NovelTags Chapter 340
Chapter 340
The physical examination is fine...
No problem with an electrocardiogram...
· The result of ultrasound B is no problem...
Lin Feng pondered.
"Is it really just acute gastroenteritis?"
"The patient has abdominal pain, vomiting, and no abnormal eating history, how can he have gastroenteritis?"
At this point,
The blood draw liver function and blood routine have not come out, and it will take at least 1 hour.
"I can only wait for liver function and blood routine..."
"Send to the rescue room first, connect the ECG monitor..."
Lin Feng is afraid of any big problems, in this waiting time, it is better to use the ECG monitor to monitor it first to avoid problems.
The patient is admitted to the rescue room and connected to an ECG monitor.
After rehydration and antibiotic anti-inflammatory, the patient's abdominal pain symptoms have been reduced...
Blood pressure is also a little low, but it is still stable...
......
After another half an hour,
The blood draw results are in!
Lin Feng looked at it for the first time.
Taken aback!
Liver function data, extremely abnormal!
Abnormal elevation of transaminases,
· ALT increased by more than 10 times!
· AST increased by more than 15 times!
Blood creatinine (reaction kidney function) is also high, up to 300μmol/L, 3 times higher than normal!
The results of the blood routine are also abnormal.
White blood cell count, 2 times higher!
Lin Feng looked at this result,
Liver damage, kidney damage...
Surely something was eaten?
"Are you sure you didn't eat anything?"
"Nope."
"Tell me, what did you eat in the morning?"
"It's ordinary buns, soy milk and the like, all bought by the breakfast shop..."
Lin Feng frowned and looked at the patient in front of him.
Breakfast shops generally do not have any problems, even if they are occasionally unclean, small diarrhea is not impossible, but the possibility of causing such serious liver damage and kidney damage is very small.
"Didn't eat anything else?"
"Nope."
"Have you ever had liver disease before?" Or kidney disease? Lin Feng had just asked these questions, and now he had asked them a second time.
"No..."
When the patient spoke, his face turned a little pale, so Lin Feng didn't notice that his heart was weak.
"It's impossible..."
Lin Feng frowned.
There is nothing, the B ultrasound results are also abnormal, why repeat abdominal pain, vomiting, plus liver damage, kidney damage?
The liver and kidneys are the most important metabolic sites of the human body.
What you eat, what you inject, after entering the body, must be metabolized by the liver or kidneys and detoxified.
So
If there is really liver damage + kidney damage in a short period of time (only starting in the morning), then the probability is that you have eaten something particularly 'poisonous'!
However, the patient said, "I didn't eat!"
"This patient, lie to me?"
Lin Feng looked at the middle-aged male patient in front of him.
Then, I saw that the middle-aged man's gaze was a little evasive.
Stunned for a moment.
"Could it be that this patient really lied to me?"
Lin Feng thought of some patients who committed suicide.
Thinking of this, Lin Feng was ready to deceive.
Put on a face:
"Hospitalize... I'll open your belly and see what's going on in your belly..."
"Huh? Open belly? "
When the middle-aged male patient heard this, he immediately panicked.
Lin Feng glared: "If you don't open your abdomen, you can't check for any problems, then you can only wait for death... Of course, opening the abdomen is still very painful, to cut a knife in your stomach, pain for a month or two, you can't laugh too hard when you laugh in the future, otherwise you may collapse your stomach...! "
Lin Feng said a bunch of 'disadvantages' of opening the belly.
Middle-aged male patient: ".................."
There was silence.
Lin Feng: "Do you know paraquat?" "
Middle-aged man: "I know." "
Lin Feng: "Your disease is very similar to those patients who drank paraquat, those patients could not be saved, wanted to die and could not die, but they have been very painful, torturing patients for several days, and finally slowly dying..."
The painful consequences of taking paraquat are described in detail.
The middle-aged man's face turned pale when he heard this.
Lin Feng: "Of course, if you take some drugs that are not as serious as paraquat, you may still be saved, and you can save it... Say, what did you eat? Actually let your liver damage and kidney damage like this?! "
The middle-aged man looked at Lin Feng in shock: "Doctor Lin, how do you know?" "
Lin Feng was surprised in his heart, the patient really lied?
But on the surface there was a look of disdain: "Nonsense, can you hide from me?" Your liver damage and kidney damage, look at what kind of medicine you have taken..."
The middle-aged male patient smiled bitterly: "Dr. Lin... I'm sorry I lied to you just now, in fact, I ate a box of colchicine tablets this morning. "
Lin Feng: "??? "
Colchicine tablets?
Gout medicine?
A box?
Lin Feng was shocked.
"A box? How many tablets? "
"100 tablets..."
Lin Feng: "!!!!!! "
Jumped up sharply on the spot,
Gasped.
"How long have you been eating?"
"5 hours..."
"Grass!!"
Lin Feng has completely exploded.
Not angry, but shocked!
Medicine is three points of poison!
Not to mention the drug colchicine, although it has a very good pain relief effect on ventilation, it has to be mentioned that the therapeutic dose of colchicine is very close to the toxic dose (lethal amount is 0.8mg/kg).
That is to say, as long as there is one more tablet than normal, the patient will be poisoned!!
And 100 pieces at once!
Now the patient is still alive lying in front of him, which is already a miracle!!
"Lie down right away, I'll call someone to wash your stomach... Xiao Ai, quick, arrange gastric lavage, and enema......!! "
Lin Feng shouted.
Soon Lin Feng realized that something was wrong.
No way!
Gastric lavage is probably no longer enough!
In 5 hours, it is estimated that the medicinal properties went directly into the blood.
A blood purifier is also needed!
Clean the blood!
Fortunately, the emergency department of Harmony Hospital is quite complete with rescue equipment, with two blood purification machines.
Arrange it now!
The team below Lin Feng soon began to move...
My hands and feet were numb and ready for the machine to wash the stomach...
At the same time, enema excretion (glycerin, lactulose, etc.) is also prepared...
At the same time, it began to push the purifier over...
Lin Feng asked the patient very quickly:
"You immediately call your relatives over, your condition is a bit serious, you have to be signed..."
"I am a person drifting north, and my family is not in the imperial capital..."
"Do you want treatment now?"
The patient hesitated, and finally said:
“...... I want to..."
To be honest, the moment he came to the hospital, it already represented his regret, but he didn't realize it. And when he told Lin Feng that he had eaten colchicine,
"Sign!"
Next, gastric lavage, enemas...
Intubate first, put on the ventilator, ensure oxygen...
And then
Gastric lavage, washing from the top of the digestive tract, entering from the mouth, flushing while pumping...
Enemas, washed from under the slide, entered through the steel door...
However, this gastric lavage and enema can only excrete drugs that have not been absorbed into the blood.
And those that have been absorbed into the blood, can only do "blood purification".
The so-called "blood purification" treatment is to draw out the patient's blood, through a perfusion, perfusion can adsorb and remove toxins drugs, the blood will be cleaned and then transfused into the patient's body to achieve the purpose of treating poisoning.
It is different from "hemodialysis".
Not the same thing.
"Hemodialysis" is one of the renal replacement treatments for patients with acute and chronic renal failure. It is mainly to help people with kidney failure or kidney removal, and excrete water, inorganic salts, urea, etc. that cannot be metabolized by themselves, so as to maintain the normal metabolism of the human body.
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