizhen's hospital bed and asked everyone: "The doctor said that my sister-in-law's disease was caused by taking birth control pills."

As soon as these words came out, the scene was quiet, especially the bodies of the four elderly people trembled significantly.

Li Guizhen's father-in-law grabbed the youngest son's hand, "Are you sure your sister-in-law is taking birth control pills?"

The youngest son said aggrievedly: "Really, the doctor wrote this on the medical record."

The old man let go of his youngest son, walked to Bai Hua with a blue face, snatched his medical record he was writing, and then looked it out.

The more I looked at it, the more angry I became, the trembling of my whole body became more and more painful. Everyone present knew that things were going to be bad.

"Li Guizhen is a little girl, I'm your grandma!!!"

Chen Xia was discussing pulmonary embolism with three major directors in the office, and the outside was already in a mess.

When several directors heard the sound, as soon as they opened the door, a stool flew past their ears, scaring them into a cold sweat.

In the emergency room, Li Guizhen was lying on the hospital bed and twisting excitedly, while relatives from both sides had already started punching and kicking, twisting into a ball.

Especially the mother-in-law and mother, the in-laws even pulled each other's hair and refused to let go, completely tearing their faces apart.

"Okay, this shameless bitch actually steals a wild man. You dead old woman dares to hit me. I'll fuck you the 18th generation of the ancestors of the Li family."

"Old Li, our family thinks it is not bad for your daughter. This is how your daughter repays my distant mountains?"

"What nonsense is it? Go back and call someone. MD, this cousin, actually steals a man. Who is it? This matter is not over today!"

The two policemen did not leave. When they saw the fight between the two sides, they quickly stood up and dissuaded them. But at this time the man was completely on the fire and could not hear so much.

I don’t know which coworker took the blame and revealed something to the male relatives. I saw a few big men rushing into the office and pulling Zhu Hongzhong out inside.

"Everyone will see, this is an adulterer or the deputy director of Huang Xingji Fan Factory. OK, you are the ones that are worse than you, so beat me and kill me."

"Help, the police."

Now that the emergency department has become a "martial arts film + family ethics drama", the sound of fighting and even attracting the patients and family members in the outpatient clinic.

Chen Xia roared: "If you want to fight a TM, whoever smashes our emergency department will be arrested and labor reform."

The two policemen looked back at Chen Xia and smiled bitterly: "Chen Xiachang, why do you let them fight outside? You should stop them from fighting each other."

Chen Xia looked disdainful: "Stop it, this man and woman have families, and she deserves to do such a thing."

In 1982, China was still in a very conservative era, especially in rural areas like Kezhen. Although there were definitely many thirsty men and women who had secretly affair, it was definitely big news to be caught and raped.

This shocking gossip from the emergency department spread throughout the hospital in an instant, and then spread throughout Ke Town.

The final outcome was naturally that Zhu Hongzhong was expelled from both sides, Li Guizhen on the hospital bed was also expelled from the fan factory, and both families chose to divorce.

Although Li Guizhen was rescued this time, she died of illness three years later because she had not completely dissolved the thrombolysis before.

Zhu Hongzhong was disgraced and left his hometown. No one has ever seen him again since then.
Chapter completed!