Chapter 1052: A two-pronged approach
Li Xiaofei asked people to send patients to the emergency room, and at the same time asked people to notify Fang Haoyang, Fang Han and others, and asked the patient's family members.
"What's going on, tell me in detail, when did your daughter take poison.......
Paraquat, those three words are absolutely terrifying.
Paraquat is an herbicide that has been discontinued by some people.
Yes, it was discontinued.
Since ancient times, there have been many people who have committed suicide by taking poison, arsenic in the past, rat poison in the future, dichlorvos and so on.
In particular, some children nowadays are pampered, have not been rubbed, and have a tendency to drink medicine if they don't agree with each other, and since the advent of paraquat, paraquat poisoning incidents have been common.
Paraquat is very harmful to the human body, and there are few drugs that can be solved in the event of severe poisoning, and the patient dies after paraquat poisoning, and the patient is awake the whole time. Only a small number of patients with mild poisoning can have no obvious damage to internal organs, but they can also have ulcers of the mouth and digestive tract.
Patients with moderate to severe paraquat poisoning can have rapid oral and esophageal mucosal erosion and even perforation, acute damage to the liver and kidneys, deterioration of liver and kidney function, and the most important is the gradual interstitial exudation of both lungs, which is commonly referred to as white lung, but after paraquat poisoning, it is not recommended to take oxygen at high concentrations, because oxygen inhalation will aggravate the inflammation and exudation of the lungs, aggravate lung lesions, and the patient will eventually die of respiratory failure.
Paraquat poisoning patients, with the exception of a small number of mild poisoning patients who may be rescued, are largely dead.
This is the terrible nature of paraquat that has been discontinued, but some herbicides on the market also contain paraquat.
Knowing that the patient was poisoned by paraquat, Li Xiaofei and the nurse next to him couldn't bear to look at the little girl lying on the flat car.
The little girl was fifteen or sixteen years old, with clear eyebrows and beautiful eyes, and long hair, although her face was pale, she could also see that she was very beautiful.
Fifteen or sixteen years old is the flowering season of life, the most brilliant age.
"It's all my fault, it's all my fault. ”
The child's mother kept sliding down her tears, blaming herself, and kept muttering: "It's all my fault, it's all my fault." ”
"Tell me more about the situation, the more detailed the better. ”
Seeing that the child's mother was incoherent and couldn't make a sound, Li Xiaofei could only ask the child's father, although the child's father was also in tears, he was relatively calm.
"We have such a daughter in our family, or adopted, I have been very fond of her since she was a child, the child is also competitive, her academic performance is very good, she is in the third year of junior high school this year, and she is about to take the high .......school entrance examination."
.......
"What, okay, I'll be right there!"
In the office, Fang Haoyang and Tan Guangping were talking when they received a call from the nurse and hurriedly stood up and walked out.
"Director Fang, have you come to the emergency room?"
"Yes, poisoning, paraquat!"
Fang Haoyang said to Tan Guangping and Xian Fen as he walked out.
Xian Fen and Tan Guangping's faces changed, paraquat!
As a doctor, there is hardly anyone who does not know the horror of this poison.
Fang Haoyang didn't dare to delay, and hurriedly walked towards the rescue room, Tan Guangping and Xian Fen also hurriedly followed.
Fang Haoyang and the three of them had just arrived, Fang Han had also arrived, and Li Xiaofei had just finished asking the patient's family about the situation.
"Director Fang, Director Xian, master!"
"How's the patient doing?"
"At the moment, there seems to be no danger, and the patient is conscious. Li Xiaofei briefly talked about the situation.
Paraquat poisoning, as long as it is not severe, usually does not die immediately, and many patients with paraquat poisoning can survive for some time in the hospital.
It's just that it can't be cured, and this period of time is torment for the patient.
The patient is conscious, suffers and dies, and that's what makes paraquat so terrible.
"Tell me about the situation. Fang Haoyang said.
"I just asked, the patient is from a village in Changqing County, is an adopted daughter, the two have been infertile for many years, and adopted a daughter in their thirties, and they love ....... very much."
Not long ago, the teacher of the school called the parents, saying that the child was in early love and his grades were declining, and the child's mother was very angry and slapped the child twice, and the child was angry and drank pesticides. "
"Do you know what medicine you are and how much you drank?"
"The child's father said it was a bottle of herbicide left over from the family.......
Fang Haoyang frowned, so it was a water agent.
"The patient drank the medicine in front of his parents, and after drinking the medicine, he was immediately sent to Changqing County Hospital for gastric lavage......
The only good news was that the patient's father asked the patient on the way, and the patient knew that the poison was terrible, and instead of drinking the poison, he poured out the liquid in the medicine bottle and poured water into it. "
"Let's take a look at the patients first. ”
Fang Haoyang said and entered the rescue room.
