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Chapter 834 Fluorine-containing rodenticide
Farmland areas often choose to use acute rodenticides due to the lack of human traffic and the high density of rodent populations.As acute rodent control drugs, ganflu and botulinum toxin are toxic substances that mainly attack the nervous system.

"Ganfu's symptoms are somewhat similar to hers, but there is a specific drug for Ganfu poisoning. If the patient has been to the hospital before... then she must have used acetamide to survive until now." However, the two The medicine seems to be inconsistent with Han Xiao's situation, "After using acetamide, the patient still has symptoms... This is a bit inconsistent."

"Botox is Botox, right?" Sun Li'en interjected, "This thing...is it possible to save it after being poisoned?"

"For botulinum toxin, the onset time is about the same. If this poison acts on the human body, the longest incubation period can be eight to ten days." Hu Chunbo thought for a while, then shook his head and said, "But the main effect of this toxin is on choline. On the nerve endings, its poisoning symptoms are to affect the relaxation and paralysis of the voluntary muscles of the whole body, thereby inducing respiratory arrest. It does not attack the central nervous system."

That is to say, Han Xiao's symptoms conform to the mechanism of ganflu and the incubation period of botulinum toxin at the same time.Sun Li'en scratched his head. It couldn't be that a company that manufactures rodenticide quietly produced a new type of rodenticide that can meet the characteristics of two completely different toxic substances at the same time, right?
"The point of latency can be influenced."Sun Li'en rationalized his thoughts, and then said, "The patient has been to the hospital after taking the medicine, and the local hospital must have performed gastric lavage and ejaculation for her. Botox has a long incubation time, and it is mainly absorbed through the digestive tract... Then gastric lavage The effect will not be too bad, and the symptoms are inconsistent, I think this can be ruled out.”

"That's ganfu poisoning? But the time is not right." Hu Chunbo was puzzled, "The local doctors will definitely use acetamide to take ganfu orally. This kind of ready-made special antidote is not expensive and easy to store. There must be regional hospitals with severe cases."

"It may be that the effect of gastric lavage is not good enough, or it may be that the amount of acetamide given by the local doctor is not large enough." Sun Lien is not particularly entangled in time, and the difference between human bodies may sometimes be very large.A sufficient dose of antidote for some patients may require an increase in the dose for Han Xiao.What's more, Han Xiao still has homocysteinemia in his body, maybe it is this thing that makes the antidote ineffective. "The top priority now is to make sure that she is taking ganflu..." Sun Lien watched Han Xiao being carried to the transfer bed by the nurses, and then he followed the radiologist on duty to the MRI examination room, " You can consider using acetamide for prophylaxis. But for now... let’s take mannitol to relieve her cerebral edema.”

"Actually, I think you can expand your thinking further." At this time, the radiologist on duty suddenly said, "Why only consider legal rodenticides that are allowed to be used by the country? Qucaokuai has banned domestic sales for several years. Yes, but some time ago, I saw another patient who was about to commit suicide.”

"Ganfu is the only legal fluoride-containing acute rodenticide. This drug is less likely to cause secondary poisoning, so it is relatively safe." Hu Chunbo thought for a while and said, "I remember that after it was launched, fluoride b Amide and sodium fluoroacetate are included in the list of banned drugs."

"Then contact the forensic identification center and ask them to conduct an identification of these fluorine-containing rodenticides first." Sun Lien finally finalized the treatment plan, "Continue to add mannitol, and add acetamide... this drug There are no serious side effects, right?" In the second half of the sentence, Sun Lien asked Hu Chunbo.After all, he has not been exposed to this drug yet, and he is not very familiar with the related properties. If the use of acetamide itself is dangerous, then he has to consider suspending this part of the treatment and using mannitol alone.

"Acetamide is usually injected intramuscularly. This drug is more irritating and can easily cause pain after injection, so it is usually used together with procaine." Hu Chunbo replied, "However, the drug itself is relatively safe. Large doses may cause blood in the urine, and there are basically no other risks."

"Then go." Sun Li'en nodded, but he still kept an eye out - although Hu Chunbo is quite reliable, he is a neurologist after all.In normal work, Hu Chunbo is not necessarily familiar with the use of antidotes.The safest way is to consult a licensed pharmacist. "I will communicate with the licensed pharmacist in the pharmacy department to see if it needs to be used in combination with other drugs."

"Don't stop the folic acid and vitamin B12 you prescribed before." Hu Chunbo kindly reminded, "The patient now has damage to the central nervous system, and the drug that nourishes the nerves will definitely only benefit her and not harm her."

Sun Lien nodded. Although he prescribed this medicine mainly for homocysteinemia, since it can also nourish the nerves, it would be better, wouldn't it?

"After the family members arrive, let them talk to Lao Wu's colleagues." Although it feels a bit stumbling, after all, Sun Lien and Hu Chunbo have waded through the mist on a road that seems reasonable.Sun Lien breathed a sigh of relief.After he calmed down from the tension, he couldn't help but feel a little unhappy, "I don't know what the little girl is thinking now... She has emotional problems, and she can't drink pesticides!"

"This kind of thing, we don't know the reason, so don't look at it with a preconceived standpoint." Hu Chunbo, who has a daughter at home, has a completely different perspective on this issue, "People don't just drink it if they want to drink it. ...We only need to see a doctor, it is better to let comrades in the police handle this kind of matter."

This also makes sense.Sun Li'en nodded, it was indeed a little thoughtless for him to say this.Although it was out of the original intention to vent my depression, after all, there is a problem with this statement.

It is difficult for people to understand each other, so choose to respect each other.Don't understand other people's choices, but at least maintain respect for others-so that modern society can continue to maintain peace.

The examination speed of MRI is much slower than that of CT. Taking advantage of this time, Sun Lien has asked nurses to fetch mannitol and acetamide prefilled with procaine.As soon as Han Xiao came out of the MRI examination room, he could start the treatment directly.At the same time, the results of the previous blood test items in the emergency department also came out—Han Xiao had symptoms of elevated creatine kinase, lactate dehydrogenase, alanine aminotransferase, and aspartate aminotransferase.

"It is in line with the poisoning symptoms of fluorine-containing rodent drugs, and botulinum toxin can be ruled out." Hu Chunbo is quite satisfied with this result. The liver damage has helped him narrow down the list of suspects of poisonous substances again, but from the paper data, Her liver damage wasn't too severe either. "The previous hospital basically had no problems, and this level of liver damage is considered very mild."

"Okay, let's treat according to the original plan." Sun Li'en nodded, at least it seems that Han Xiao's life is not in danger.But whether there are other sequelae...it depends on the recovery after treatment.

(End of this chapter)