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


    [Ding! Trigger hidden task: the first link of truth: rescue Yu Yi!


    There are some special clues behind Yu Yi. Please investigate.


    After the task is finally completed, you can get rich rewards. Current task progress: 1%.]


    Chen Cang was stunned.


    truth?


    What truth?


    Is there a clue about something special behind Yu Yi?


    Chen Cang was blinded by the sudden serial task of the system.


    However, this is not the time to tangle. Now the patient''s vital signs are very unstable. This is not the time to tangle.


    However, what makes Chen Cang curious is that the man who said he was an agent is 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 really as serious as you said?"


    Chen Cang nodded in a deep voice: "it seems more serious. Now the diagnosis is unknown, the patient''s vital signs are unstable, and the examination can''t be improved. Now we have invited experts in the hospital for consultation, but... Now the situation is special, you still need to sign."


    After Chen Cang''s words, Yu Yingcai did not hesitate and signed decisively.


    At this time, Chen Cang asked, "is Yu Yi ill at ordinary times?"


    Yu Yingcai shook his head: "there is no disease. The occupational disease is that some throat is uncomfortable, 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 hearing this, Yu Yingcai was stunned, looked serious and said, "no! Absolutely not! I''m just worried about being offended by many bad habits in this circle, so I resigned to be his agent."


    Chen Cang nodded.


    After asking a few more questions, he returned to the rescue room.


    Shina has completed the ECG at this time.


    Chen Cang took it over.


    Suddenly frown, this ECG is very atypical and basically has no characteristics, which can not be used as the basis for diagnosis.


    Chen Cang took a deep breath to calm himself down.


    Emergency physicians should calm down their thinking anytime and anywhere and calmly analyze all clues.


    Sudden onset, unexplained pale complexion, dyspnea, cough, hemoptysis, and even syncope!


    There are typical convulsions, not necessarily epilepsy!


    It may also be a manifestation of cerebral hypoxia


    What causes sudden syncope?


    Check Chen Cang''s brain one by one!


    Orthostatic hypotension? Hypertensive encephalopathy? Blood pressure is completely normal. It just decreased. It''s still because of pericardial effusion, so it''s ruled out directly!


    Arrhythmia, myocardial infarction? ECG is normal, which can be basically ruled out!


    Cerebral arteriosclerosis? Cerebral hemorrhage? Vasovagal syncope?


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


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


    Meningeal irritation sign


    All negative!


    Cerebrovascular accidents 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 suddenly changed his face.


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


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


    Probably acute pulmonary embolism!


    Youth onset, syncope, hemoptysis, pleural effusion, pericardial effusion, accompanied by dyspnea


    Moreover, this dyspnea is sudden!


    Thinking of this, Chen Cang suddenly changed his face.


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


    Chen Cang hurriedly picked up the stethoscope and continued to improve the relevant examination. At this time, he heard the diastolic galloping law 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 you need a diagnosis, you need to check the row level by level to make a clear diagnosis!


    However, can the patient support to do angiography now?


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


    What should I do?


    Because of the acute onset of pulmonary embolism, first aid treatment must be done, then anticoagulant treatment, and surgical treatment when necessary!


    At this time, the door of the emergency room suddenly opened. Chen Cang turned and looked. Several directors rushed in.


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


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


    After entering, Qin Xiaoyuan directly asked, "Xiao Chen, what''s the situation?"


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


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


    The ECG monitor alarms again.


    Qin Xiaoyuan''s face changed, hurried forward, looked at the patient''s state, judged vital signs, and immediately said, "endotracheal intubation!"


    Chen Cang was stunned. He got up immediately and began to prepare!


    How could this happen at this time?


    Chen Cang doesn''t understand!


    Qin Xiaoyuan said to Lele on one side, "prepare for intramuscular injection of dexamethasone 15mg and adrenaline 1mg!"


    Although Chen Cang didn''t say much, he was stunned: is this... Anti allergy?


    When did the patient become allergic?


    At this time, the laryngoscope has been ready. Chen Cang is ready to intubate without considering others!


    At this time, he suddenly found that there was an allergic rash in the throat!


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


    If this goes on, the respiratory tract will be completely blocked in the morning!


    Suddenly, Chen Cang''s scalp was numb!


    What kind of patient is this?


    If President Qin didn''t come in time, Chen Cang was thinking... How long can he react?


    The emergency is like this. You have to be ready for rescue at any time.


    Patients are now highly suspected of pulmonary embolism and have syncope. If there is allergy and respiratory abnormalities, the mortality will be more than 90%!


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


    Chen Cang looked at Qin Xiaoyuan with some surprise, and his heart was a little more surprised.


    Maybe this is a master?


    But at this time, Qin Xiaoyuan asked Chen Cang, "what''s going on?"


    Chen Cang explained Yu Yi''s condition.


    Finally, he said, "I highly suspect it is pulmonary embolism!"


    Qin Xiaoyuan picked up the stethoscope and looked at it. Then he held the ECG for a moment, nodded and said:


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