Chapter 1117: Salt Poisoning

Out of the operating room, Guo Xiang just wanted to go home, and the emergency department picked up another patient who said that it was very dangerous, and Guo Xiang hurriedly went over to see the situation.

"What's going on?" Guo Xiang asked.

"The patient drank a liter of saline." Dr. Lin from the emergency department said.

"Salt water? How much salt was put in that? Guo Xiang was surprised, how could there be people who drank so much salt water and were not afraid of dying?

One liter is two liters, and the weight is different according to the specific gravity of the salt water, even if there are only two catties of salt water, it is enough to choke.

"My lover put a packet of salt, half a pound of ......," the patient's husband stammered.

Guo Xiang was taken aback, half a catty of salt? That's damning.

The main ingredient of salt is sodium chloride, and the recommended amount of salt per day for a person is six grams, and the lethal amount is forty grams.

Two hundred and fifty grams, six or seven times the lethal amount?

"Immediately hang up the 5% glucose solution, add some diuretics to excrete the nasium, and check the blood sodium index at the same time!" Guo Xiang said immediately.

"Yes!" Dr. Lin nodded, in fact, he was already working on it.

Guo Xiang looked at the patient's husband, "Then why don't you look at it?" How can you make your lover drink so much salt water? Don't you know that drinking so much salt water will kill people? ”

The patient's husband was in a cold sweat, he really didn't know, it turned out that eating too much salt would kill people?

But it's not that he didn't stop it, but he didn't look at it at all.

"Actually, my lover ...... here," the patient's husband pointed to his head, "there is a problem here, she always thinks that someone is trying to harm her, so she makes all kinds of medicines for herself, and I don't know where they come from." ”

"Persecution paranoia?" Guo Xiang frowned.

"I should have taken her to a psychiatrist before, and I took medicine for a while, but it didn't seem to work." The patient's husband said.

"Could that be for something else?" Xu Wei next to him said.

In the past, they have encountered several cases, some of which are caused by porphyria, and some are caused by pregnancy, and for various reasons, in fact, there is no mental problem.

"Look, this is my lover's previous case!" The patient's husband took the previous case to Guo Xiang.

Guo Xiang saw that he was really mentally ill, and he was diagnosed by a relatively authoritative psychiatric hospital doctor in the city, so he should not be wrong.

The doctor diagnosed her with "paranoid schizophrenia", the symptoms of which were that the patient always felt that someone was trying to harm her, someone was spying on her, someone was listening to her, she was afraid to eat what others gave her, she didn't dare to listen to what others said, and she didn't even believe what her husband said.

Later, she only ate bread and canned food, saying that it was the safest.

The psychiatrist prescribed her a lot of drugs but it didn't work, but it found out that she had anemia and vitamin deficiency, after all, the diet was so simple and the nutrition was not enough.

"Then why did she drink so much salt water this time?" Guo Xiang asked.

She didn't know who she had heard say that salt could be sterilized and disinfected, and that she wanted to disinfect her body and expel all the toxins. I said I couldn't drink it, but I was afraid that she would feel uncomfortable if she drank too much, and I really didn't know that eating too much salt would kill people. ”

"But she didn't listen at all, and I couldn't keep watch over her all the time, and today was the moment when I went to buy vegetables, and she drank so much salt water. When I came back, I saw her lying on the ground with a freshly opened bag of salt beside her......"

The patient's husband looked worried, "There is also a kettle filled with saline, I don't know if she drank it all, I guess she drank it." ”

At this time, Dr. Lin came over, "The doctor in our ambulance told the doctor that when they arrived, the patient was unconscious, but he still had normal breathing and heartbeat, and he was lifted to the car and gave oxygen to connect to ECG monitoring." ”

"On the way, the patient's heart rate gradually increased at the beginning, and then the heartbeat and breathing suddenly stopped, but fortunately, she was successfully pressed back thanks to the cardiopulmonary resuscitation that she took turns with her car colleagues." Dr. Lim continued.

"Doctor, why do you die if you eat too much salt?" The patient's husband asked, he still didn't understand, isn't salt something to eat every day, why do you die if you eat too much?

"Have you ever seen pickled fish and pickles?" Guo Xiang glanced at the patient's husband, "A large amount of salted dishes, what will become of those dishes?" ”

"It's going to change...... Dry? The patient's husband replied uncertainly.

"Yes, people who drink too much salt water are like pickled vegetables, and all the water in their bodies is pickled. This is hypernaemia! ”

"When the sodium in body fluids increases rapidly, the osmotic balance between the inside and outside of the cell membranes in the body is broken, and the water in the cells is 'pickled' out of the cells, and the cells become crumpled and dehydrated. It's like pickled salted fish. ”

"Can human cells survive when they are dry?" Guo Xiang said, "It's like a truth that you can't drink seawater no matter how thirsty you are at sea, the more you drink, the faster you will dehydrate, and the faster you will die." ”

"The lethal amount of salt for a person is forty grams, and you have two hundred and fifty grams, if it weren't for the timely rescue, I'm afraid the person would have ......" Guo Xiang shook his head.

The patient's husband wiped the cold sweat from his forehead, and now he thinks about it and is still a little scared.

Although his wife has mental problems, she is still her daughter-in-law after all, and she has spent so many good times together before.

After hanging a full five liters of glucose, the patient's blood value finally dropped to a normal level, but fortunately it dropped, otherwise he would have to go on dialysis.

However, the patient was still not awake, occasionally opened his eyes, and fell asleep again.

Guo Xiang went home first.

The next day, because he was not worried, Guo Xiang came to the hospital again.

When I arrived at the hospital, I went directly to the ward to see the patient, who was awake but unable to speak.

"Can you hear me?" Guo Xiang asked.

The patient nodded slightly, his mouth open, and did not speak.

Guo Xiang frowned and looked at her, he couldn't even speak, was he not strong, or was his throat broken?

"Raise your left hand and I'll see!" Guo Xiang said.

The patient's fingers moved, as if he tried to lift it, but his arm did not move, as if it weighed a thousand pounds, and he could not lift it at all.

"Where's the right hand?" Guo Xiang said again.

The patient still moved his fingers, but he didn't lift them.

Is this muscle weakness or a nerve problem?

After some examination, it was found that the patient had motor speech disorder, which is damage or paralysis of the muscles of articulation, as well as dysphagia and sudden flaccid paralysis of the limbs, which is a movement disorder caused by the loss of muscle tone in the limbs.

That's why the patient can't even lift his hand.

"It seems that an MRI will be done to clarify the lesion." Guo Xiang said.

"What is an MRI?" The patient's husband asked, now the MRI machine is not so popular, and it is normal for ordinary people not to know.

"It's just a kind of magnetic resonance imaging scanner, you can clearly see what is wrong in the body, I suspect there is something in your head, so that's why it's like this?" Guo Xiang said.

"You mean tumors?" The patient's husband was shocked.

"If we don't rule out this possibility, let's check it first." Guo Xiang said.