Li Xiyang had just arrived at the lounge and had not yet sat down when he heard a hysterical shouting outside.

"Where are you going to take me, I'm not going, I'm not going!"

"Let me go, let me go!"

"Ahhh

”

Hearing this voice, Li Xiyang couldn't help frowning.

Mania?

Immediately got up and opened the door and walked out.

At the entrance of the emergency hall, a patient was pressed to death on a stretcher by three ambulance workers.

Behind the triage table, Liu Lanfang, the head nurse, heard the movement and hurriedly signaled Zhang Qian to call the doctor on duty.

Li Xiyang walked over and said, "No need to fight, I'll come!" ”

The head nurse saw that it was Li Xiyang, and her expression suddenly relaxed.

"Dr. Li, then I'm sorry for you!"

"Hmm!"

Li Xiyang nodded and walked towards the door.

As soon as I approached, a strong smell of alcohol came to my nose.

The patient was tied to a stretcher with a restraint belt, and his whole face was red and his spirit was high.

"How much alcohol did you drink?"

"Who... Who said I drank, I didn't drink, didn't drink! ”

"I... I'm not drunk with a thousand cups, I don't pour ten thousand cups, I'm a god of wine, hehehe. ”

"Send me back, I'm also... You can still drink it! ”

"Good, good, you can drink, you can drink!"

Drunk with this virtue, Li Xiyang directly gave up the consultation.

Turning his head, he shouted, "What about the family, who is the family?" ”

"Doctor, I, I'm a family member!"

A woman with a big belly got out of the ambulance.

Li Xiyang hurriedly raised his hand to signal, "Don't hurry, slow down!" ”

The pregnant woman walked to the door, glanced at her husband on the stretcher, and said to Li Xiyang, "Doctor, he was fine in the afternoon, and suddenly he looked like this!" ”

Li Xiyang asked, "Do you know how much he drank?" ”

The pregnant woman nodded, "It's not much, it's not two catties!" ”

"What's that?"

"Oh, the doctor can drink it, it's usually two and a half pounds!"

Li Xiyang tugged at the corners of his mouth, isn't this nonsense.

In fact, the amount of alcohol a person drinks is related to the function of the liver, because 90% of the amount of ethanol after entering the human body is metabolized in the liver.

The specific metabolic processes are: ethanol→ acetaldehyde→ acetic acid→ carbon dioxide + water.

In the whole process, ethanol is converted into acetaldehyde, which needs to be done under the action of 'alcohol dehydrogenase'.

The conversion of acetaldehyde into acetic acid needs to be completed under the action of 'acetaldehyde dehydrogenase'.

The amount of ethanol dehydrogenase and acetaldehyde dehydrogenase secreted by each person's liver is different, which is why there is the so-called ability to drink alcohol and can't drink.

Actually, there are no special features.

But even if you can drink alcohol, the two dehydrogenases in a person's liver cannot complete the metabolism of two and a half catties of liquor every day.

According to this drinking method, even if there is no accident at noon, there will be problems sooner or later.

"Okay, let's send it to rescue first, right?"

……

Entering the emergency room, the patient suddenly became more agitated.

As soon as the restraint belt was unfastened, both hands immediately waved.

He kept shouting, "Thief, you are all thieves, trying to steal my wine, I will kill you!" ”

"Husband, don't do this, they are all doctors, and they won't steal your wine."

"You lied to me, you lied to me!

”

The patient was insane, and Li Xiyang was worried that he would hurt the pregnant woman, so he hurriedly stepped forward to hold the patient down, shouting, "Push one diazepam, quickly!" ”

At this time, Su Xintong happened to push the cart in, and when he saw this scene, he hurriedly came over with a needle, and directly pulled up the patient's clothes and pricked it with a needle.

As the diazepam began to take effect, the patient finally quieted down.

Li Xiyang breathed a sigh of relief, turned his head and asked the pregnant woman, "Does he often do this?" ”

The pregnant woman shook her head, "No, it's the first time I've seen him like this!" ”

Li Xiyang frowned, this is not simply drunk.

At this moment, the light screen in front of him flickered.

[Liver: The brothers are finished, the dehydrogenase secretion is impaired, and the ethanol metabolism can't go out]

[Small intestine: I can help metabolize, but the ethanol is stuck in your place, and I can't get by]

[Liver: Niang Xipi, I'm hard]

[Stomach: I said it earlier, this guy drinks more wine than water every day, can this be good]

[Brain: How do you say love, it's all wine in the cup, glass after cup, I won't let go of it when I drink to death...]

[Heart: After the calf, even the brain is drunk]

Seeing the dialogue of the organs, Li Xiyang realized the seriousness of the patient's condition.

Immediately said quickly to Su Xintong, "Xiao Su, draw blood for him, do a blood routine, check liver function, and then do a liver ultrasound, and then take a brain CT." ”

There were a lot of inspection items, so Su Xintong hurriedly took a pen and wrote them down one by one.

The family members on the side were also frightened, "Doctor, why are there so many examinations, my husband won't have a big deal, right?" ”

Li Xiyang did not hide it, and directly told the family, "The preliminary diagnosis is liver cirrhosis, but it is likely that there are other problems, don't worry, I will tell you when the results come out." ”

"I just pushed him to Valium, it won't be fine for the time being, you rest here first, and call the nurse if you need anything."

