I can see the status bar

Chapter 830 Poisoning Rescue (Add 06 for the lord Lanshan forest)

One patient was suddenly unconscious when he came to the hospital, which is a very serious situation.And when the patient reported that he had taken pesticides four days earlier...the seriousness of the situation was raised to a new level—and added a sense of urgency and treachery to the whole diagnosis.

Oral pesticides are generally fatal.After patients take pesticides orally, the chemicals designed to poison other organisms will cause various damages in the human body, and finally use various means to complete a fatal blow to the human body.

The more well-known pesticides, such as organophosphates and Qucaokuai, are not small in the private sector.There are not a few poisoning incidents caused every year.The difference is nothing more than that organophosphates have a mature treatment plan with a high success rate, while grass-cutting has a very high fatality rate but kills people relatively "slowly".

However, Sun Lien can be sure of one thing - the patient Han Xiao who has lost consciousness must not drink organic phosphorus or Qucaokuai.

Organophosphates can cause acute poisoning symptoms in patients, and the symptoms are mainly muscarinic symptoms and nicotinic reactions.

Under muscarinic symptoms, patients will experience nausea, vomiting, abdominal pain, runny nose and even incontinence caused by smooth muscle spasm.There may also be problems including bronchospasm and increased secretions leading to cough, shortness of breath, and pulmonary edema.

In the case of nicotine-like symptoms, the patient will have symptoms such as systemic striated muscle fibrillation, generalized muscle tonic spasm, respiratory paralysis, respiratory failure, and cardiac arrhythmia.

No matter what reaction the patient showed after organophosphate poisoning, it didn't match Han Xiao's symptoms.Even if it is organophosphate delayed neuropathy after acute poisoning, it should involve the extremities, mainly manifested as paralysis of the lower limbs or muscle atrophy of the limbs.

And the symptoms of Qucaid are even more inappropriate-this highly toxic herbicide with a high lethal rate mainly causes severe chemical burns to the digestive tract.Ingesting Qucao Kuai through the digestive tract, patients will have obvious symptoms such as esophageal mucosal erosion and ulcer, nausea, vomiting and even hematemesis.In severe cases, gastric perforation and pancreatitis may also occur.At the same time, the patient will have liver and kidney damage.The most prominent and fatal effect is lung injury. Acute lung injury can lead to pulmonary edema and pulmonary hemorrhage.In subacute cases, irreversible pulmonary fibrosis can occur and eventually kill the patient.

At present, if we don’t discuss the relationship between the symptoms that lasted for nearly 30 hours and the symptoms that lasted for hundreds of hours, and simply regard these symptoms as symptoms caused by taking pesticides... then, this A pesticide that apparently attacks the nervous system.

Achilles tendon reflexes are hyperactive, meaning the drug attacks the nervous system including the spinal cord.Symptoms in the brain can be regarded as an attack on the central nervous system.

Sun Lien and other colleagues are rushing to push Han Xiao to the emergency room.The other doctors were very nervous, but Sun Lien was a little...absent.He was trying desperately to recall which poisonous pesticides would attack the nervous system and could remain dormant for four days.But this kind of memory didn't get the answer Sun Lien wanted. He really couldn't think of any pesticides that... unexpectedly had such a long incubation period.

The door of the rescue room was open, and the Fourth Hospital had a set procedure for rescuing poisoned patients.However, it has been four days since I took the poison... No one has experience in how to save this kind of patient.

For patients with common oral pesticide poisoning, immediate gastric lavage is a must.For poisoning, the main measures taken by doctors are "out of the environment", "prevent absorption", "accelerate excretion" and "symptomatic treatment or detoxification treatment of poisoning".

Disengaging from the environment and preventing absorption are mostly combined.When doctors receive a patient who has been poisoned by pesticides, they immediately strip off all his or her clothes and wash the patient's body surface with soapy water.This step is to relieve the patient of possible pesticide exposure.

Doctors will then begin gastric lavage of the patient.Strive to dilute and extract the toxic pesticides remaining in the stomach.This is also the part that prevents absorption.

Subsequently, doctors will give patients intravenous fluids and diuretics as appropriate.Let the kidneys quickly excrete toxins through urine.

The final treatment... also depends on the situation.For organophosphate poisoning, drugs including atropine and pralidoxime may be given to relieve symptoms.For cyanide poisoning, drugs including sodium thiosulfate and sodium nitrite can be used.Methemoglobinemia caused by nitrite, etc. can be rescued with methylene blue.

But there are many more toxic substances... There is no clinically effective antidote.Whether patients can use effective detoxification drugs depends on what they are taking.On the other hand, it depends on whether doctors can recognize the main ingredients of the poisonous drugs they use.

Now Han Xiao's problem is here.Neither Sun Li'en, who had the help of the status bar, nor other emergency doctors with rich experience in rescuing poisoned patients, could immediately identify the poisonous drug she was taking.

An even more confusing situation occurred. After being placed under guardianship, Han Xiao regained consciousness.She began to rebel against the attempts of the female nurses to remove her clothes.Although the doctors and nurses present tried to explain to her that this was a necessary part of the treatment, she still insisted on resisting, even biting the nurse's hand—if the nurses hadn't responded quickly enough, and Hu Jing, the head nurse who had practiced shot put, held her down on the bed as soon as she raised her hand... I'm afraid she will see blood if she speaks.

"Give her Valium." Sun Lien, the emergency doctor in charge of taking over Han Xiao, is not very familiar with him. He only knows that this doctor who looks 50 or [-] years old but is actually only in his early thirties is also a graduate of Ningyuan Medical College. People usually call him "" Brother Strong".

The status bar quickly gave enough hints to Sun Lien. Brother Qiang's name is Wang Qiang, and he is 33 years old this year.

"Brother Qiang, this patient's self-report and state are a bit strange." Watching the patient gradually calm down under the effect of the stabilizer and the restraint belt, Sun Lien also quickly told Brother Qiang about the clues he had obtained. "She has always been a little slow to respond. When she talked to me before, it took about three or four seconds to respond. And the sight is also very strange, as if the eyes have to look for a long time to focus."

"She said she drank pesticides?" Brother Qiang was more concerned about the part of the patient's self-report, "How can I still go to your emergency department after drinking pesticides?"

"She said that she had been drinking for four days..." Sun Lien was also a little surprised at this point. Being able to come to the hospital shows that the patient still has the consciousness to survive.Then you should definitely not come to the hospital for treatment four days after taking the medicine. "And her main complaint is only one - headache."

　The previous leader "Subversion Theory" changed his ID, and then rewarded another leader.So... five more chapters.

　　
　
(End of this chapter)