It can detoxify and poison

At work in the afternoon, Chen Ling woke up from the sofa, and Li Yinuo was still asleep inside.

He didn't bother to bother her, and walked out by himself.

When I walked to the disposal room, I saw that Hou Pigu was busy around the man who was eating hot pot and had a sore throat.

"Doctor Hou, what's going on?" Chen Ling asked suspiciously, "Haven't you prescribed medicine for him yet?"

Hou Pigu smiled bitterly, "The medicine has been prescribed a long time ago, and he took the medicine and left, but after taking it, it didn't get better, but it got a little worse!"

"Oh?" Chen Ling was slightly surprised, isn't this a trivial problem?

Hou Pigu said: "The burning pain in the pharynx is aggravated and spreads to the back of the sternum and upper abdomen, which is also a burning pain. ”

Chen Ling asked again: "Have you rechecked the ECG?"

"Checked, no special changes. ”

Chen Ling nodded, and was about to go up to check the patient's pulse, but he was not guarded against Yan Xinyue, who appeared out of nowhere.

"I don't need you to care about my sick number. Yan Xinyue came up with a low cry and squeezed Chen Ling away with her round and firm buttocks.

Hey, are you still angry? This time you have been angry for so long? After eating a meal, you haven't gone away from sleeping, Chen Ling is a little surprised, but also a little unhappy, kindly share your worries and solve problems, if you don't appreciate it, it's just that, and you still snort and drink, and then the teacher doesn't bring this!

Chen Ling felt aggrieved in her heart, so she threw her hand away, since she said it, she didn't need to take care of it herself, then she would be happy to be idle.

Back in the office, I made a pot of tea and drank it leisurely, waiting for the sick to come to the door.

He originally thought that in addition to drinking tea and reading newspapers, the work of his subordinates was to read newspapers and drink tea, and the five emergency departments could only be busy in the evening.

Who would have thought that the tea had just been brewed and before it could be drunk, there was already a "bang" sound of the wheels of the lathe rolling outside the corridor.

Chen Ling didn't care about drinking tea, so he hurriedly went out.

A man of about thirty-five or sixteen years of age was lying on a lathe, groaning and groaning.

At first glance, this man does not look like a Chinese at all, but rather from Africa, because this man's skin is too dark, and his whole body is black.

But when I looked closely, I found that it was not a natural black, but a sickly black.

Chen Ling hurriedly asked the nurses and doctors who sent him to push the patient number into the emergency treatment room that belonged to him.

After examination, Chen Ling found that he had a lot of clinical symptoms, such as dark skin all over his body, fatigue and weakness, abdominal distention, a large amount of fluid in the abdominal cavity, and hair loss...... In the past, except for constipation, there was no big problem, but in the past month, it has suddenly become like this.

Obviously, this is a terrible disease and an incurable disease.

When Chen Ling was feeling tricky, Yang Wei walked in, and when he saw the patient, he couldn't help but let out a "huh".

"Doctor Yang, what's wrong?" Chen Ling asked puzzled.

"I think I've seen this sick number!" Yang Wei said.

"Seen?" Chen Ling asked suspiciously.

"Yes, I went to the second department of emergency medicine in the morning to find a colleague, and I happened to see a group of doctors in their department consulting this patient!

"Doctor Yang, you're not mistaken, are you?" asked Chen Ling hesitantly.

"How can I admit my mistake, my whole body has turned black, and I have a lot of ascites! How can I admit my mistake with such a special patient!" Yang Wei said with great certainty and couldn't help but ask suspiciously: "But this patient was in the second emergency department in the morning, how did he transfer to our department now?"

If you ask me, who am I going to ask? Chen Ling really wanted to give him a sentence like this.

"There's nothing strange about it, because I asked for it myself!" said the patient who was lying on the bed suddenly opened his mouth and whispered to the two doctors. In the morning, when I was in the department downstairs, the doctors discussed a lot around me and there was no result, some people said that it might be liver ascites caused by liver disease, and some people said no, and they didn't give me a serious diagnosis after work, and then my daughter-in-law and my family came to them to reason, and a doctor quietly said to my daughter-in-law that my disease can only be treated by Dr. Chen Ling of the five departments of emergency surgery, so I strongly asked to turn it around!"

Nima, it turns out that this is what happened! Chen Ling and Yang Wei both suddenly realized that this was obviously a "frame-up" and threw the "hot potato" to Chen Ling.

At this time, Chen Ling finally remembered what Director Zhong, the first leader of the emergency department in the elevator said, you have to be prepared, I am afraid that you will be so busy in the future, or even busier......

If everyone works together to embarrass Chen Ling, then it will be really difficult for Chen Ling not to be busy.

Since this disease number was pushed by someone else, it will definitely not be cured.

Other doctors may be helpless about this incurable disease, but Chen Ling did not feel a headache, but became more interested. Immediately began to examine him carefully, and found that there was indeed a lesion in the liver, could it really be liver ascites caused by liver disease? However, liver disease usually only causes jaundice, not the skin of the whole body to darken!

Chen Ling was prescribing various test sheets to patients while pondering in his heart......

