Reborn Wife Strikes Back in the 80s
Chapter 1117 Salt Poisoning
After leaving the operating room, Guo Xiang just wanted to go home, but another patient was picked up in the emergency department and said that it was very dangerous. Guo Xiang hurried over to check the situation.
What happened? Guo Xiang asked.
The patient drank a liter of saline, said Dr. Lin, who was in the emergency room.
Salt water? How much salt was in it? Guo Xiang was surprised, how could people still drink so much salt water and not be afraid of dying?
One liter is two liters, and the weight varies according to the specific gravity of the salt water. Even if it is only two pounds of salt water, it is enough.
My wife put, put a pack of salt, half a catty... The patient's husband stammered.
Guo Xiang was taken aback, half a catty of salt? That's killing it.
The main ingredient of salt is sodium chloride. The recommended amount of salt for a person per day is 6 grams, and the lethal dose is 40 grams. Does this person eat a packet of salt?
Two hundred and fifty grams, six or seven times the lethal dose?
Immediately hang a 5% glucose solution, add some diuretics for excretion, and check the blood intake index! Guo Xiang said immediately.
Yes! Dr. Lin nodded, actually already working on it.
Guo Xiang looked at the patient's husband, Then why don't you watch? How can you let your lover drink so much salt water? Don't you know that drinking so much salt water will kill people?
The patient's husband broke down in a cold sweat. He really didn't know that eating too much salt would kill people?
But it's not that he didn't stop it, but he didn't watch it at all.
Actually, my lover is here... The patient's husband pointed to his head, There is a problem here, she always feels that someone is trying to harm her, so she gets all kinds of medicines for herself to eat, some of which I don't know where they came from. .
Persecuted delusional disorder? Guo Xiang frowned.
It should be, I took her to see a psychiatrist before and took medicine for a while, but it didn't seem to be of any use, said the patient's husband.
Could it be for other reasons? said Xu Wei next to him.
They had encountered several cases before, some were caused by porphyria, and some were caused by pregnancy. For various reasons, there was no mental problem at all.
Look, this is my wife's previous case! The patient's husband took the previous case to Guo Xiang.
Guo Xiang took a look,
It's really a mental illness, and it was diagnosed by a relatively authoritative mental hospital doctor in this city, so it shouldn't be wrong.
The doctor diagnosed it as paranoid schizophrenia. The symptom is that the patient always feels that someone wants to hurt her, someone is watching her, someone is listening to her, she dare not eat what others give, dare not listen to others, even her husband She didn't believe it.
Later, she only ate bread and canned food, saying that was the safest.
The psychiatrist prescribed a lot of medicine to her, but it didn't work, but found out anemia and vitamin deficiency. After all, the diet is so simple and the nutrition is not enough.
Then why did she drink so much salt water this time? Guo Xiang asked.
She didn't know who said that salt can be sterilized and disinfected. She said that she wanted to disinfect her body and expel toxins. I said she couldn't drink it. In fact, I was afraid that she would feel uncomfortable after drinking too much. I really don't know how to eat salt. More will kill people.
But she didn't listen at all, and I couldn't watch her all the time. Today, when I went to buy vegetables, she drank so much salt water. When I came back, I saw her lying on the ground, beside her. And a freshly-opened packet of salt...
The patient's husband looked worried, There is also a water bottle filled with salt water. I don't know if she drank it all, but she probably drank it.
At this time, Dr. Lin came over and said, The doctor in our ambulance told the car doctor that the patient had lost consciousness when they arrived, but he still had normal breathing and heartbeat. When he carried it to the car, he gave oxygen and connected it to ECG monitoring. .
The patient's heart rate gradually increased on the road, and then the heartbeat and breathing suddenly stopped. Fortunately, the colleagues in the car took turns doing CPR to successfully press her back. Dr. Lin continued.
Doctor, why do you die if you eat too much salt? the patient's husband asked. He still didn't understand. Isn't salt something you should eat every day? Why would you die if you eat too much?
Have you seen pickled salted fish and pickled vegetables? Guo Xiang glanced at the patient's husband, A lot of salted vegetables, what will happen to those vegetables?
Will it become... dry? the patient's husband answered uncertainly.
Yes, people who drink too much salt water are like pickles, pickling all the water in the body. This is hypernatremia!
The sodium in the body fluid increases rapidly, the osmotic pressure balance between the inside and outside of the cell membrane in the body is broken, the water in the cell is 'salted' out of the cell, and the cell becomes wrinkled and dehydrated. It's like salted fish.
Can human cells still live when they're dry? Guo Xiang said, It's like you can't drink seawater no matter how thirsty you are at sea. The more you drink, the faster you get dehydrated, and the faster you die.
The lethal dose of salt for one person is 40 grams. You are already 250 grams. If it wasn't for the rescue in time, I'm afraid the person would have already... Guo Xiang shook his head.
The patient's husband wiped the cold sweat from his forehead, and now he is a little scared to think about it.
Although his wife has a mental problem, she is still her own daughter-in-law after all, and they have spent so many good times together before.
After that, a full five liters of glucose was hung up, and the patient's blood sodium value finally dropped to the normal level. Fortunately, it dropped, or else he would have to do dialysis.
However, the patient was still not awake, opened his eyes occasionally, and fell asleep again.
Guo Xiang went home first.
The next day, Guo Xiang came to the hospital again because he was worried.
When I got to the hospital, I went directly to the ward to see the patient. The patient was awake, but could not speak.
Can you hear me? Guo Xiang asked.
The patient nodded slightly, opened his mouth, and said nothing.
Guo Xiang frowned at her, couldn't even utter a word, was he lacking strength, or his throat was broken?
Raise your left hand and let me see! Guo Xiang said.
The patient moved his fingers, as if trying to lift it, but his arm remained motionless, as if it weighed thousands of pounds and could not lift it at all.
Where's the right hand? Guo Xiang said again.
The patient moved his fingers, but did not lift them up.
Is this a muscle weakness or a nerve problem?
After some examinations, it was found that the patient had a motor speech disorder, that is, the muscles of speech were damaged or paralyzed, as well as dysphagia and sudden flaccid paralysis of the limbs, which was caused by the loss of muscle tone of the muscles of the limbs. .
So the patient can't even lift his hands.
It seems that MRI is needed to clarify the lesions. Guo Xiang said.
What is an MRI? the patient's husband asked. Now that MRI machines are not so popular, it's normal for ordinary people to not know.
It's a magnetic resonance imaging scanner that can clearly see what's wrong in the body. I suspect that there is something in your head in your lover's situation, so that's why this is the case? Guo Xiang said.
You mean tumor? The patient's husband was shocked.
We don't rule out this possibility, let's check first. Guo Xiang said.
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