Isn't this playing with words?

Alcoholism is not alcoholism, is it the medical staff who use ethanol as saline to give the patient a rest? A similar serious mistake has not been made in the medical history of the Republic.

Director Zou's face became ugly, and Chu Zhixi's words were more ugly than pointing at his nose and scolding, and he made himself uncomfortable. Alcohol poisoning without drinking, just like listening to heavenly books, how can Professor Chu talk nonsense.

Ma Xiude didn't speak, but looked at Chu Zhixi very calmly, he seemed to think of something. Raised eyebrows slightly, still silent.

"Professor Chu, what you said makes me very uneasy. Director Zou said, "There will definitely be no medical ethanol for patients to ......."

"I didn't say it was medical malpractice. Wu Mian said, "Director Zou, Director Xia, is the head nurse here?"

Director Zou and Director Xia were stunned at the same time.

Generally speaking, the head nurse rarely participates in the hospital-wide consultation, unless there is a major operation that involves nursing work. Today's patient difficulty lies in diagnosis, and the head nurse has already gone home after work.

"Teacher Wu, the head nurse has already left work. Director Xia Qing explained.

"Well, ask the head nurse if you have lost your hand sanitizer in the ward. ”

"......" Everyone in the office stared wide-eyed, fast or slow, and instantly understood what Wu Mian and Chu Zhixi meant.

Hand sanitizer contains isopropyl alcohol, not to mention anything else, this substance has an alcohol word, and the chemical structure is similar to ethanol.

And some disinfectants themselves also contain alcohol, for example, some disinfectants have an alcohol concentration of up to 70%.

Yes!

A fog was broken by Wu Mian and Chu Zhixi's few words, and it suddenly opened up.

Director Xia Qing hurriedly took out his mobile phone to call the head nurse.

"Teacher Wu...... You should be right. A doctor followed Wu Mian's train of thought for a few seconds and said, "Oral hand sanitizer can explain the ketone bodies and consciousness disorders that appear in the urine, and it can also explain anion gap metabolic acidosis." Because isopropyl alcohol can be metabolized to acetone, it is caused by oral hand sanitizer. ”

"Well, hand sanitizers contain some lactic acid, which can cause an increase in the anion gap. Wu Mian said lightly.

"I remembered. Another middle-aged doctor, who had been furrowing his eyebrows, said, "There have been reports of a false increase in serum creatinine levels after isopropyl alcohol poisoning, which could explain the increase in serum creatinine levels and the normal blood urea nitrogen levels observed in this patient." ”

"Yes. Wu Mian smiled slightly, "Ingestion of large amounts of hand sanitizer can cause mental state, upper gastrointestinal bleeding, and a false increase in acetone and serum creatinine levels in the urine. ”

"Teacher Wu, the head nurse said to come soon. Director Xia Qing said.

"No, just ask if you have any impressions. Wu Mian said with a smile.

"The head nurse said that the contents of the big warehouse were not missing, and the hand sanitizer outside was in the treatment room, and it was impossible for the patient to go in. ”

"Oh, tell the head nurse it's okay. Wu Mian said confidently, "Director Xia, please ask the patient's family, including those who were discharged from the hospital today and were still in the hospital yesterday afternoon and evening." ”

Wu Mian reminded him very well, and even thought of the most subtle details, Director Xia Qing didn't have time to think about it, and immediately began to arrange tasks, directing the doctors on duty, the general inpatient, the second-line professors, and the nurses to inquire in the wards.

In less than 10 minutes, Director Xia Qing came in excitedly, "Teacher Wu, I found it!"

"Oh. Wu Mian smiled.

"A family member of a patient said that he had lost a bottle of hand sanitizer after washing in the bathroom yesterday afternoon. ”

At the end of the corridor of the ward of the first hospital of the medical university is the toilet and toilet, and in the middle is the place for washing, and the men's and women's toilets are divided into left and right, which is a very standard and typical old-fashioned building.

"The patient's family said that they went to wash their hair with toiletries, but as soon as they looked up, the hand sanitizer disappeared. Later, I asked a lot of people, but no one saw them. ”

"Ask the time, check the video surveillance. ”

Uh, do you want to be so troublesome? Director Xia Qing was stunned for a moment, looking at Wu Mian and not knowing what to say.

"Oral hand sanitizer is only one of the possibilities, there are other diseases that may occur in a similar situation to be investigated, so it cannot be arbitrarily assumed that it must be oral disinfectant. ”

Director Xia Qing wanted to ask what the situation was, but hesitated twice, and finally gave up the idea.

Fortunately, Director Zou was there, and contacted the security office to retrieve the corridor surveillance video from the same time period, and confirmed that the patient did go to the bathroom once at the same time.

Because the bathroom was not monitored, the patient was not filmed "walking" along with the hand sanitizer. But with so much evidence, everything is clear.

There is no doubt about the diagnosis of isopropyl alcohol poisoning.

"Mr. Wu, the diagnosis is here, please give me a treatment plan. Director Xia Qing came to Wu Mian's side after explaining everything, and said respectfully.

Teacher Wu looks young and can diagnose the level...... There it is. The whole hospital consulted, and everyone talked for several hours, and they had no clue about the patient's condition. As soon as Mr. Wu came, he solved the problem in a few words.

Oral hand sanitizer...... It's not a diagnosis, it's a trigger, and it's a little too weird. Wouldn't a normal person take that thing orally?

"There is no specific treatment for isopropyl alcohol poisoning, and normal supportive care is sufficient. Wu Mian smiled and said, "Director Xia, you're welcome. Isopropyl alcohol ingestion rarely has fatal consequences and is not a cause for concern. ”

Wu Mian broke Director Xia Qing's heart with one sentence.

"Teacher Wu, I'm ...... here" Director Xia Qing was a little embarrassed.

"Director Xia, you have strict management here and do your work very carefully, which is good. Wu Mian praised, "Under normal circumstances, patients enter the treatment room and secretly drink hand sanitizer, resulting in isopropyl alcohol poisoning. But our department has done a good job, and the head nurse can make sure that the hand sanitizer is not lost, which is amazing!"

Hearing Wu Mian say this, Director Xia Qing carefully distinguished the subtle expressions on his face. Praise is sincere, but ...... Mr. Wu is really good-looking.

Appearance is justice, what Mr. Wu said must be right, Director Xia Qing thought in his heart.

"Teacher Wu, have you met before?" asked Director Xia.

"I was in a lab in New York State and the engineer joked that he came up with a bottle of hand sanitizer and drank it straight away. ”

“......”

"Surfactants, trichlorohydroxydimethyl ethers, emollients, fragrances, deionized water, olive oil extract, and isopropyl alcohol. ”

"What happened later?

"I didn't drink much, after all, it was a joke and we discussed the taste of hand sanitizer together. Wu Mian said with a smile.

The room full of people looked at Wu Mian with surprised eyes.

Does this kind of thing still need to be discussed? Is it that Mr. Wu spit lotus flowers in his mouth and fooled foreigners?