bookpower Chapter 365
Chapter 365
Blood is drawn and the results are as follows:
Blood routine: the white blood cell count of more than 60,000 (normal is almost 4,000-9,000) is more than 10 times!
Blood routine: platelets are only 50 (normal should be 100-150), relatively low!
Myocardial enzyme profile: several myocardial enzymes are abnormally elevated...
Liver and kidney: blood creatinine is 10 times higher, transaminases are 8 times higher, bilirubin is 5 times higher...
Lin Feng took a look.
Elevated myocardial enzymes, consistent with myocarditis.
But
What the hell is the liver and kidney values so high?
This cannot be explained by myocarditis at all!
Is this liver failure, kidney failure?
Could it be something eaten? Causes too much liver and kidney load?
Lin Feng aimed at all at once - food, or medicine!
Get out of the rescue room,
Again in front of the patient's family.
"Doctor Lin..."
"I want to ask, did the patient eat anything special in the past two days? That is, the patient eats, and you don't eat..."
If you eat them all, then the whole family has liver failure and kidney failure.
The wife wondered: "No, we all eat and live together..."
Mother: "Recently, my son was on vacation, he ate at home, and he didn't eat anything special himself..."
Lin Feng nodded.
Turning his suspicious gaze to the cold medicine, only the patient took the cold medicine, which may be a problem with the cold medicine.
If the dose of cold medicine is too large, it may indeed cause multiple organ failure.
"Is there anyone else in your family? I want to see what cold medicine your husband has taken..."
"There's no one at home... However, my door has a combination lock that allows the neighbor to open the door and enter..."
"Okay, as soon as possible, now time is life, I'm afraid that your husband's illness will recur!"
"I called the neighbor right away..."
The wife quickly called.
......
After 3 minutes,
The neighbor took a picture and came over.
Lin Feng looked at the picture.
"Acetaminophen tablets"!
There is another medicine, "999 Cold Spirit"...
"So it's both of them!!"
Lin Feng understood at once!
"Acetaminophen", which can also be regarded as a fever reducer for fever caused by the common cold or influenza, can be said to be cold + fever + pain relief...
It is a common medicine!
Very widely used!
However, what ordinary people do not know is that its shortcomings are also great.
It's no problem to eat according to the instructions.
However, an excess can cause liver and kidney damage, and even heart damage until arrhythmia, and cardiac arrest may ...
And "999 Cold Spirit", although it is a Chinese medicine, but in fact, the ingredients still have acetaminophen.
And the patient, it is possible that two medicines, took it together!
That is, acetaminophen doubled!
The dose is exceeded!
This corresponds to the patient's current illness.
Next, it is time to check the "blood concentration" of "acetaminophen".
Results in 1 hour.
OK, acetaminophen overdose, poisoning!
The next treatment plan is, naturally, as follows:
Blood purification, removal of acetaminophen...
Drugs that continue to protect the liver and kidneys...
Get this patient.
Lin Feng left the hospital and went back to sleep...
......
......
The next day,
daytime
Lin Feng went to work, and then went to the ICU.
By this time the patient had woken up.
The previous doctor has already asked, it is indeed taking acetaminophen and 999 cold spirit...
The reason is that after taking the first medicine, I felt that it was not effective, so I repeated the second drug, and then the effect of the drug was superimposed, and there was a problem.
Lin Feng arranged for someone to give him a brain CT to see if there was any problem.
However, looking at the patient's state, it looks good, and the body has resisted the load of cardiac arrest.
......
Case summary: Do not repeat the cold medicine superimposed on the table, carefully read the instructions!
......
Back to the consultation room,
Lin Feng began to sit in the clinic, and behind it, 12 pennants...
First patient.
"Please ask Zhang Meilin to consult room three..."
And then
I saw a young couple and ran in.
The kind that covers your belly.
A look of pain.
"Doctor Lin, it's not good, my boyfriend and I were poisoned!"
Lin Feng: "???? "
Poisoned?
"Don't be in a hurry, tell me about the situation?"
At this time, Lin Feng's spirit was tense.
Girlfriend Balabala said quickly: "It's like this, I bought four or five pounds of cherries last night, and then ate them this morning, and I ate them all with my boyfriend..."
Lin Feng: "..........................."
Breathed a sigh of relief.
Cherry?
Poisoning?
It shouldn't be possible...
The girlfriend continued: "Then, it didn't take long for my boyfriend and I to start having stomach aches, I searched on the Internet, and there was an article saying that because the cherry kernel contains cyanogenic glycosides, it reacts with stomach acid to produce highly toxic cyanyl ions, which leads to cyanide poisoning..."
Lin Feng: ".................."
"And then?"
"And then... No, my boyfriend and I now have stomachaches and poisoning, Dr. Lin will definitely save us..."
Lin Feng: "Then do you want to vomit, diarrhea and other symptoms?" "
The girlfriend was stunned and shook her head: "No..."
Lin Feng: "When did you start abdominal pain?" "
Girlfriend: "Half an hour ago..."
Lin Feng nodded.
Then they gave each of them a physical examination.
No problem.
"Let's draw some blood... Just blood routine..."
......
An hour later,
The blood routine results are in.
There is no problem.
Lin Feng: "It's okay, I just ate too many cherries and had a little indigestion..."
The girlfriend still has a stomachache and is a little anxious.
"Doctor Lin, I'm poisoned..."
"Trust me, you're just indigestion..."
Lin Feng explains:
"What kind of cyanogenic glycosides you just mentioned, the seeds of cherries, apricots, peaches, plums, and loquats all contain cyanogenic glycosides..."
"Cyanogenic glycosides themselves are not toxic, but cyanosides release hydrocyanic acid under the action of enzymes and acids, and hydrocyanic acid is indeed toxic as you said... However, you must at least eat a few hundred pounds of cherries at one time to be poisoned, otherwise the human body will easily decompose it and eliminate it from the body..."
A few hundred pounds............
Young couples, looking at each other...
。