"Doctor, my husband will be fine, will he?"

The patient's wife followed, her face full of concern.

"It's hard to say now, let's do a severance suture first, and then do a brain CT, with the current situation, there is no life-threatening for the time being, but it is difficult to say whether there is intracranial hemorrhage. ”

Wu Xiaodong introduced the patient's wife.

"Is it okay if you have a broken tongue, won't you die?"

The patient's wife asked worriedly: "Isn't it all played on TV that the tongue is broken, and the person will die soon?"

"No, don't worry, my master personally sutured, my master's suturing level is very high, as long as the suture is recovered, it will have little impact on the future, mainly to consider whether there is intracranial hemorrhage. ”

Li Xiaofei also explained.

The tongue is an important organ for human eating and speech, and observing the color, texture, shape and coating changes of the tongue is also one of the important contents of TCM consultation.

Medically known as the tongue, it is a muscular organ in the human mouth that is covered with epithelial tissue containing taste receptors. There are multiple muscle bundles in the tongue that are independent of each other and have different directions, so that the tongue can make flexible activities such as deviation, curling, and warping, so that it can assist in chewing, stirring, swallowing food, and assisting in vocalization.

In some novels and TV series, there are often some scenes of suicide by biting the tongue.

So is the tongue-biting claim of suicide really reliable, and is it really as easy and swift as it is said on TV and in novels?

In fact, in fact, the fatality rate of tongue biting suicide is not high, and it is not fast, among the various means of suicide, biting the tongue to commit suicide is also very rare, as far as normal people are concerned, it is a very painful and very difficult thing to bite off their tongue by themselves.

And even after biting off the tongue, people don't die right away.

The causes of death of "biting the tongue and committing suicide" circulating on the Internet can be roughly classified into three categories, namely "pain to death theory", "blood loss theory" and "suffocation theory".

The main reason for the "pain to death theory" is that the tongue biting produces great pain, which produces neurogenic shock, which eventually leads to confusion in the respiratory and circulatory systems, and this argument is obviously not valid, and there is a problem with the understanding of neurogenic shock in this reason. Although "neurogenic shock" can be simply understood as "shock triggered by nervous system stimulation", it is definitely not "painful death".

The claim of blood loss is also untenable, the tongue contains a large number of capillaries and several thick arteries and veins, and it will bleed profusely after biting off the tongue, but it will not easily lead to death.

The total amount of blood in the human body is about 4~5 liters, and the amount of blood loss must exceed 30%, that is, more than 1.5 liters to be life-threatening. It is not so easy to lose 1.5 liters of blood by relying on the blood vessels in the tongue.

There are three types of asphyxiation, one is that the severed tongue is swallowed, resulting in choking, and the reason for this statement is that the tongue is an organ that assists in swallowing, so the severed tongue is swallowed due to the loss of swallowing function after the tongue is bitten. However, if you want to bite your tongue and kill yourself, or if you accidentally bite your tongue off yourself, then the severed end of the tongue is located on the outside of the front teeth, and the probability of falling out of the mouth is much higher than if it is swallowed. Moreover, even if the severed tongue is swallowed, it is most likely to enter the esophagus rather than the trachea, so it is not reliable.

Another theory is that the severed base of the tongue will retract into the throat and cause suffocation, but the part of the tongue that is bitten off is the free end of the anterior part, and the remaining posterior part of the tongue is pulled by the developed genioglossus muscle in the direction of the mandible in the anterior and lower direction, so it is difficult to retract into the throat and is therefore unreliable.

As for the third theory, the outflow of blood into the trachea causes suffocation, and in order for the blood to adequately block the airway, the amount of bleeding required is much less than that of death from blood loss, but it is still relatively large, and it requires prolonged bleeding to achieve, and it needs to be violent.

Therefore, from a medical point of view, the statement of suicide by biting the tongue is actually not reliable, do not panic after accidentally biting off your tongue, save the broken tongue, and suture it in time for treatment.

When the patient was sent to the emergency room, he was still in a coma, so Fang Han first gave the patient a cranial CT and then performed a shut-off suture.

The time for CT scan is not long, and the time for a simple non-contrast CT scan of the head is very short, from the time the patient enters the examination room to the end of the examination, that is, about two minutes.

The patient was unconscious, and he didn't even need to inject anesthetic, so Fang Han did debridement and suturing the patient when the patient was not clear for a while.

"Doctor Fang, this is a CT scan of the patient!"

As soon as Fang Han's sutures were completed, Wu Xiaodong stepped forward with a CT film.

"The patient has a large area of bruising in the skull, which does not necessitate a craniotomy. ”

Fang Han took the CT film and looked at it, and said: "The impact of craniotomy on the patient is quite large, and the patient is not in danger of life at present, so I will first prescribe a prescription to promote blood circulation and eliminate blood stasis, take three doses, and see the effect." ”

Saying that, Fang Han walked to the side, wrote a prescription and handed it to Li Xiaofei.

