Chapter 132 Methanol is also alcohol, and it is stuffy with water
The video of Li Xiyang rescuing the drowning victim was uploaded to the Internet again, and slowly someone discovered that the rescuer in the video was the same person as the doctor in the previous ultra-long cardiopulmonary resuscitation video.
For a while, 'Miracle Dr. Li' set off a craze on the Internet.
began to have a large number of anchors cosplay Li Xiyang carrying a first-aid kit,
Even doctors in regular hospitals have uploaded videos on the Internet to promote various first-aid tips.
However, all this has nothing to do with Li Xiyang, who is still immersed in his daily emergency work.
"Doctor Li, there is an urgent patient at the emergency desk, the situation is a little wrong!"
"Let's go!"
When Li Xiyang rushed to the emergency desk, he saw the patient's feet floating and staggering, and he was being supported by friends and nurses.
Li Xiyang stepped forward and asked, "Have you drunk?" ”
The patient friend smiled and nodded, "Well, drink a little!" ”
"You can't get drunk like that!"
Li Xiyang shook his head and walked over to the patient.
Strangely, he really didn't smell a lot of strong alcohol.
"Help him sit down first, and I'll check it out for him!"
"Uh-huh!"
Helping the patient to the chair, Li Xiyang first shone a flashlight on the patient's eyes, "The optic disc is congested, the retina is edema, the hole is enlarged, or the light reflex is sluggish." ”
He also placed a stethoscope on the patient's heart, "Shortness of breath and irregular heartbeat." ”
Strange, it's really not a drunken state.
At this time, the virtual light screen flickered,
[Brain: Gujing doesn't bring tribute, and it hurts all over my body after drinking]
[Eyes: Fenjiu Plus Group, basically to finish]
[Heart: There is no spring in Jiannan, don't ask if it's true or not]
[Kidney: methanol is also alcohol, sip with water]
Seeing the dialogue of the organs, Li Xiyang couldn't help frowning, "Are you drinking industrial alcohol?" ”
The patient's friend nodded hesitantly, "What, we are addicted to alcohol, and we have no money to buy alcohol, so we took the alcohol in the factory and mixed it with water!" ”
As he spoke, his friend lowered his head and looked ashamed.
Li Xiyang shook his head, "Then have you drunk it?" ”
"No, no, I just had a stomach, and when I came back, I saw him fall to the ground."
I have to say that this person was also lucky, and he just escaped the catastrophe.
"You guys, don't you know that you can't drink industrial alcohol?"
Li Xiyang remembered that this was not the first time that social propaganda had been made, how could anyone still make such a mistake.
The poisoning mechanism of methanol is that after entering the body, the human body oxidizes methanol into formaldehyde and then oxidizes it into formic acid.
"Reincarnation Paradise"
After methanol poisoning, the methanol accumulated in the body is especially easy to accumulate around the retina, poisoning retinal cells, damaging eye function, and even blindness.
Severe methanol poisoning can also damage cranial nerves, causing permanent damage. When methanol enters the bloodstream, it can also cause acidosis, which can lead to kidney failure, respiratory failure, and eventually death.
The patient's friend scratched his head, "But we mixed the water!" ”
"You can't mix it with water!" Li Xiyang said seriously, "It is difficult to metabolize methanol in the human body, as long as you drink more than 5 ml of methanol by mistake, you will have poisoning symptoms.
More than 10 milliliters can cause permanent damage to the optic nerve and lead to blindness, and more than 30 milliliters can cause death. ”
"Ahh
”
The man was visibly frightened.
"How much did he drink?"
"I... I don't remember either, it seems to be half a bottle! ”
"Half a bottle?"
Li Xiyang's face changed, and he hurriedly said to the medical staff next to him, "Flatten the cart and take the patient to do a full set of blood gas analysis." ”
"Good!"
……
In the emergency room, the patient suddenly became irritable.
Partial pressure of oxygen 146 (mmHg)↑,
Carbon dioxide partial pressure 9 (mmHg)↓,
Whole blood residual alkali -24. 0(mmol/l)↓,
Potassium ion 4.8 (nmol/l)↑,
Sodium ion 133. 0(mmol/l)↓,
Creatinine 131 (μmol/l)↑,
Hemoglobin 200.0 (g/L)↑,
Li Xiyang took the patient's full set of blood gas analysis and couldn't help frowning.
"This is metabolic acidosis, methanol poisoning with optic nerve damage, hyperkalemia..."
When I heard about these diseases, the patient's friends panicked.
"Doctor, what's the matter, he still has children in his hometown, and he's all counting on him alone, you must save him!"
At this time, the patient on the bed also began to be agitated.
"nystagmus, agitation, moderate."
Li Xiyang said secretly, "Fortunately! ”
Alcoholism usually has three phases: mild euphoria, moderate ataxia, and severe coma.
And save!
"Friend, you go outside and wait first!"
"It's... All right! ”
When his friend left, Li Xiyang quickly gave a doctor's order.
"Establish two veins!"
"Rehydration!"
"Check your blood pressure!"
"Get a bigger trash can!"
All of a sudden, everyone immediately moved.
"Give me a tongue depressor!"
"I'm going to induce vomiting for him now, you all stand away."
As soon as they heard this, everyone stepped back.
Then I saw Li Xiyang pressing the deep base of the patient's tongue with a tongue depressor.
The patient snorted, followed by a mess of things.
For a moment, the entire rescue room was filled with a foul smell.
Li Xiyang's white coat was also vomited a lot.
But Li Xiyang didn't care about this, and continued to give the doctor's order, "Supplement glucose + insulin, vitamin B6, B1 and vitamin C." ”
"Push a diuretic and monitor electrolytes and blood pressure."
There are three principles of treatment for patients with alcoholism.
1. The alcohol that has not been completely absorbed can be excreted from the body, and the method of vomiting or gastric lavage can be used.
2. Help the absorption of alcohol metabolism, such as diuretics to accelerate the patient's excretion.
3. Treat the symptoms that have appeared.
After explaining the doctor's instructions, Li Xiyang came out of the rescue room!
"How's the doctor, is he alright?"
"The patient is out of danger for the time being, but he will need to be hospitalized for a period of time."
"That's good, that's good!"
The friend was visibly relieved.
The two of them came from the same village, and if something happened to him, how could he explain it.
"Do you have a phone number for the patient's family, because the patient may be under observation for a period of time and need to be taken care of!"
The friend shook his head, "His daughter-in-law ran away with someone two years ago, and there is a 9-year-old girl and mother at home, so don't let them worry about it, I'll take care of it!" ”
Li Xiyang nodded, "Okay, the patient's condition is special, and I will also instruct the nurse to pay special attention!" ”
"Thank you, doctor, thank you!"
The friend was full of gratitude, and at the same time noticed that Li Xiyang had a lot of vomit on his body.
He heard his friend's situation in the emergency room just now.
"Doctor, why don't you take it off and I'll wash you!"
Li Xiyang smiled and waved his hand, "Go take care of your friend, you can come to me if you need anything." ”
After speaking, Li Xiyang went to the changing room.
Looking at the back of the far away, my friend sighed, "What a good doctor!" ”