Chapter 1734 Sorry, I Was Wrong! (Thanks to Man Shijue for the 50,000 Tip!)

However, early the next morning, Chen Cang was woken up by a phone call.

"Professor Chen, a patient was transferred from the First Hospital of Dongdae University. The main symptom is wheezing, and after a long time, the extremities and mouth will become numb, and even tetany. Or... would you come and see?"

The caller was Wu Hui, a doctor on duty in the emergency department. He didn't really want to find Chen Cang at first, but the director of the Department of Neurology at the First Hospital of Dongdae University and the director of the Department of Neurosurgery at the Second Provincial Hospital are now at a loss, and they don't know the reason.

Chen Cang hummed: "Well, I'll go there right away!"

At this time, the sky was still just dawn, and there were not many pedestrians on the road.

After Chen Cang arrived at the hospital, he walked directly towards the intensive care unit.

Seeing Chen Cang coming, everyone nodded to avoid him.

"Morning Director Chen!"

"Hello, Director Chen!"

The dawn is relatively late in winter, and it is actually past six o'clock now.

Looking at several directors who had gathered together, Chen Cang nodded slightly to everyone.

"Morning directors, thank you for your hard work." Chen Cang nodded his thanks.

Everyone waved their hands one after another, their brows tensed, and they did not let go.

"What's the patient's condition?" Chen Cang asked.

Here, He Caiyun, director of the Neurology Department of the First Hospital of Dongda University, said: "This patient is an old patient in our department. He came and went back and forth four or five times last year, but he also took a rest for a while. Unexpectedly, a few days ago After being hospitalized, the situation suddenly worsened!"

"The main thing is panting. After panting for a long time, the extremities and mouth will become numb, and even tetany will appear, and there will be some mental abnormalities!

Diagnosis is mainly: hyperventilation syndrome, respiratory alkali combined with acid replacement, hysteria to be discharged. "

"However, today I suddenly discovered that my eyes have lost their sense of light, my pupils have dilated to the side, and my reflection to light has disappeared!"

"We couldn't find the reason there, so we had to send it here quickly!" He Caiyun said with lingering fear.

She arrived at the hospital at three o'clock in the morning this morning.

The patient struggled for more than two hours, but the situation became more and more serious.

Seeing that the pupils are about to dilate, there is nothing the emergency department and intensive care can do!

It was only here that he was hurriedly transferred to the emergency department of the Second Provincial Hospital.

Chen Cang nodded and looked at the patient carefully. This woman was probably only in her forties. He said to Wu Hui, "Tell me about the patient's examination results."

Wu Hui nodded.

"Patient's examination results: the blood gas shows a decrease in the partial pressure of carbon dioxide, a decrease in bicarbonate, and an increase in the anion gap."

The results of this test are a bit strange.

However, it is in line with the patient's performance.

"Is there any primitive disease?" Chen Cang asked.

He Caiyun shook his head: "No, this is an old patient. He has been hospitalized several times. He has checked everything that can be checked, but nothing can be found!"

"Respiratory alkalosis combined with metabolic acidosis?" Chen Cang frowned directly, "This is not common!"

The two old directors, He Caiyun and Du Juanhong, also nodded.

"Did you see the ophthalmologist?" Chen Cang asked.

"Checked! But...

After the ophthalmology consultation, the ophthalmologist who consulted checked the fundus and intraocular pressure and found no problems!

Therefore, there is no way to confirm it at the moment.

However, it is not without gains, at least the common causes of blindness such as glaucoma and uveitis have been ruled out. "

This may be a blessing in misfortune.

"Could it be optic neuritis or NMOSD? But sudden blindness in both eyes is more like vascular disease."

"Could it be bilateral occipital lobe infarction?"

"It shouldn't be. If it's an occipital lobe infarction, won't it cause the pupillary light reflex to disappear?"

Directors Du Juanhong and He Caiyun also started to discuss.

The patient's condition is really rare.

This dilated pupil due to respiratory alkalosis is almost unheard of!

However, the patient itself is a respiratory alkalosis!

The diagnostic aspect is almost meaningless.

If you push down according to this diagnosis...

The only thing that is difficult to explain is the problem of neurology.

When several people discuss.

Chen Cang also began to sort out his thoughts.

There are many diseases of occipital lobe cortex blindness, such as adrenoleukodystrophy and basilar artery tip. Although the pupillary light reflex disappears, this situation will basically not occur!

Occipital lobe lesions can basically be ruled out.

However, there are too many clinically unexpected and unexplained cases.

So, another MRI was done urgently!

The results of the film showed that the patient's condition was too normal!

All of a sudden, it really troubled everyone.

This does not appear to be a neurological change.

Is it optic nerve disease?

After a lot of tossing, from 5:00 am to 10:00 am, there was still no result.

Outside, the patient's family members were completely panicked!

Even conscious patients began to be afraid.

Both eyes can't see anything, which can easily make people anxious.

At this time, the ophthalmologist suddenly said: "Why don't you give me hormones first!"

Compared with saving eyesight, the side effects of hormones are ignored.

After all, there is nothing left to do now.

Chen Cang was helpless.

After all, the imaging data were normal, but the examination data showed that a respiratory alkalosis was combined with metabolic acidosis in the later stage.

Chen Cang turned over and over again, reviewing all the medical records of the patient.

At this moment, a voice suddenly sounded behind Chen Cang.

"Did you ask the patient's occupation?"

In a word!

Chen Cang was taken aback for a moment.

It seems that someone has dialed it!

Then, the whole brain suddenly cleared up.

However, what surprised him even more was that the old man behind him was not someone else!

It was Mr. Zhong!

Chen Cang got up quickly and asked in surprise, "Mr. Zhong, why are you here?"

The old man smiled slightly: "I came to apply for the job."

"But, let's talk about that later."

"There is another thing, why didn't you ask the patient's occupation when you diagnosed."

Chen Cang blushed immediately!

For a long time, Chen Cang has been so smooth that he has overlooked many details!

"Interrogation, nothing can be left behind!"

"This patient, the diagnosis is not wrong, it is still respiratory alkalosis, and it is combined with metabolic acidosis!"

"However, you confused the order. The patient is not the so-called hyperventilation syndrome. His wheezing is not the cause, but the result!"

"The patient is hyperventilating caused by acid replacement. The acid replacement is the cause, and the respiratory base is the effect. The essence is acidosis!"

"Think about it, why don't you ask the patient's occupation?"

When Chen Cang was told by Mr. Zhong, the answer in his mind was ready!

Chen Cang is very proficient in poisoning!

Can cause metabolic acidosis, and respiratory alkalosis, combined with toxic blindness...

Obviously: Methanol!

And what is the occupation of the patient?

This is especially important!

He looked at Mr. Zhong, and Chen Cang blushed: "I'm sorry, I was wrong!"

...

ps: Thank you for the 50,000 reward from the boss "Manshijue", thank you.

Today's Hungry Ghost Festival, according to the customs of my hometown, I went back to my hometown to go to the grave to burn paper, and I came back a bit late, sorry, I will make it up tomorrow.