Chen Xia continued to analyze:
"Look at the patient's electrocardiogram again. The ST segments in chest leads V1, V2, V3, and V4 are significantly depressed, and the T waves are inverted. So pneumothorax, non-ST-segment elevation myocardial infarction, hypertrophic myocarditis, and dilated cardiomyopathy are all possible considerations."
At this time, the young policeman also interrupted: "Doctor, is there a possibility of drug or poison poisoning?"
Chen Xia couldn't refute it, so he could only nod and say, "Everything is possible."
Since the cause of the disease cannot be determined, symptomatic treatment must be done immediately. The patient is in critical condition and may die at any time. No matter what, the family must see him for the last time.
After the use of pressor drugs and norepinephrine, the patient's blood pressure slowly increased. At the same time, as the airway became unblocked and the oxygen mask supplied high-concentration oxygen, the patient's oxygen saturation also increased.
The patient's consciousness improved significantly, his eyes opened slightly, and he began to struggle in pain.
Because the acidosis in the arterial blood gas analysis was too severe, Chen Xia specially gave an intravenous drip of 250ml of 5% sodium bicarbonate in order to quickly improve the disordered internal environment.
At this moment, the worker came with the deputy director Zhu Hongzhong.
Zhu Hongzhong was about 40 years old, handsome, with a pen in his shirt pocket, looking very respectable.
He entered the emergency room and saw Li Guizhen lying on the hospital bed, obviously nervous and stunned. He took two quick steps to her side.
"Oh, Comrade Li Guizhen, what happened to you? Did you faint from overwork? Can you hear me?"
Li Guizhen obviously heard it, because her struggle became even more intense.
Whether it was the doctors or the police present, everyone looked at Zhu Hongzhong, who was performing the leader's condolence drama, in a strange way, as if he were a clown.
In this day and age, adultery is a huge problem, enough to ruin two people.
Originally, whether the other person had an affair had nothing to do with Chen Xia, but he had a question in his mind that he had to ask Zhu Hongzhong, as it was related to whether a clear diagnosis could be made and the subsequent treatment plan.
He cannot be careless when it comes to matters concerning human life.
Chen Xia first had a conversation with two policemen, one old and one young.
Then the old policeman stood up and walked to Zhu Hongzhong: "Deputy Director Zhu, we have a few questions for you."
Zhu Hongzhong had something to hide, and he trembled violently when he saw the police. He no longer had the handsome and elegant demeanor he had when he first came in.
Several people walked into the office, Chen Xia closed the door, and asked sternly: "Did you two take any medicine when you were together?"
Zhu Hongzhong was sweating profusely, and his legs could hardly stand straight. "I... I... I don't understand what you are saying... what are you saying..."
"Deputy Director Zhu, I'm not a police officer and have no interest in your relationship. I just want to save Li Guizhen's life. If you still have a conscience, tell me about the medicine you took when you were together."
Zhu Hongzhong sat down on the ground, but still refused to admit it: "I... I don't know what you are talking about... We have no relationship..."
The old policeman smiled and said, "Whether it matters or not, we'll find out now if we investigate. I hope you won't regret it later. Also, I have another piece of advice for you: If you don't want others to know, don't do it yourself."
Zhu Hongzhong sat on the ground, apparently struggling with his conscience. After about five minutes, he suddenly said:
"I really don't know what kind of medicine she's taking. I've never given her anything weird. Oh...do birth control pills count...?"
Birth control pills?
The two policemen and Chen Xia stared at each other.
"I...we had sex several times this month...so she's been taking birth control pills this month...Police, doctors, please keep this a secret for us. She's married, and I'm married too. We can't make it public..."
Zhu Hongzhong suddenly hugged Chen Xia's legs, burst into tears, and begged for mercy while crying.
Chen Xia kicked him away: "I will follow the procedures. Whether I can hide it or not is none of my business."
After saying that, he walked out of the office without looking back and shouted to Wu Shaochen and the others, "Prepare the rescue supplies and push the patient to the X-ray room for a chest X-ray and an ultrasound examination. Hurry."
Several young doctors immediately took action. Some were ready, some were pushing carts, and they quickly went to do the examination.
At this time, the old policeman came out and asked, "Chief Chen, is there any connection between this contraceptive pill and this patient's coma? Is it possible that this was a murder of passion?"
Chen Xia shook his head and was about to speak when suddenly a group of people rushed in from outside.
A worker nearby pointed at the group and introduced them to Chen Xia and the two police officers, saying, "These are Li Guizhen's in-laws and her own family."
The two old ladies started howling as soon as they saw Li Guizhen, who was about to be taken for examination.
"Oh, my poor Guizhen, what's the matter with you? Speak, don't scare me."
"Guizhen, Guizhen, has something happened to you? You can't get into trouble!"
Several women were howling, and two old men came over and introduced themselves as father-in-law and biological father.
"Doctor, what's wrong with my daughter? Why is she in a coma for no apparent reason?"
Seeing these two anxious old men, what could Chen Xia say? He just said ambiguously: "There must be a result for every difficulty. How can there be no reason?"
The family members continued to ask questions, obviously not yet understanding the hidden meaning in the words.
At this time, Feng Runguang, director of the respiratory department, Yu Chuncheng, director of the cardiology department, and Du Guobiao, director of the emergency department, all rushed over.
As soon as Director Du entered the room, he asked anxiously, "Chen Xia, what's wrong with this patient? Why did you call us here so urgently?"
Chen Xia quickly recounted the diagnosis and treatment process and his own speculation.
Yu Chuncheng frowned and asked, "Do you suspect pulmonary embolism caused by birth control pills?"
Feng Runguang thought for a moment and said, "The estrogen component in oral contraceptives can promote the liver to synthesize serum globulins related to blood coagulation, which may indeed increase the risk of venous thromboembolism."
Chen Xia continued, "Syncope, dyspnea, hypoxemia, sinus tachycardia, changes in ECG V1-4, and a history of oral contraceptives, I think the possibility is very high. The patient has already gone for a chest X-ray and ultrasound, and we'll see when the time comes."
Yu Chuncheng looked at the medical records and said:
"The patient's jugular vein is distended, indicating right heart overload, with circulatory failure being the most serious, accompanied by respiratory failure. Pulmonary embolism is possible, and acute pericarditis cannot be ruled out. However, his breathing is not rapid, and his oxygen partial pressure is normal, which is a bit problematic."
Just when several experts were struggling with the problem, the emergency biochemistry report and thrombin, plasma D-dimer and other reports came out.
Everyone started to work together head to head to study.
Wu Shaochen and several other young doctors gathered around cautiously, wanting to learn some of the skills and insights of the senior directors, and also wanting to see whether Mr. Chen's judgment was correct.
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