Who would have thought that before this patient number was resolved, the wheels of the lathe outside the corridor rattled again, mixed with the voice of a man yelling, "Doctor, doctor, save my wife, save my wife, she swallowed the gold ring!"

Hearing this, Chen Ling's heart suddenly moved, and he prescribed another metal test sheet for the patient who was blackened, and then handed it to Liu Shiya, and asked her to carry it out urgently.

Outside, on the lathe, lay a young woman, holding her stomach and moaning, while a man next to her was screaming anxiously and panickedly.

Chen Ling greeted him and asked for a while to know that this couple was husband and wife!

The husband may have signs of messing with flowers and grass outside, but he doesn't know how to wipe his mouth when he eats secretly, and he has a woman's lipstick on his collar, and his wife finds out when she washes clothes and has a big fight with him!

After the quarrel, the wife was still very angry, took off the wedding ring in her hand and put it in her mouth, but the husband did not notice. In the afternoon, the wife felt uncomfortable in her stomach, the pain was like a wrench, and she vomited many times, so she told her husband the truth, and he hurried her to the hospital.

After listening to such a complaint, Chen Ling couldn't help sighing, there are so many ways to commit suicide, why do you choose this most painful one?

Gold, in fact, is not toxic to people at all.

The chemical properties of gold are relatively stable, and the main component of stomach acid is hydrochloric acid, which cannot dissolve gold. However, the proportion of gold is heavy, and the fall compresses the intestines, which cannot be discharged, and it will not be fatal for a while, and the gold eater is tortured to death by unbearable pain.

This is a very backward way of dying, but there are still short-sighted people who follow suit.

In the face of such a patient, Chen Ling had nothing to say, and hurriedly gave her an X-ray fluoroscopy.

It turned out that although the gold ring was not small, it still stayed in the antrum and did not enter the intestines!

Such a result can be said to be unfortunate, because in the stomach, it can also be taken out through gastroscope and digestive scope, but if it enters the intestine, it cannot be taken up, or if it causes intussusception or intestinal perforation, then it must be taken out by laparotomy.

Chen Ling successfully took out the gold ring for the woman, and when she got down from the operating room, the results of various urgent test sheets for the patient with a black body also came out.

Nothing unusual could be seen in other test sheets, but the metal test sheet, which seemed a little redundant, informed everyone of the answer, the urine arsenic content of the patient with black body was far more than 30 times the normal range of the human body, and his life could be in danger at any time.

The diagnosis of this patient has been clear, arsenic poisoning, chronic arsenic poisoning!

With such a concentration of arsenic in the body and such a critical hepatic ascites, the cause must be found in order to better prescribe the right medicine.

Chen Ling asked about the patient, but the results were confusing, the patient is a senior white-collar worker in the office, it is basically impossible to directly contact arsenic and cause poisoning, if it is oral ingestion, it is even more impossible, the patient pays great attention to dietary hygiene, work, rest are very regular, and often exercise......

After asking and asking, Chen Ling finally knew the reason.

This is all caused by constipation.

It turned out that the patient had been habitually constipated, and had always had the habit of taking a Chinese patent medicine - bezoar detoxification tablets.

The bezoar detoxification tablets are composed of bezoar, realgar, gypsum, rhubarb, skullcap, bellflower, borneol and licorice, which have the effect of clearing heat and detoxifying, and are used for fiery internal sheng, sore throat, swollen and sore gums, sores on the mouth and tongue, red and swollen eyes, etc.

The patient has been plagued by habitual constipation for a long time, so he has taken a large number of bezoar detoxification tablets for a long time, which leads to "poisoning".

Bezoar Detoxification Tablets, a traditional good medicine, but medicine can cure diseases, but also can be sick, if you take it for a long time or increase the dose without authorization, it may lead to chronic heavy metal poisoning!

From the perspective of traditional Chinese medicine, the medicine to dispel fire is usually a laxative with great coldness, most of which contain rhubarb, senna and other ingredients, these ingredients will also harm the spleen, stomach and intestines while delaxative, so that the stomach and intestines become dependent...... If such a vicious circle continues, it will be harmful to the body, and the same is true for bezoar detoxification tablets.

Therefore, whether it is bezoar detoxification tablets or other laxatives, they all play a short-term role in relieving symptoms, and can only be taken temporarily when the symptoms of fire are more severe, such as swollen gums, stool blockage, or sores on the mouth and tongue.

At the beginning, the dose can be slightly larger, such as 3~5 tablets at a time, 3 times a day, and as the symptoms are reduced, the dosage should also be slowly reduced. Generally, do not take more than a week.

The cause and root of the disease were found, Chen Ling finally breathed a sigh of relief, and hurriedly started treatment, and for the treatment of chronic arsenic poisoning, it was naturally the first choice for the treatment of penicamine, and in order to be safe, the patient was also given hemodialysis. For other symptoms, symptomatic treatment is natural.

This case can be said to be solved, but it is not easy to win, if it is not for the accidental reminder, Chen Ling may also be misled by the superficial symptoms of liver ascites, so as to make a big-headed Buddha.

However, although he escaped by luck, his beautiful teacher was not so lucky.

At one o'clock in the middle of the night, the patient who was eating hot pot and singing songs, but as a result, had a sore throat, came to the Department of Emergency Surgery again......