Chen Ming's pressing rhythm was steady and powerful.

After performing 30 chest compressions, he turned to his side to clear the patient's oral secretions and pinched the patient's nose to perform mouth-to-mouth resuscitation.

While continuing the resuscitation efforts, Chen Ming shouted again to the people around him, telling them to find the on-duty medical staff in the cardiology department.

In less than a minute, the on-duty doctors and nurses from the cardiology department rushed over with a defibrillator and a resuscitation cart.

"Teacher Chen, what, what's going on?" Su Yi heard that there was an emergency in the corridor outside.

He rushed to the scene, only to be completely dumbfounded.

"Heart arrest! Connect him to monitoring immediately, and prepare for defibrillation if necessary!" Chen Ming stood up to make way, quickly tore off the patient's clothes from his chest, and gestured for the nurse to attach the electrode pads.

Su Yi immediately cooperated with the nurse and connected to the defibrillator monitor.

"It's ventricular fibrillation! Prepare for defibrillation!" Chen Ming's voice rose several decibels as he saw the waveform on the monitor.

"Everyone, step back!"

Once the defibrillation preparations were complete, Chen Ming shouted and pressed the defibrillation button.

The patient's body convulsed suddenly, then returned to calm.

Chen Ming immediately stepped forward and continued CPR.

After pressing the cycle again, the defibrillator still indicated that it could be defibrillated.

Chen Ming pressed the button again, and this time, the nurse exclaimed in surprise, "There's a heartbeat! The carotid pulse has returned!"

Chen Ming breathed a sigh of relief, straightened up, rubbed his sore arm, and quickly checked: "How's your blood pressure?"

"Systolic blood pressure 85, diastolic blood pressure 55!" the nurse quickly announced the values.

"Quickly bring the stretcher over and get him to the CCU (Cardiology Intensive Care Unit). Continuous cardiac monitoring and establish intravenous fluid resuscitation!"

While directing the nurses, Chen Ming also helped them lift the patient onto the stretcher.

Zhang Daqiang stood beside the stretcher, his legs feeling weak and his back soaked with cold sweat. Only now did he fully realize how right the emergency room doctor had been!

He was filled with remorse. If he had listened to Dr. Zhou in the emergency room and gone straight to the resuscitation room for emergency surgery, perhaps this dangerous situation would not have occurred.

Chen Ming waved his hand, his tone urgent: "Don't thank me yet, the patient's condition is still unstable, and we need to observe him further."

……

Meanwhile, at the emergency room.

Just as Zhou Cheng finished seeing a patient, nurse Zhao Wenqi rushed in: "Dr. Zhou, the cardiology department just called to say that a patient you treated earlier suffered a sudden ventricular fibrillation in the elevator. Fortunately, their chief resident, Chen Ming, rescued him in time, and he has now been transferred to the CCU."

Upon hearing this, Zhou Cheng's feelings were quite complicated, but he still said, "It's good that you're alright. Fortunately, the rescue was timely."

He turned to Li Yang and Chen Xi and said, "You see, this is why I insisted on sending him to the emergency room. Wellens syndrome has an extremely high risk of progressing to anterior wall myocardial infarction, and sudden ventricular fibrillation is a common fatal complication. In the future, when we encounter such high-risk patients, we must fulfill our obligation to fully inform them and adhere to standardized treatment."

Li Yang and Chen Xi nodded emphatically, now having even greater faith in Zhou Cheng's professional judgment!

……

It was almost 11 a.m. at this point.

The number of patients outside the emergency room is not decreasing.

Not long after, a middle-aged woman with a haggard face walked in.

She swayed slightly as she sat down, her voice filled with exhaustion: "Doctor, I've been feeling dizzy for over a month now, and sometimes my hands and feet feel numb, making it hard to even stand."

Chen Xi immediately asked, "Have you had your child checked at other hospitals?"

The woman nodded: "I've been to several hospitals, had a head CT scan, a cervical spine MRI, and blood sugar and lipid tests, but they couldn't find anything wrong. I've also taken a lot of medicine, but there's been no improvement at all."

