I can see the status bar

Chapter 832 Going through the back door

Things like being dark under the lights are talking about the current situation of Sun Lien and Wang Qiang.

The two doctors were paying attention to the patient's vital signs, various manifestations and symptoms, and tried hard to determine what drug the patient was taking by various means.But...they didn't look at the back of the patient's hand, so naturally they didn't find obvious traces of infusion.

From the head nurse's point of view, the injection marks on the back of the patient's hand are still relatively fresh.In other words, there is a high probability that she went to the hospital for treatment just after taking the medicine.This suddenly brought great convenience to Sun Lien and others in their diagnosis - they no longer need to think about what kind of toxic substance can lurk for four days before causing nervous system damage.Just target those toxic substances that can cause neurological damage.

This is of course a gratifying progress, but... Sun Lien still can't figure out what the hell Han Xiao drank.

Pesticide itself is a very broad concept, which includes dozens or even hundreds of categories such as herbicides, insecticides, soil looseners, rodenticides, etc., and each category has many branches.Want to immediately pass the word "pesticide" and the symptoms of nervous system damage to find out what the drug is... The difficulty is basically the same as guessing the lottery number that will be drawn the next day.

Now, though, figuring out what type of medication she was taking seemed less urgent.She has been taking the medicine for four days, and a doctor must have treated her poisoning symptoms before... Maybe her discomfort is not so closely related to taking the medicine without permission.

Wang Qiang decided to keep Han Xiao in the ward and continue to observe, while Sun Lien decided to start from another direction—to check the abnormal symptom that lasted nearly 30 hours—he was going to confirm that Han Xiao’s homocysteine How high did it rise to?

Homocysteinemia is a...less common condition in modern times.The disease often occurs in patients whose diets are deficient in B vitamins.Since cysteine ​​needs to be converted into methionine or cysteine ​​by vitamin B, this disease often occurs in patients with vitamin B deficiency in the body.

Since foods rich in vitamin B are not uncommon in the diet of modern humans, hypercysteinemia caused by this food-derived vitamin B deficiency has become extremely rare.The main cause of this disease is gene mutation.

Due to gene point mutations, enzymes involved in homocysteine ​​(Hcy) metabolism in some patients may have reduced activity.Due to the decrease in the activity of metabolic enzymes, homocysteine ​​accumulates in the patient's body, and eventually leads to the occurrence of homocysteinemia (HHcy).

There are four gene mutation points that can cause homocysteinemia, among which the G677T point mutation and the eNOS G894T point mutation are more serious.Patients with mutations in these two gene points, even if they supplemented with enough folic acid, vitamin B6 and vitamin B12, they still developed homocysteinemia.

Homocysteinemia itself does not cause acute lesions, but its impact on the human body is extensive and far-reaching.Current studies have confirmed that homocysteinemia is an independent high-risk factor for cardiovascular and cerebrovascular diseases, peripheral vascular diseases, neurodegenerative diseases, cognitive impairment, diabetes, pregnancy-induced hypertension, liver cirrhosis, and chronic kidney disease.

Although based on the current research, it is still not possible to fully understand the relationship between homocysteinemia and these diseases, and in what way it has such a wide impact on the human body.But this discovery is more than enough to guide the current Sun Lien.The condition of the patient is unknown, and it seems that the mental state is also problematic.Then, it became reasonable to suspect that her abnormal mental condition might be caused by hyperhomocysteinemia.

If you can't tell what the patient ate from the symptoms, then ask her directly!What's the matter with the patient not cooperating? She is not cooperating now, maybe it is because of the disturbance of consciousness caused by hyperhomocysteinemia.So, after solving this disturbance of consciousness, wouldn't we be able to get first-hand news from the patient?
Emergency doctors all have such a characteristic-do what they say.Sun Li'en asked the nurse to take a blood sample, and sent the sample directly to the laboratory for examination.

At the same time, in order to quickly find out what the patient's problem is, Sun Li'en asked the nurse to infuse her with folic acid and vitamin B12.On the surface, Sun Lien is using the banner of "nutrition to protect the nerves", but in fact, he still hopes that these vitamins can help Han Xiao reduce the level of homocysteine ​​as soon as possible.

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"Did you eat pesticide?" Sun Li'en was about to leave the emergency room when he ran into Liu Tangchun who came to "inspect the territory".Liu Tangchun knew that Sun Lien should be on duty at the outpatient clinic today.Therefore, when he saw Sun Li'en in the emergency room, Lao Liu became energetic like an experienced hunting dog who smelled a fox.However, after learning about the patient's situation, Lao Liu's eyes widened immediately, "You didn't wash her stomach?"

"The patient said that she has been taking the medicine for four days." Sun Lien spread his hands, "Besides, she has no other symptoms now, she just feels mentally abnormal...Because the patient's family members have not yet arrived, we can't do other tests .”

"Mentally abnormal?" Liu Tangchun thought for a while, then suddenly slapped his thigh, his old face blossomed with joy, "Look, this is called being handed a pillow as soon as you doze off."

Before Sun Lien got over it, Liu Tangchun continued, "Have you contacted Hu Chunbo yet? Let him deal with this patient with you."

Oh yes, Sun Li'en suddenly realized that Liu Tangchun was still carrying the "heavy burden" of finding papers for Dr. Hu.

"This... I have no problem here." Sun Lien thought for a while, and then asked, "But... this kind of poisoned patient is not compatible with Dr. Hu's specialty?"

"Isn't there still neurological symptoms?" Liu Tangchun patted Sun Lien's shoulder vigorously, with the expression "I'm finally liberated" written all over his face. "Yourong is a supernatural doctor. She is still not professional enough to do this. You take this patient to the diagnosis center, and then bring Hu Chunbo to deal with it with you—this is settled!"

Sun Li'en wanted to say a few more words, but Liu Tangchun turned his head and ran away as if his butt was on fire.After Sun Li'en said a word, only the back of Vice President Liu was left in his sight.

Is this... is it going through the back door to install a related household?Sun Lien smiled bitterly, took out the phone from his pocket and called, "Hi, Dr. Hu, I'm Sun Lien, is it convenient for you to come to the emergency room now?"

(End of this chapter)