bookmarkrole Chapter 342
Chapter 342
Chapter 342
·Physical examination is no problem…
·No problem with ECG…
·B-ultrasound results are no problem…
Lin Feng pondered.
“Is it really just an acute gastroenteritis?”
“The patient has abdominal pain, vomiting, and no history of abnormal eating. How can gastroenteritis be so good?”
at this time,
The blood test, liver function, and blood routine did not come out, and it would take at least an hour.
“We can only wait for liver function and blood routine…”
“Send to the rescue room first, and connect to the ECG monitor…”
Lin Feng is afraid of any major problems. During this waiting time, he should use the ECG monitor to monitor it first to avoid problems.
The patient was sent to the rescue room and connected to the ECG monitor.
·After rehydration and antibiotics to reduce inflammation, the patient’s abdominal pain symptoms have been alleviated…
·Blood pressure is also a little bit low, but it’s still stable…
…
After another half an hour,
The results of the blood draw came out!
Lin Feng watched it for the first time.
surprised!
Liver function data is extremely abnormal!
· Abnormally elevated transaminase,
·ALT increased by more than 10 times!
·AST increased by more than 15 times!
· Serum creatinine (reflecting renal function) is also very high, as high as 300μmol/L, which is 3 times higher than the normal value!
The results of blood routine tests are also abnormal.
·The white blood cell count is 2 times higher!
Lin Feng looked at the result,
Liver damage, kidney damage…
Must have eaten something?
“Are you sure you didn’t eat anything?”
“No.”
“Tell me, what did you eat in the morning?”
“It’s ordinary steamed buns, soy milk, etc., all bought at the breakfast shop…”
Lin Feng frowned and looked at the patient in front of him.
Breakfast shops generally do not have any problems. Even if they do, they are occasionally unclean. It is not impossible to have small diarrhea, but the possibility of causing such severe liver and kidney damage is very small.
“Nothing else?”
“No.”
“Have you ever had liver disease before? Or kidney disease?” Lin Feng just asked these questions, and now asks it a second time.
“No……”
When the patient spoke, his face was a little pale, so Lin Feng did not realize the guilty conscience.
“impossible……”
Lin Feng frowned.
There is nothing, and the B-ultrasound results are abnormal. Why do you have repeated abdominal pain, vomiting, liver damage, and kidney damage?
The liver and kidneys are the most important metabolic sites of the human body.
Foods eaten and injected medicines must be metabolized by the liver or kidneys to detoxify after entering the body.
so,
If there is liver damage + kidney damage in a short period of time (starting in the morning), then there is a high probability that you have eaten something particularly ‘toxic’!
However, the patient said, did not eat!
“This patient, lie to me?”
Lin Feng glanced at the middle-aged male patient in front of him.
Then, seeing the middle-aged man’s eyes dodge a little.
Frozen for a moment.
“Does this patient really lie to me?”
Lin Feng thought of some patients who committed suicide.
Thinking of this, Lin Feng is ready to swindle.
Face up:
“Be hospitalized… I’ll open your stomach to see what’s in your stomach…”
“Huh? Open abdomen?”
When the middle-aged male patient heard this, he panicked.
Lin Feng glared, “If you don’t have an abdomen, you can’t check for any problems. Then you can only wait to die…Of course, the abdomen is still very painful. You have to slash your stomach for a month or two. Months later, when you laugh, you can’t laugh too hard, otherwise you might laugh out of your stomach…!”
Lin Feng said a lot of the ‘bad effects’ of opening abdomen.
Middle-aged male patient: “………………”
Silent.
Lin Feng: “Do you know paraquat?”
Middle-aged man: “I know.”
Lin Feng: “Your disease is very similar to those patients who drank paraquat. Those patients could not be saved, and they could not die if they wanted to die, but they were still suffering, torturing the patients for several days, and finally died slowly… …”
A detailed introduction to the painful consequences of taking paraquat.
The middle-aged man turned pale.
Lin Feng: “Of course, if you take some drugs that are not as serious as paraquat, you may still be rescued, and you can be rescued…Let’s say, what did you eat? It caused your liver and kidney damage?!”
The middle-aged man looked at Lin Feng in shock: “Doctor Lin, how do you know?”
Lin Feng was surprised that the patient was a lie?
But on the surface he was disdainful: “Nonsense, can you hide it from me? You have liver damage and kidney damage. At first glance, what kind of medicine did you take…”
The middle-aged male patient smiled bitterly: “Dr. Lin… I’m sorry, I lied to you just now, but I actually ate a box of colchicine tablets this morning.”
Lin Feng: “???”
Colchicine tablets?
Gout medicine?
A box?
Lin Feng was shocked.
“A box? How many pieces?”
“100 tablets…”
Lin Feng: “!!!!!!”
Jumped up on the spot,
He took a breath.
“How long have you eaten?”
“Five hours…”
“Grass!!”
Lin Feng has completely exploded his hair.
Not angry, but surprised!
Medicine is three-point poison!
Let alone the drug colchicine, although it has a very good analgesic effect on ventilation, it must be mentioned that the therapeutic dose of colchicine is very close to the toxic dose (the lethal dose is 0.8mg/kg).
0 ········Find flowers·····
In other words, as long as one tablet is more than the normal amount, the patient will be poisoned! !
And also 100 pieces at once!
Now that the patient still has his life lying in front of him, it is already a miracle! !
“Lie down right away, I’ll call someone to lavage the stomach… Xiao Ai, come on, arrange a lavage, and an enema…!!!”
Lin Feng shouted.
Soon Lin Feng realized that it was wrong again.
no!
I am afraid that gastric lavage is not enough!
In 5 hours, it is estimated that the drug’s properties have directly entered the blood.
Also need a blood purification machine!
Clean the blood!
Fortunately, the rescue equipment in the emergency department of Harmony Hospital is quite complete, including two blood purification machines.
Arrange now!
0 .. …….
The team under Lin Feng soon began to move…
Quickly prepared for the machine gastric lavage…
At the same time, an enema (glycerin, lactulose, etc.) is also prepared…
At the same time, I started to push the purifier over…
Lin Feng asked the patient very quickly:
“You call your relatives over right away, your condition is a bit serious, you have to sign someone…”
“I am a person who is drifting north, and my family is not in the imperial capital…”
“Do you want to be treated now?”
The patient hesitated, and finally said:
“……want……”
To be honest, the moment he came to the hospital, it already represented that he regretted it, but he didn’t realize it. And when he told Lin Feng that he had taken colchicine,
“signature!”
The next step is gastric lavage, enema…
Intubate first, get on the ventilator to ensure oxygen…
Then,
Stomach lavage, wash from above the digestive tract, from the mouth, while rinsing, while pumping…
Enema, wash from under the glideslope, enter through the steel door…
However, this gastric lavage and enema can only expel drugs that have not been absorbed into the blood.
And those who have absorbed into the blood can only do “blood purification.”
The so-called “blood purification” treatment is to draw the patient’s blood out, through a perfusion device, the perfusion device can absorb and remove toxin drugs, after the blood is cleaned, it will be infused into the patient’s body to achieve the purpose of curing poisoning.
It is different from “hemodialysis”.
Not the same thing.
“Hemodialysis” is one of the renal replacement treatments for patients with acute and chronic renal failure. It is mainly to help people with kidney failure or kidney removal to excrete water, inorganic salts, urea, etc. that cannot be metabolized by themselves, so as to maintain the body’s normal metabolism.
. again.