Zhou Cheng took the thick stack of medical records and examination reports she handed him and quickly flipped through them.

As she said, the head CT scan showed "no obvious abnormalities" and the cervical MRI showed "mild disc herniation", which was insufficient to explain the recurring dizziness and limb numbness. Blood sugar, blood lipids, liver and kidney function tests were also within the normal range.

The previous doctor prescribed medication to nourish the nerves and improve circulation, but the follow-up visit records show that the symptoms have not improved at all.

"When you feel dizzy, what kind of sensation do you experience? Is it a spinning sensation, or a dull, heavy feeling? Is the numbness in your limbs unilateral or bilateral?"

Zhou Cheng put down the medical record, looked intently at Lin Fang, and asked her very detailed questions.

"It's not exactly dizziness, but rather a feeling of heaviness in the head and lightness in the feet, and sometimes my vision goes black. The numbness is on both sides, mainly in the extremities, like an electric shock, and it's more noticeable when I'm sleeping at night."

The woman recalled it carefully.

"Sometimes my legs feel weak after walking just a few steps, and I'm afraid of falling. I haven't dared to go out alone lately."

Zhou Cheng nodded and then asked, "Have you experienced chest tightness or palpitations? What's your blood pressure usually like? Are you taking any medications for chronic illnesses?"

"My blood pressure has been normal, and I haven't experienced chest tightness or palpitations. I haven't taken any other medications, just the two nerve-nourishing medications the doctor prescribed before," the woman added. "By the way, I've also been experiencing dry mouth and frequent urination lately. I drink a lot of water every day and go to the toilet frequently."

"Dry mouth, frequent urination?" Zhou Cheng frowned slightly. These symptoms were not recorded in the previous medical records. He immediately stood up: "I'll give you a physical examination. Please cooperate."

He first asked the woman to extend her hands to observe if there was any tremor. Then he used cotton swabs to gently wipe the ends of her hands and feet to check her sensory function. He also had her perform the finger-to-nose test and the heel-to-shin test, and found that her motor coordination had deteriorated significantly. When she stood with her eyes closed, her body would sway violently.

"Li Yang, take the patient's blood pressure and heart rate," Zhou Cheng said, turning to Li Yang.

Li Yang immediately got up and operated the machine, quickly reporting the results: "Blood pressure 125/80 mmHg, heart rate 78 beats/min, both normal."

The woman looked at Zhou Cheng, her eyes filled with expectation mixed with a hint of disappointment: "Doctor, is it still impossible to find the cause? I really can't take it anymore."

Zhou Cheng didn't rush to conclusions, but instead reviewed the patient's condition: recurring dizziness, numbness in both limbs, ataxia, accompanied by dry mouth and frequent urination, routine examinations showed no abnormalities, and treatment with neurotrophic drugs was ineffective...

These symptoms are not typical when viewed individually, but when combined, they point to an unusual direction.

He pondered for a moment, then asked, "Have you had your electrolytes checked? Especially your blood potassium and sodium levels? And what about your thyroid function and adrenal gland-related tests?"

The woman paused for a moment, then shook her head: "No, the previous doctor didn't have me undergo these tests."

"This may be the key to the problem," Zhou Cheng said confidently. "Your symptoms don't seem like common cerebrovascular or cervical spine problems. Instead, they seem more like electrolyte imbalances or endocrine system abnormalities. Bilateral limb numbness and ataxia may be related to low potassium and low sodium; dry mouth and frequent urination require ruling out the possibility of diabetes insipidus or adrenal gland disorders. Previous examinations have focused on the nervous and cerebrovascular systems, neglecting to investigate endocrine and electrolyte imbalances."

Li Yang and Chen Xi exchanged a glance, both showing expressions of sudden realization.

They had just gone through the process of analyzing the symptoms, but they only considered common causes of dizziness and didn't think about endocrine and electrolyte factors at all.

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