Those who don't know are not guilty, of course Su Tao will not get along with a little nurse, he is now desperate to see Lu Yunchuan.

This hospital is one of the larger hospitals in Yanjing City, so the emergency room is very standardized, and before entering the operating room, the whole body must be disinfected and a sterile gown must be worn.

There was already a mess in the operating room, and Lu Yunchuan's situation was more serious than expected, because the dose of toxins in the body was relatively large, so the use of ordinary methods did not have much effect at all.

In general, the causes of poisoning are as follows: industrial poisons, drugs, poisonous animals and plants.

Poisoning is also divided into acute and chronic categories, which are mainly determined by the dose and duration of exposure to the poison. Absorption of a large amount of poison in a short period of time can cause acute poisoning, with rapid onset, severe symptoms, rapid changes, and can be life-threatening if not actively treated.

Now Lu Yunchuan is suffering from acute drug poisoning and has taken a large amount of atropine. After taking too much atropine, people will experience symptoms such as unbalanced movements, confusion, convulsions, auditory hallucinations, delirium, mania, empty hands, shortness or difficulty breathing, slurred speech, and abnormally rapid heartbeat.

"Continue to inject neostigmine!" the attending doctor, Ji Haiyun, commanded solemnly.

The assistant doctor beside him immediately injected Lu Yunchuan with medicine, and after a while, he shook his head and smiled bitterly: "Director Ji, the amount of medicine he took is too large, although we have already washed the stomach, the drug ingredients have entered his bloodstream, even if the injection of neostigmine is not good." ”

Ji Hai saw that Lu Yunchuan's pupils were still dilated, and knew that the effect of the medicine had not worked, so he said with a solemn face: "Then inject poison stimulus." ”

Physostigmine is an alkaloid proposed from the seeds of phytolentils produced in Africa, which is generally used in ophthalmology, and is now less commonly used for systemic administration, and has a common effect with neostigmine, and can also be used as an atropine antagonist.

The assistant doctor hurriedly reminded: "We have just injected more than 1mg of neostigmine, and if we continue to inject physostigmine, it may cause great side effects, such as nausea, vomiting, urinary incontinence, etc."

Ji Hai waved his hand vigorously and said in a deep voice: "Don't worry, if there is a problem, I will bear it." ”

Ji Hai is an expert in this area, if Lu Yunchuan is injected with toxic stigtilmine, I'm afraid he won't be able to survive tonight.

"Wait!" Just as the assistant doctor was about to inject Lu Yunchuan with physostigmine, a person suddenly broke in outside the door, it was Su Tao, who had already changed his clothes.

His medical kit was also detoxified, so it took a long time.

"Who are you?" Ji Hai frowned, a stranger appeared in his operating room, which made him extremely unhappy, if there was a surgical accident, he would need to bear the main responsibility as the attending doctor.

"My name is Su Tao, and now you can leave the work of treating patients to me. Su Tao pulled down his mask and said in a deep voice.

"I don't know you!How did you get in?" Ji Hai found that this young man was younger than he expected, and asked the nurse beside him in a cold voice.

The nurse knew that Ji Hai's temper was very short-tempered, and hurriedly said nervously, "I received an order from the dean to bring him in." The superintendent said that he was an expert of the Central Health Commission. ”

Ji Hai was naturally no stranger to the name of the Central Health Commission, glanced at Su Tao with disdain, and sneered: "I think the dean is mistaken, how can there be such a young expert." Also, I'm treating a patient right now, and I don't have time to waste time with you, so I'm going to get him out now. This is my surgery, and even if the dean comes in person, I will also be responsible for completing the operation. ”

Su Tao's impression of Ji Hai is not bad, although he shows hostility towards himself, but at least he can see that he is extremely serious about his attitude towards patients, and he puts himself in his shoes, if he encounters a stranger who suddenly breaks in and says that he is treating patients instead of himself, he will instinctively show disgust and disgust.

Su Tao took out his traditional Chinese medicine certificate from the medical box, and said: "This nurse did not deceive you, this is my traditional Chinese medicine expert certificate, I apologize for my presumptuous introduction to your operating room, but I am entrusted by others to treat the patient." It's not that I don't believe in your abilities, but if we work together, we should have better results. ”

As he spoke, he glanced at Lu Yunchuan and said, "If I'm not mistaken, you injected him with neostigmine, but the effect is not good, right? If you try to inject him with physostigmine now, it will have extremely serious side effects." ”

Ji Hai was slightly stunned, although he had never seen the expert certificate of traditional Chinese medicine, he knew that Su Tao would not use this to deceive himself, not to mention that without the instructions of the dean, it would be impossible for Su Tao to enter the operating room in violation of regulations.

What's more, Su Tao saw the situation in the operating room at a glance, and from his simple words, he not only knew that Lu Yunchuan was poisoned by atropine drugs, but also saw that his team had injected Lu Yunchuan with neostigmine.

Lu Yunchuan was sent to the hospital by ambulance and was already unconscious, and it was only twenty minutes ago that they analyzed the cause of the poisoning and learned that Lu Yunchuan had taken an overdose of atropine, and the news did not spread and was confidential.

How did Su Tao see it?

