(Thanks to my friend Chic Uncle 1, EM Zhenwu, Baili Tongyun, Cool to Death, and Bamboo Monthly Pass Encouragement Who Loves to Sleep)

Now Liu Banxia is anxious, even if he pushes sodium bicarbonate, it can only be delayed, not cured. The patient has a problem with the kidneys, and if the exact cause cannot be found, then it will only continue to worsen.

"Brother Wang, this patient now has signs of early kidney failure and liver failure, and has already inserted a urinary catheter for him. Do you want to go to the ICU first?" Liu Banxia came to Wang Huan with the test sheet.

"For the time being, it's better not to do it yet, and it's a new round of examinations when I get to the ICU. Unlike the postoperative ICU, we still have a great opportunity. Wang Huan said after taking a look.

"What we need to do now is to hydrate and adjust the electrolyte balance so that the metabolic disorder does not evolve into uremia. Although the blood pressure is still a little low, it is relatively stable, so I don't need to worry about it for the time being. ”

"There are only a few causes of acute kidney failure, shock, trauma, infection, hemolysis and poisoning. Could it be that you have inadvertently come into contact with heavy metals?"

"Okay, I'll do another heavy metal screening and poison testing. How about the injections? Talk to his classmates again to see if he has exercised vigorously in a short period of time. Liu Banxia said.

"Now I think that maybe the abdominal pain is because the patient has initially shown kidney failure, but the patient's physical fitness is good, and the performance is not so serious, and it has nothing to do with the injection of azithromycin. ”

Wang Huan nodded, "Yes, Youlixin will have an effect on respiratory tract infections, bacterial pneumonia, pyelonephritis, bacterial sepsis, and meningitis, and see how the patient performs after the injection." ”

Liu Banxia hurriedly ran back to the patient's bedside and asked the nurse to put Youlixin in.

"Young man, have you done a short period of strenuous exercise since you came back yesterday?" asked Liu Banxia after the arrangement.

The guy shook his head, "It's already a little late when he arrives, so we'll do it at home and then go to dinner." ”

"Have you ever been exposed to any particular substances? We are now suspecting that your classmate may have kidney failure caused by heavy metal poisoning. Liu Banxia said.

"How is it possible, we've been together since he came back. I won't be able to poison him, he eats and drinks the same. The guy hurriedly said.

"You're mistaken, I'm not saying that you were poisoned, but you may have inadvertently come into contact with heavy metal elements. Liu Banxia explained.

"Some heavy metals remain in the body even if they are ingested in small amounts, causing them to affect the body. Now we have to wait for him to wake up and see if he has experienced anything during his time at home. ”

After using Unixin and adjusting the electrolyte balance, the patient's condition finally improved. At least now that he has woken up and is able to communicate normally.

Under Liu Banxia's inquiry, it was the same as what the guy just said.

"So what about you at home? Do you eat anything special or come into contact with any special substances at home?" Liu Banxia then asked.

"No, I eat with my family in the morning and at noon. In the afternoon, I took the high-speed train to Binhai City, drank a bottle of Coke at the train station, and nothing else. The patient shook his head.

"And if something is wrong at home, and my parents are older than me, they must have reacted, so they should have contacted me first. ”

Liu Banxia was also a little stunned, don't look at the guy who is very sick now, but he is right. At the very least, it also proves that now Unixin is really effective, and the patient's thinking is very clear.

At this time, Zhou Qian also sent the latest blood test and urine test results, looking at the test data above, Liu Banxia gasped.

The white blood cell count is ridiculously high, and the platelet count is markedly elevated. There is nothing on the heavy metal test, but what about the toxicology test? It actually showed a positive colchicine. 108 in blood and 620 in urine.

"You...... How much colchicine did you eat?" Liu Banxia said after handing the latest test results to Wang Huan.

"Doctor, what's that? I can't eat daffodils, and I don't eat colchi. How could I kill myself, I didn't live enough. The patient said with a wry smile.

He really didn't understand what Liu Banxia said, which means that his body and bones are not supported now, otherwise he would have to discuss everything with Liu Banxia.

"Then have you ever eaten daylily, fresh daylily?" Liu Banxia asked again.

Although the results of the instrument examination have been given, he still has to be sure. Not all instrument test results are accurate, and after the conclusion is reached, it is a process of backward extrapolation.

The patient was stunned for a moment and nodded, "I ate it at noon." After cooking, I love to eat this dish. What do you mean...... , are you eating daylily?"