Wu Xiaodong was about to say something, but when he opened his mouth, he still didn't say anything more.

"Director Wu, my master is measured. ”

Li Xiaofei whispered to Wu Xiaodong: "And from the perspective of traditional Chinese medicine, surgery is also done when there is no way, and it is the best choice to be able to use traditional Chinese medicine for conditioning and treatment. ”

Wu Xiaodong glanced at Li Xiaofei and didn't bother to take care of him.

He is a deputy chief physician, when will it be Li Xiaofei's turn to teach as a hospitalist?

This is also Li Xiaofei is Fang Han's student, a different person.......

"Master, it's not early, why don't you go sleep for a while?"

The patient took the medicine, Li Xiaofei walked into the duty room, Fang Han was reading a book, and it was almost three o'clock in the morning.

"Is there anything wrong with that child?" Fang Han asked Li Xiaofei.

"Every once in a while I take a little medicine and everything is fine. ”

"Well, that's good. Fang Han nodded.

"Master, go to sleep, I'll just watch it. ”

Fang Han looked at the time, stood up and said, "Okay, then I'll go sleep for a while, it's okay, you can also find a chance to squint for a while." ”

Li Xiaofei is the general hospitalist, on duty continuously, and he is busier during the day than at night.

"Doctor Fang, Mr. Li!"

As soon as Fang Han got up, a nurse came in and announced: "A patient with bone injuries has come." ”

"Let's go, let's take a look. ”

The patient had been arranged by the nurse in the treatment room, Fang Han and Li Xiaofei came to the treatment room, and as soon as they entered the door, they smelled a strong smell of alcohol.

There were several people in the treatment room, and they all seemed to have drunk a lot.

"Doctor, look at my brother. ”

Fang Han and Li Xiaofei entered the door, and several people began to speak, you say, I say, it's a mess.

"Be quiet, this is a hospital, the doctor doesn't ask, don't make a sound. Li Xiaofei scolded with a straight face.

A few people drank a lot of wine, but no one was crazy, Li Xiaofei scolded, and several people quieted down.

Fang Han stepped forward to check on the patient, who was in his thirties and burly, and was lying on the treatment bed at this moment.

"What's the matter, tell me about the situation alone!" Fang Han stepped forward and asked while diagnosing the patient.

Li Xiaofei saw that several people were about to argue again, so he hurriedly stretched out his hand and pointed to one: "You come and say." ”

"A few of us had been drinking, and we were a little drunk, and we accidentally fell down the steps........"

The young man who was pointed at by Li Xiaofei probably said what had happened.

"Doesn't look like you fell down the steps, does it?"

Fang Han said while doing the inspection.

"Doctor, that's what fell down the steps. Several people hurriedly said.

"It should be a crush!"

Fang Han finished the inspection and said, "What's going on, don't hide it." ”

"Doctor, isn't it necessary?" several people were clearly not telling the truth.

"Tell me about the specific situation, I can handle it easily, so as not to ignore something. ”

Fang Han said: "I will treat you as if you fell down the steps, and it will not affect your reimbursement." ”

A few people didn't tell the truth, but Fang Han understood it very well.

This accidental fall is covered by joint treatment and medical insurance, but if it is caused by man, it is not easy to reimburse.

"Doctor, you're such a sensible person. ”

The young man who was pointed at by Li Xiaofei just now smiled awkwardly, and then told the truth.

Several people are classmates, and the relationship is good, and it is rare to get together for a drink, and the drink is a bit high, but they have not drunk too much.

A few people chatted while drinking, talked about the past, and then competed, this one said you can't drink me, that one said I can't drink you and so on.

Drinking didn't tell the winner, and several people started to wrestle their wrists again, and after breaking their wrists, they wrestled again.

He was in his thirties, not a young man of seventeen or eighteen years old, plus he was drunk, his body was heavy, and he was injured and fell, and the other one also pressed straight up, and then the people on the side heard something...... The right leg and right arm that were pressed underneath were fractured.

"Drink less alcohol in the future, and don't be reckless when you drink. ”

Fang Han spoke, walked to the side and gave it to the nurse, and then said to Li Xiaofei: "Come, take a hand!"

Li Xiaofei stepped forward, Fang Han motioned for Li Xiaofei to grab the patient's right button, and Fang Han himself grabbed the patient's wrist with one hand and shook it gently.

"It hurts, doctor, it hurts!"

The patient screamed in pain.

"Now that I know it's hurting, why did I go earlier?"

Fang Han said angrily, "Can you still know that it hurts after drinking?"

"Wine is not hemp...... Medicine ......"

Before the word medicine could be spoken, Fang Han suddenly pulled his wrist and twisted it slightly, and sent it forward.

"Alright, don't move for now, I'll get a splint later. ”

As he spoke, Fang Han had already released the patient's wrist, and then reached out to massage the patient's right leg.

"I'll go!"

Several young people on the side were dumbfounded.

"Doctor, you're too good, aren't you?"

Fang Han was still talking, they didn't pay much attention, this is good?