Ji Hai was a little suspicious in his heart.

Su Tao saw through Ji Hai's psychology, and he had to take over Lu Yunchuan at this moment, so he didn't make a detour, and explained directly: "I am a traditional Chinese medicine doctor, so I don't need an instrument to test, and I can see the patient's symptoms by looking, smelling, asking, and cutting." ”

Ji Hai is an experienced Western doctor, and he has also seen powerful Chinese medicine practitioners, and knows that Chinese medicine does have its own uniqueness in determining evidence. However, he was obviously not at ease to hand over Lu Yunchuan to Su Tao, and said in a deep voice: "Even if you see the patient's condition, it is nothing." The key is how you plan to treat him. Neostigmine is the best anti-atropine poisoning agent, but it is obviously ineffective after injection, so we decided to use physostigmine. ”

Su Tao sighed and explained: "According to the normal situation, if one milligram of neostigmine is injected to detoxify, but now it has no effect, it is not that the drug is wrong, but that the effect of neostigmine has not been fully exerted, because the effect of this drug is relatively slow, and in the process of fighting atropine, the reaction speed is not so fast." ”

Ji Hai and Su Tao explained this, and probably understood the reason.

In fact, this is also a common phenomenon in atropine detoxification, and it is relatively simple to explain that neostigmine has a significant effect on detoxification of atropine, and the side effects are the weakest, but its effect is also very slow. In general, physostigmine or procapine can be used to counter it, and the latter two are also more toxic.

Lu Yunchuan has been injected with neostigmine in his body, although the effect of this drug is slow, but it has been hidden in his body, if he continues to use physostigmine or procapine, there will be an overdose, but there will be side effects.

Western medicine detoxification, in fact, is very simple, that is, to fight poison with poison. If you have too much of a chemical element in your body, use another chemical element that can be neutralized. But if there are too many neutralizing elements, that can also lead to poisoning.

In other words, an overdose of atropine can produce toxins, as can neostigmine, physostigmine, and procapine if taken in excess.

This is also the reason why Su Tao prevented Ji Hai from continuing to inject Lu Yunchuan with physostigmine.

Ji Hai said in a deep voice: "Now you can only make a desperate bet, otherwise the patient's condition will be difficult to control in time, and it will enter a dangerous period." And we don't know when neostigmine will take effect. ”

"I'll try it!" Su Tao smiled faintly, "Give me fifteen minutes." ”

Ji Hai looked at Su Tao complicatedly, the operating room was a glass room, and the scene in the operating room could be seen from the outside, and then a voice came from the radio, "Ji Hai, you let Expert Su be in charge, he is a well-known Chinese medicine expert in the Central Insurance Commission." ”

Is it the dean's voice?

Ji Hai was a little surprised, the hospital said that there were hundreds of surgeries every day, and the dean actually came to this operating room to inspect in person, which has indirectly shown that Su Tao's background is not small.

"The patient is handed over to you. However, if something goes wrong, I will take it over immediately!" Ji Hai and his team were not powerful, but stood next to him, looking like they were preparing to cooperate with Su Tao, but in fact, they were also preventing Su Tao from missing.

Su Tao didn't have any nervousness, first observed Lu Yunchuan's body and pulse, and breathed a sigh of relief, similar to what he guessed, if he continued to inject physostigmine, although it would neutralize the atropine poison in the body, but the toxicity of neostigmine would slowly show, Lu Yunchuan's central nervous system had already suffered huge damage, so it couldn't withstand the second toss, even if it could be cured in the end, there would definitely be serious sequelae in the future.

Su Tao took a deep breath, took out the silver needle from the medical box, and began to give acupuncture to Lu Yunchuan.

In addition to the functions of dredging the meridians, reconciling yin and yang, and strengthening the right and dispelling evil, acupuncture can also promote the absorption of medicines.

Therefore, Su Tao is now acupuncture and acupuncture, so that the medicinal effect of neostigmine can be exerted in the shortest possible time.

Absorbing the drug, mainly to stimulate the peristalsis of the stomach, and at the same time accelerate the circulation of blood in the body, Su Tao is mainly acupuncture and moxibustion on the acupuncture points on the stomach meridian of Zuyangming, and after a while, Lu Yunchuan's body has obvious effects.

Ji Hai has been observing the changes in Lu Yunchuan's body beside him, the symptoms of convulsions and vomiting have disappeared, and the whole person has become quiet, without any medicine, Su Tao has such an effect with just a silver needle.

"Director Ji, please come over and check it!" Su Tao took the silver needle from Lu Yunchuan and said softly.

Ji Hai hurriedly stepped forward, opened the patient's eyelids, found that his pupils were narrowed, exhaled lightly, and said, "The patient is out of danger!"

Miosis is a telltale symptom of remission of atropine drug poisoning.

Not only did Ji Hai secretly admire, but the dean and several other doctors standing outside the glass were also amazed.

Dean Tao Qiuping looked left and right, and said with emotion: "This is the wonder of Chinese traditional Chinese medicine, our hospital still has to focus on traditional Chinese medicine and cultivate a group of Chinese medicine talents!"

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Chapter I am reading: Wonderful Doctor Hongtu_Chapter 0865 Acute Drug Poisoning

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