medical road high rise

Chapter 357 Organophosphate Poisoning

Chapter 359 Organophosphate Poisoning

Qin Feng was stunned for a moment, and then realized that it seemed that since the patient entered the consultation room, he hadn't seen the patient's father.

After all, children of this age still have great needs for their parents.

It is said that a daughter is her father's little cotton-padded jacket, and the father is also his daughter's supporter.

In this case, if the father is absent, it will cause great psychological harm to the children.

"Zhang Yao, go out and ask the patient's mother to come in." Qin Feng said.

Zhang Yao left the consulting room and went outside, where she saw the patient's mother who was on the phone, looking very excited.

"Zhang Guoqing, are you coming or not? Is it important to have a daughter at work?"

"Have you taken care of your daughter since she was born? You only make promises to your daughter, but never fulfill them. If you don't want to raise her, we will divorce. I can raise Qiuqiu by myself." The patient's mother The tone became increasingly angry.

Zhang Yao stood not far away and did not dare to approach. After waiting for a while, the patient's mother hung up the phone angrily, turned her back and wiped her tears and walked towards the consulting room.

"Nurse, how is Qiuqiu?" the patient's mother asked.

"Don't worry, the situation has stabilized now and the pain has been relieved a lot." Zhang Yao said.

When Zhang Yao brought the patient's mother in, the patient was already asleep on the bed, and Qin Feng didn't bother her.

Instead, he signaled to Zhang Yao and the patient's mother to be quieter and talk about anything outside, while he supplemented the patient's medical records.

After supplementing, Qin Feng carefully observed the patient's condition and found that the patient's lips were a little cyanotic.

Qin Feng has encountered many such cyanotic situations.

The man who had been rescued from death by nearly twenty doses of epinephrine also had cyanosis of the lips, but that man had cyanosis caused by septic shock.

But the little patient right now does not have any symptoms of septic shock.

Moreover, besides cyanosis, Qin Feng also found that the patient's facial muscles were twitching unconsciously, and the amplitude and frequency of the twitching were very small. If Qin Feng hadn't observed the details, he would not have noticed it.

"Doctor, what is my daughter's disease?" the patient's mother asked in a low voice.

"I can't see it yet, I need to do a chest X-ray and head CT." Qin Feng said.

Because the patient had previously experienced dyspnea and drooling at the corners of the mouth, which are characteristic manifestations of neurological diseases.

Qin Feng needs to use brain CT to rule out brain lesions, such as severe meningitis and cerebral infarction.

Not all cerebral infarctions will manifest as sudden coma, and the symptoms are prioritized. In some mild infarctions, symptoms of unresponsiveness and salivation will indeed appear.

However, at the patient's age, the probability of cerebral infarction is very small, but now there is no direction and we can only investigate one by one.

Qin Feng picked up the stethoscope and listened to the patient's lung sounds, and there was nothing abnormal.

Then, Qin Feng issued a checklist and asked Zhang Yao to take the patient's mother and patient over for the checkup.

After the patient's mother left with the patient in her arms, Qin Feng looked back at the medical record he had just written.

The patient had an acute onset. At the beginning, the symptoms were nausea, vomiting, and diarrhea. Hemogram elevation and hypokalemia were detected on examination.

Half an hour after seeing the doctor, serious symptoms such as unresponsiveness, drooling at the corners of the mouth, and shortness of breath appeared, resulting in cyanosis of the lips and facial muscle tremors.

Hypokalemia is easy to explain, that is because diarrhea, diarrhea takes away a lot of water in the body, leading to electrolyte imbalance, which causes hypokalemia.

But several other symptoms cannot be explained.

After waiting for an hour, the CT film was brought back.

Qin Feng put the film on the film reader and began to read it.

The patient's lungs had no shadows, blurred or ground glass collisions. Pneumonia in both lungs could be ruled out. There were no lumpy shadows, and tumors could also be ruled out...

After the whole film reading, the patient's chest CT showed no problems.

Qin Feng had no choice but to take it off and replace it with a brain CT scan.

But what surprised Qin Feng was that the patient's brain CT also had no problems, which was strange.

Qin Feng frowned, always feeling that he had missed something. He turned to look at the patient who was sleeping peacefully on the hospital bed again. Qin Feng found that the patient's limbs seemed to be shaking involuntarily.

A research paper on limb tremor appeared in my mind, which was also a foreign paper, and this paper discussed the symptoms of organophosphate poisoning on the nervous system.

But organophosphorus poisoning is rare in cities now, but it was very common in the past.

After all, most laundry detergents now use phosphorus-free formulas, and it is still difficult to buy ones with phosphorus.

There is another kind, that is, pesticides contain phosphorus, but how can a child encounter pesticides.

"Do you grow flowers and plants at home and use pesticides?" Qin Feng asked.

"No, I think flowers and plants are bothersome. I usually buy a pot every season and throw it away. At most, I decorate the house." The patient's mother said.

"The patient has been at home recently. Has he been to the countryside or anywhere?" Qin Feng asked.

"Yes, their school organized an autumn outing, and they seemed to visit a nearby crop base. It was said to help them understand how hard-earned food is," the patient's mother said.

"That's right, ask them if there are any other children in their class who are uncomfortable besides your child." Qin Feng said.

Although the patient's mother didn't understand, she still asked.

[Oops, my baby has been vomiting this morning, and now he is hanging on the water in the hospital, and the doctor can't find the problem. 】

【My son is too, what the hell is going on! 】

News from the parent group began to flow, and the patient's mother also showed these news to Qin Feng.

"Ask them if the children have eaten any crops at the crop base." Qin Feng said.

As soon as the patient's mother asked about it, she learned that these children really ate it. I don't know what they ate. Anyway, they picked something to eat, and it happened that these children in the group ate it.

"Give the patient a serum cholinesterase activity." Qin Feng turned to the patient's mother and said, "Tell those parents that their children may be poisoned by organophosphate, and tell the doctor, the doctor knows what to do. "

"Organophosphate poisoning? Isn't that a pesticide?" the patient's mother exclaimed.

Pesticides are now linked to poisons.

"Don't worry too much, even organophosphorus pesticide poisoning is only mild." Qin Feng reassured.

The patient's mother was relieved.

Soon, the patient's serum cholinesterase activity value also came out, only one thousand and two.

Don't think this value is very high. You must know that this value is only 20.00% of the normal value.

(End of this chapter)