"Okay, thank you, doctor!"

……

Out of the rescue room, Li Xiyang went directly to the triage table.

Generally, emergency patients usually carry out basic rescue measures in the ambulance first, and then make up the list.

Li Xiyang filled out the list and handed it to the triage desk.

Then Li Xiyang went to the attending doctor's office again, and yesterday Sheng Lei told him that he had several good documents there.

But as soon as I entered the office, I saw Sheng Lei lying on the desk with a loveless face.

"What's wrong, Dr. Sheng?"

Sheng Lei looked up at Li Xiyang, opened his mouth and sighed.

"Don't say it, I'm tired!"

Li Xiyang was confused.

At this time, Ouyang Ming next to him smiled, "This guy was pestered by a little girl for more than an hour just now. ”

"The First Minister of the Ming Dynasty"

Li Xiyang smiled, "Yes, Doctor Sheng!" ”

Sheng Lei rolled his eyes, "What can you do, she asked me why people lose their hair for an hour." ”

It turned out that the little girl used a wide-toothed comb to comb her hair every day, but every time she finished combing, a lot of hair was wrapped around the comb, and when she pulled it off and put it in the palm of her hand, there was a small ball.

This made the little girl anxious, so she came to the first hospital to hang up in the emergency department.

It happened to be Sheng Lei's outpatient clinic.

Sheng Lei suggested that the little girl go to the dermatology department, but the little girl seemed to have a crush on Sheng Lei, and Sheng Lei wanted Sheng Lei to analyze him whether she was alive or dead.

Sheng Lei had no choice, so he arranged for her to measure hair follicles.

When the report is returned, there is no problem at all.

Sheng Lei told her that your hair is very healthy, don't worry.

But the little girl asked herself why she lost her hair.

Sheng Lei explained that this was normal, but the little girl didn't believe it.

Sheng Lei could only ask the little girl about her diet and daily life, chatting and talking about her life ideals, in short, he was dragged by the little girl to chat for 1 hour.

Sheng Lei swore that he had been sitting for a day, and he didn't say as much as he said in this hour.

It's not, straight exhaustion.

Li Xiyang was also amused by Sheng Lei's appearance.

In fact, there are about 100,000 hair follicles on each person's scalp, and each hair grows for about 2-4 years, after which it enters a quiescent phase and falls out naturally after a few weeks.

It's normal for a person to lose dozens to a hundred hairs a day, just like an animal sheds its hair.

In late summer and early autumn, a large proportion of hair is in the recuperation period, which is why hair loss is more severe in autumn.

These normal deaths tend to be very fine and thin, which indicates that they are all "old", even if they lose more than 100 hairs a day.

However, if you find more than 50 hair loss on your pillow when you wake up in the morning, it may be abnormal hair loss.

Especially when you see the hair that has fallen out, if the tip of the hair is the same thickness as the root of the hair, and there is a small white spot at the root, it means that the hair is still healthy when it falls out, and its loss is not normal.

In short, it is normal to lose about 50 to 100 hairs per day.

……

Put the literature in the lounge, Li Xiyang returned to the rescue room.

At this time, the results of the examination just came out.

After taking a look, the situation was a little more serious than I thought.

Routine blood test: The patient's blood ammonia was as high as 190.

Abdominal CT showed liver cirrhosis, splenomegaly, and ascites.

Liver ultrasound: unclear hepatic vascular textures, portal hypertension, elevated aminotransferases, elevated bilirubin, decreased coagulation function......

CT scan of the head showed cerebral atrophy and slowing down of blood flow in some intracranial arteries......

"Doctor, what's wrong with my husband?"

Li Xiyang glanced at her and said slowly, "Cirrhosis of the liver, portal hypertension, hypersplenism, dilated abdominal wall veins, abdominal wall varicose veins, and... Hepatic encephalopathy! ”

Hepatic encephalopathy is a syndrome of central nervous system dysfunction based on metabolic disorders caused by severe liver disease.

Hepatic encephalopathy can cause coagulopathy, lethargy, and even psychiatric abnormalities.

This may explain the patient's current manic appearance.

However, the pregnant woman obviously does not understand this, she just thinks that the name of this disease is surprisingly long.

Li Xiyang explained, "Liver cirrhosis and hepatic encephalopathy are both chronic diseases, which can only be maintained, and are not suitable for surgery. ”

The pregnant woman seemed to understand whether she understood or not, but when she heard that there was no need for surgery, her expression suddenly became much more relaxed.

Perhaps, in her opinion, none of the diseases that do not require surgery are serious.

Li Xiyang shook his head, "I'll contact the internist, they will push your husband to them for treatment in a while, you can just follow along." ”

"Specifically, they will explain it to you again."

"Well, okay, thank you, doctor!" The pregnant woman thanked her gratefully.

Li Xiyang glanced at the pregnant woman's belly, hesitated for a moment and said, "In fact, there is only one best treatment for alcoholic cirrhosis, which is to quit drinking." ”

"If you're really thinking about the baby in your belly, I want you to enlighten him."

After Li Xiyang finished speaking, he saw a helpless smile on the woman's face.

This is probably the reason why women have always been determined from the beginning.

Not because of ignorance, but because of helplessness.

Alas!

Li Xiyang sighed, turned around and left.

In the hospital, he had seen too many people who had died of drinking.

He is not the first and will not be the last.