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

"Professor Chen, a patient transferred from the First Hospital of East University, mainly manifested as gasping, and then after a long time, it would cause numbness and even twitching hands and feet. Otherwise... come and take a look?"

The caller was Wu Hui, a doctor on duty at the emergency department. He didn't really want to find Chen Cang, but the director of the Department of Neurology at the First Hospital of Dongda University and the director of the Department of Neurosurgery at the Second Hospital of the Provincial Hospital are now confused and can't figure out the reason.

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

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

After Chen Cang arrived at the hospital, he walked directly towards the custody ward.

Seeing Chen Cang coming, everyone nodded and avoided.

"Director Chen is early!"

"Hello Director Chen!"

It's late in winter, but it's already past six o'clock now.

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

"Dear directors, thank you very much." Chen Cang nodded and thanked.

Everyone waved their hands, their eyebrows tightly and did not let go.

"What is the patient?" Chen Cang asked.

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

"The main thing is to breathe. After a long period of panting, it will become numb and around the limbs and mouth, and even twitch your hands and feet, and there will be some abnormal consciousness!

The diagnosis is mainly: hyperventilation syndrome, supple alkali combined with acid substitution, and hysteria is to be expelled."

"But today, I suddenly found that my eyes had lost their sense of light, my pupils were dilated to the edge, and the reflection on the light disappeared!"

"We can't check the reason, so we can only send it here!" He Caiyun said with lingering fear.

She arrived at the hospital at around 3 a.m. this morning.

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

Seeing that my pupils were about to spread out, there was no way to emergency and intensive care!

Only then did we hurry to transfer to the emergency department of the Second Provincial Hospital.

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

Wu Hui nodded.

"The patient's examination results: the blood gas is all about carbon dioxide partial pressure lowered, the bicarbonate decreases, and the anion gap increases."

This check result is a bit strange.

However, it is very consistent with the patient's performance.

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

He Caiyun shook his head: "No, this is an old patient. The clan has been hospitalized several times, and all the people who can be checked, but no problems 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.

"Have you seen the ophthalmology department?" Chen Cang asked.

"Checked! But...

After the ophthalmology consultation, the ophthalmologists who consulted found no problems after checking the fundus and intraocular pressure!

Therefore, there is no way to diagnose it for the time being.

However, there is no gain. At least common causes of blindness such as glaucoma and uveitis are ruled out."

This may be a blessing in disguise.

"Is it optic neuritis or NMOSD? But suddenly blindness in both eyes is more like a vascular disease."

"Is it bilateral occipital lobe infarction?"

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

Du Juanhong and He Caiyun also started to discuss.

The patient's condition is really rare.

I have almost never heard of this kind of pupils spread due to respiratory alkalosis!

However, the patient is suffering from respiratory alkalosis!

Diagnostics have little meaning.

If you push down according to this diagnosis...

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

When a few people discuss.

Chen Cang also began to sort out his ideas.

There are many diseases of occipital cortex blindness, such as adrenal cerebral dystrophy, basal artery tip, and although the pupil's reflex to light disappears, this situation basically does not occur!

Estimate lobe lesions can be basically eliminated.

However, there are too many clinically unexpected situations that cannot be explained.

So, I made another nuclear magnetic field in an expedited manner!

The results of the film show that the patient's condition is too normal!

This made everyone really bother.

This does not seem to be a nervous system change.

Is it a lesion of the optic nerve?

After some trouble, from 5 a.m. to 10 a.m., there was no result.

Outside, the patient's family was completely panicked!

Even patients with clear consciousness began to be scared.

You can't see anything with your eyes, which can easily make people anxious.

At this time, the ophthalmologist suddenly said, "Or, give the hormone first!"

Compared with saving eyesight, the side effects of hormones are not taken into consideration.

After all, there is no way out now.

Chen Cang was helpless.

After all, the imaging data is normal, and the examination data is a metabolic acidosis in the later stage of respiratory alkalosis combined with metabolic acidosis.

Chen Cang went over and over again and looked up all the patient's medical records.

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

"You ask the patient if he has an occupation?"

One sentence!

Chen Cang was stunned.

It seems to be prompted by someone!

Then, the whole brain suddenly became clear.

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

It’s Mr. Zhong!

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

The old man smiled slightly: "Here is here to apply for the job."

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

"There is another thing, why did you not ask about the patient's occupation when you diagnose it."

Chen Cang's face suddenly turned red!

Chen Cang has always been so smooth that he has ignored many details!

"Ask a consultation, it's the same thing, and it can't be taken down!"

"This patient's diagnosis was correct. He was still respiratory alkalosis and metabolic acidosis!"

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

"The patient is hyperventilated due to acid substitution, acid substitution is the cause, and alkali is the fruit, which is essentially acidosis!"

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

Chen Cang was told by Mr. Zhong, and the answer in his mind was about to come out!

Chen Cang is still very proficient in poisoning!

Can lead to metabolic acidosis, respiratory alkalosis, combined with toxic blindness...

It's obvious: methanol!

And what is the patient's occupation?

This is particularly 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 leader "Manshijue", thank you.

Today is the Zhongyuan Festival. According to the customs of my hometown, I went back to my hometown to burn paper. I came back a little late. I'm sorry, I'll make up for it tomorrow.
Chapter completed!