Ding! The task of the patient with hypotensive fainting is complete

Gain 200 XP and 100 Diagnostics Skill Mastery

This mission is rated Perfect, gaining 200 XP points, 100 Diagnostics skill proficiency points, and 7 glory points

"Brother Wang, the case has been solved, colchicine poisoning, do you still need to transfer to the ICU? Or let's get it here?" asked Liu Banxia.

"I have to go to the ICU, and I need to pay attention to it at all times. We need to correct electrolytes, replenish protein, rehydrate abundantly, and suppress acid, which we can't do here. Toxicology detected?" Wang Huan asked.

"Yesterday at noon, I ate cold vegetables mixed with fresh daylily at home, that is, I am in good health, or maybe my digestion is slower, and now I have an official seizure. Liu Banxia said.

"It must have been undercooked when it was watered, or it wouldn't have been like this. He still loves to eat, and he probably has eaten it too. Check in with your parents, too, and you can't help but inform them about this. ”

"I ...... I'm going to die?" the patient asked nervously, now gasping for breath.

"You can't die, but you have to suffer a little sin. Fresh daylily contains colchicine, a chemical that can cause poisoning if eaten too much. Liu Banxia said.

"And there's no cure-proof yet, and the toxins are now absorbed by you. Only by rehydrating abundantly and correcting your body's electrolytes at all times can we help you metabolize colchicine. ”

"You don't eat much, or you wouldn't be able to make it this far. But after all, it has affected your body, your kidneys and liver have been damaged, and you have to stay in the ICU for two days to give you all-round care. ”

"Doctor, what ...... How much does that cost?" asked the guy who came with him.

"So you still have to inform the parents that you definitely don't have enough money. But we can save him first, and the money will be put later. Liu Banxia said.

For both of them, where is the alternative?

Even if you are afraid that your family is worried, this call must be made, otherwise the medical expenses will not be settled.

"Hey...... , I really didn't expect it to be fresh daylily. After the guy was pushed to the ICU, Liu Banxia sighed.

"It stands to reason that the family often eats, and there should be a certain sense of prevention. But I've never eaten fresh daylily, and I don't know what it tastes like. ”

"You can try it if you have time, but you have to go to the morning market to find it, and I guess you can still find fresh daylily there for sale." Wang Huan said with a smile.

"It's thanks to you that you did a toxicology test, otherwise you'll have to explore for a while. He estimated that he usually eats fresh daylily, and his body has some drug resistance. ”

"Teacher Liu, do patients like this need to take a toxicology test in the future?" asked Xu Yinuo.

"It's not for sure, it's up to personal judgment. If you meet the symptoms of poisoning, you can also make up for one. However, the current rapid tests are those common toxins, which are not very comprehensive. Liu Banxia said.

"You've seen it today, right? Those things in books can only be used as the basis for our judgment. Once these conditions are actually manifested in the patient, there will be many differences. ”

"Normal colchicine poisoning, there will be thirst, sore throat, abdominal pain, nausea, vomiting, high fever, rash, these symptoms. But what about our patient? only nausea, abdominal pain, high fever, cough. ”

This cough may have been caused by the air conditioner while sleeping, and it was not a symptom caused by his consumption of fresh daylily. ”

"So I'll have to be careful in the future, I'm lucky today. It was also his life that fainted after the sudden drop in blood pressure that caught our attention. Otherwise, if you delay, you may miss the best time for treatment. ”

"Since that's the case, if the patient is suicidal and swallows a lot of colchicine tablets......, how can he give first aid? , Huang Bo raised his hand quickly. ”

"Gastric lavage, enema, this is also a universal first aid for suicide by swallowing pills. Huang Bo said.

Liu Banxia nodded, "That's pretty much it." However, I am afraid that our patient's gastric lavage is too late, it takes too long, and it should be almost absorbed. ”

"Okay, big guys should pay more attention in the future. I'm also studying, and it's the first time I've encountered such a patient. Carefulness is the first basic requirement of our doctors. ”

can be regarded as being praised, Huang Bo waved his hand vigorously, and then continued to work.

"Okay, that's good. Just now, this group was a little slow to take care of those drunk, but now it's okay, and they all have spirits. But it's really hanging today, it's almost there. Wang Huan said with emotion.

"Who says it's not, hey......" Liu Banxia sighed.

Now he is not worried about the patient just now, but Qi Wentao. Qi Wentao's work attitude was obviously incorrect and too perfunctory.

Even when chatting with Zhou Shuwen yesterday, Zhou Shuwen hinted that he could do it boldly, not the right person. But living in such a society, or in a special environment like a hospital, without the prestige of Zhou Shuwen, can you do this?

is still that kind of concern, others may not say how he is, and when the time comes, he may talk about Zhou Shuwen behind his back.