Chapter 19: Gastric lavage first

Sun Tao snorted in his nostrils, turned his head to Director Feng and said, "What about the two neighbors who sent the patient?" Ask the two of them if any pesticide bottles were found in the patient's home at that time. If there were no pesticide bottles, it would not be organophosphate poisoning. ”

Director Feng hurriedly called someone to call in the two neighbors who were sending patients in the corridor and asked, "Did you find a bottle of pesticide next to you when you found the patient lying on the ground?" ”

The two neighbors glanced at each other, shook their heads together, and said, "I didn't see it!" She was lying on the floor of the living room, there was nothing around, she was lying on the floor delirious, so we quickly called 120. ”

Sun Tao said triumphantly to Chen Tianming: "Director Chen, since there is no bottle containing organophosphates found around the patient, it means that it is not organophosphate poisoning, it seems that there is a problem with your judgment, let's wait for the test results, don't be in a hurry." ”

Chen Tianming said: "Just because the bottle is not found does not mean that it is not organophosphate poisoning. According to the symptoms that the patient is currently exhibiting, organophosphate poisoning is the most likely, so I still recommend taking medication quickly, and if you delay it for one minute, the patient's poisoning will deepen by one point, and the danger to life will increase by one point! ”

"Hold on to your own opinions!" Sun Tao helplessly spread his hands and looked at Director Feng, "This is a patient in your emergency center, or you decide." My advice is to wait for the results of the test to find out what the disease is and then treat the symptoms. ”

Director Feng was very embarrassed, and he didn't know who to listen to for a while.

Zuo Li stepped forward and said, "I'm Zuo Li, a doctor in the Department of Traditional Chinese Medicine, can I make a suggestion?" ”

Chen Tianming thought that he was called by Director Feng for consultation, so he immediately nodded and said, "Okay." Dr. Zuo, please speak. ”

Sun Tao was expressionless and did not speak, nor did he look at Zuo Li.

Director Feng didn't know Zuo Li, and he didn't call the TCM department to ask for a consultation, but people took the initiative to help, of course they were welcome, plus Chen Tianming helped him brush his face certificate, proving that he was indeed a doctor in the TCM department, so he immediately smiled and nodded, stretched out his hand to shake his hand, and said, "I'm sorry, I didn't notice you just now, what is your opinion?" ”

Zuo Li said: "Immediately wash the stomach!" Gastric lavage prevents further absorption of organophosphates by the body. Even if the patient is not poisoned by organophosphates, gastric lavage does not affect other treatments, and the contents of the gastric washed out are immediately sent for testing to see if they are poisoned. In addition, the specific drugs atropine and pralidoxime chloride for organophosphate poisoning should be prepared first, and intravenous access should be established and ready to be administered at any time. ”

Chen Tianming's eyes lit up, and he hurriedly said to Director Feng: "Doctor Zuo is right, first wash the stomach!" To a large extent, it can reduce the further absorption of poisons by the body, and at the same time prepare for the administration of special drugs for organophosphate poisoning, wait for the test results, and the results will come out, which proves that it is organophosphate poisoning, and immediately take the drug. ”

This suggestion took into account the opinions of both parties and did not violate Sun Tao's basic proposition, so he squinted at Zuo Li and nodded.

Director Feng also agreed with this suggestion, and immediately ordered the nurse to insert a gastric tube into the patient for gastric lavage, and immediately send a sample of the extracted gastric contents for testing, establish intravenous access, and immediately prepare the special antidotes for organophosphate poisoning, atropine and pralidoxime chloride, and at the same time apply oxygen to detect vital signs.

Finally, the fat tiger Yao Ming ran over panting with the test sheet, didn't care about speaking, supported his knees with one hand, handed the test sheet to the searchlight with the other, and gasped for breath.

The searchlight was quickly taken and immediately given to Director Feng. Director Feng opened it and saw that the cholinesterase activity was 50%.

Organophosphate poisoning confirmed!

Director Feng immediately instructed the nurse to activate the plan and rescue according to organophosphate poisoning.

Then, he handed the test sheet to Chen Tianming and said, "Director Chen, your judgment is right, it is indeed organophosphate poisoning." Fortunately, the patient was given gastric lavage first, which effectively blocked the body's further absorption of the poison. ”

Chen Tianming looked at the nurse who was methodically instilling the patient's intravenous antidote for organophosphate poisoning, and sighed slightly: "It may be better if the medicine can be applied earlier." ”

With that, she turned her head to look at Zuo Li.

Zuo Li stood by her side at a critical time, and reminded to put aside the controversy and carry out gastric lavage first. Coming up with such a sensible and mutually acceptable opinion played a key role when the two sides were at loggerheads, and this guy was really in danger.

Chen Tianming shook his hair and smiled at Zuo Li: "Your director sent you for a consultation?" ”

Zuo Li turned over both sides of his hands in the pockets of his jacket a little self-deprecatingly, and made a gesture of spreading his hands: "I thought that our TCM department also received a consultation call, so I came here on my own initiative, but now it seems that it is not." ”

Director Feng was a little embarrassed, and quickly covered it up and said, "I originally wanted to invite you here, but it's not too late to call,—— by the way, are you new to the Department of Traditional Chinese Medicine?" ”

Chen Tianming said: "Dr. Zuo graduated from the University of Chinese Medicine with a master's degree, and is a senior disciple of Yang Tianbao, one of the top 100 veteran Chinese medicine doctors in China. ”

Director Feng didn't know much about Chinese medicine, but he had heard of Yang Tianbao's name. After all, Yang Tianbao is still somewhat famous in the medical field, and he is also a member of the Chinese People's Political Consultative Conference. Quickly raised his thumb and said, "Awesome, amazing!" ”

Yao Mingming, who was on the side, was so tired that he supported his knees with his hands, bent over and panting heavily, his face pale.

The searchlight hurried over, helped him sit on the observation chair by the wall, took off the breathing mask on the wall, buckled his mouth and nose, and turned on the oxygen switch to give him oxygen. said: "Didn't I tell you, tell me when the results come out, I'll get it, you have to run over by yourself, like an elephant, knock knock, and I'm not afraid of stepping on a pit on the ground and falling to you!" ”

After the fat tiger inhaled oxygen, his breathing quickly calmed down, but he was still panting, and said, "I thought it was ...... I was competent, but I didn't expect it...... This body...... Fat...... It's so unavoidable......"

"Look at you as fat as a pig, it's time to lose weight. You are a person, at first glance, you can't control your mouth and can't open your legs, you deserve to be fat! ”

The fat tiger was happy, and he didn't care about the searchlight's speech, and said, "You think I don't want to?" I don't even know how many diet pills I've taken, it's useless! ”

"Want to lose weight? Sister help you. I know a medicine that is very effective for weight loss, do you want to try it? ”

Fat Tiger already felt much better, he ripped off the mask on his face, turned off the oxygen switch, and then glanced up and down at her: "Just your majestic body that is worse than me, sell me diet pills, isn't that a bald man selling hair growth spirit?" ”

The searchlight was so angry that he was about to screw him, but the fat tiger had already taken precautions, and hid behind Zuo Li with a cat's waist.

The searchlight was about to catch up and fight, and at this moment, several people rushed in from outside, shouting: "Daughter, where is my daughter? ”

The two neighbors who brought the patient recognized at a glance that the father of the unconscious female neighbor was the father of the comatose female neighbor. hurriedly greeted: "Oh, you're finally here, your daughter's doctor is rescuing." ”