The only good news that Li Xiaofei said did not make Fang Haoyang's mood relax much.
Even if the liquid medicine is poured out and water is poured into it, the toxicity is still terrible.
Walking into the rescue room, Fang Haoyang, Tan Guangping and Fang Han all examined the patient separately.
The patient is conscious, pale, has ulcers in the mouth, occasionally coughs, and has damaged the airways.
"Xiao Fang, what do you think?"
After the inspection, Fang Haoyang asked Fang Han's opinion.
"The patient was sent in a timely manner, without too much delay, judging from the current situation, the righteousness is still there, the stomach is still good, and there may be a glimmer of life. ”
Fang Han also knew how terrible this paraquat was, and he had heard a lot about paraquat poisoning patients when he was in school.
Of course, with the toxicity of paraquat, even if it is bottled water, it is quite terrible, and there have been cases of death from poisoning by drinking water from a paraquat cup.
Second, the patient was taking medicine in person, and the patient's family knew the situation well and did not dare to delay, so they were immediately sent to the county hospital for rescue, and then sent to the Jiangzhong Hospital.
The timing of this rescue is critical, and after paraquat poisoning, there is a process of disease development, and in the patient's current condition, the respiratory tract has been damaged, and other organs have not yet failed.
As Fang Han said, righteousness still exists, stomach qi is still good, and there is still a chance.
Of course, as for how big this chance is, Fang Han does not dare to guarantee it, after all, Fang Han, a patient with paraquat poisoning, has never encountered it before, and this is the first case, and Fang Han is not very clear about the subsequent development of some diseases.
In the past, many clinical cases of paraquat poisoning were rescued by Western medicine, and Fang Han had no way to use them as a reference.
"By the way, how did the patient's family come up with the idea of sending the patient to our Jiangzhong Hospital?" Fang Haoyang asked Li Xiaofei.
In the case of the patient, the patient's family already knows that he should be sent to a hospital such as a provincial hospital or a central hospital.
"I also asked about this, and the patient said that it was suggested by the vice president of Changqing County Hospital, and the patient's family also learned about it on the Internet, knowing that this situation is almost unsolvable.......
Fang Haoyang understood, this is a dead horse as a live horse doctor, and he tried his luck.
There are many cases of paraquat poisoning on the Internet, and a search on Baidu basically says that there is no solution, even some clinical cases, after multiple treatments, the patient eventually died.
Money was spent, and human lives were not saved.
Even if there are many cases on the Internet, many people know that this poison is terrible, but when it really falls on their heads, who is willing to watch their relatives go like that?
No matter how small the hope is, as a parent, you have to try your best to save it.
"Director Tan has any opinions?" Fang Haoyang asked Tan Guangping.
"Judging from the current situation, the patient's condition is indeed the same as what Fang Han said, but there are still toxins in the patient's body, as long as there are toxins left, the residual toxins will continue to destroy the patient's body and viscera......."
Fang Han nodded, this was also the reason why he just said that there was a glimmer of hope, but he didn't dare to say more.
This situation is unknown to Fang Han, and the unknown is the most terrifying.
Generally speaking, from the perspective of traditional Chinese medicine theory, there is no incurable disease in this world, but the premise is that you have to understand what is going on and understand the cause of the disease before you can use the right medicine.
"The Yellow Emperor's Neijing, Lingshu, Nine Needles and Twelve Originals" said: "Those who are incurable have not obtained their skills." ”
It can also be said that there are no incurable diseases, only unknown diseases.
At present, the patient's condition is completely unknown to Fang Han, and you don't know the subsequent direction of the condition, even if the medication is based on the patient's current condition, whether it is symptomatic, and whether it can control the condition to continue to deteriorate, these are all unknown.
Since ancient times, poison is the most difficult to solve, especially some new poisons that are unfamiliar and completely unclear about their toxicity.
"Director Fang, Fang Han, I suggest a combination of traditional Chinese and Western medicine, a two-pronged approach!" Xian Fen said.
"A two-pronged approach?" Fang Haoyang looked at Xian Fen: "Tell me specifically." ”
"There are still toxins left in the patient's body, we can use hemodialysis to reduce the toxins in the patient's blood, and at the same time use traditional Chinese medicine treatment, maybe the effect can be better?"
Fang Haoyang and Fang Han were both dazzled.
Xian Fen's suggestion is indeed a good suggestion.
At present, according to the patient's condition, the most troublesome thing is that the toxin continues to damage the patient's organs, if the toxin in the patient's body can be reduced as much as possible, and then according to the patient's current situation, it may be impossible to find a glimmer of life.
And Fang Han also has an advantage that others don't have, analog cards.
He can get a detailed understanding of the subsequent effects of the toxin on the patient in the simulation space.