stjorthotic Chapter 367
Chapter 367
Chapter 367
Blood test, the results are as follows:
·Blood routine: The white blood cell count is more than 60,000 (normally almost 4,000-9 thousand), which is 10 times higher!
· Blood routine: only 50 platelets (normally 100-150), which is relatively low!
·Myocardial enzyme spectrum: several myocardial enzymes are abnormally elevated…
·Liver and kidney: blood creatinine is 10 times higher, transaminase is 8 times higher, bilirubin is 5 times higher…
Lin Feng took a look.
Elevated myocardial enzymes are consistent with cardiomyositis.
but,
What the hell is the high values of liver and kidney?
This cannot be explained by myocarditis!
Is this liver failure or kidney failure?
Is it something you ate? Cause too much liver and kidney load?
Lin Feng took aim at once-food, or medicine!
Out of the rescue room,
Come to the patient’s family again.
“Doctor Lin…”
“I want to ask, has the patient eaten anything special in the past two days? That is to say, the patient ate, but you did not eat…”
If you eat them all, then the whole family will have liver failure and kidney failure.
The wife was puzzled: “No, we all eat and live together…”
Mother: “Recently, my son was on vacation. He ate at home. He didn’t eat anything special…”
Lin Feng nodded.
Turning his suspicion to the cold medicine, only the patient took the cold medicine alone. It may be a problem with the cold medicine.
If the dose of cold medicine is too large, it may indeed cause multiple organ failure.
“Is there anyone in your family? I want to see what cold medicine your husband takes…”
“There is no one in the house… However, there is a code lock at the door of my house, which allows neighbors to open the door with a code to enter…”
“Okay, as soon as possible, now time is life, I’m afraid your husband’s condition will be repeated!”
“I will call the neighbor right away…”
The wife called quickly.
…
3 minutes later,
The neighbor took a picture and came over.
Lin Feng took a look at the picture.
“Acetaminophen tablets”!
There is another medicine, “999 Ganmaoling”…
“So it was them both!!”
Lin Feng understood it all at once!
“Acetaminophen” can also be regarded as an anti-fever medicine for fever caused by common cold or influenza. It can be said to be cold + fever + pain relief…
It is a common medicine!
The application is very wide!
However, what ordinary people don’t know is that its shortcomings are also great.
It’s okay to eat according to the instructions.
But overdose can cause liver and kidney damage, and even heart damage until arrhythmia and cardiac arrest may…
Although “999 Ganmaoling” is a traditional Chinese medicine, it still contains acetaminophen.
As for the patient, it is possible that the two medicines were taken together!
In other words, acetaminophen is doubled!
Excessive dose!
This coincides with the patient’s current illness.
The next step is to check the blood concentration of acetaminophen.
Results in 1 hour.
Sure, acetaminophen is overdose and poisoned!
The next treatment plan is naturally:
·Blood purification, remove paracetamol…
·Continuously protect the liver and kidney…
Fix this patient,
Lin Feng left the hospital and went back to sleep…
…
…
the next day,
daytime,
Lin Feng went to work, and then went to icu.
At this time the patient has woken up.
The doctor in front has already asked, it is indeed taking acetaminophen and 999 Ganmaoling…
The reason is that I took the first medicine and felt that it had no effect, so I took the second medicine repeatedly, and then the effects of the medicine were superimposed and something went wrong.
Lin Feng arranged for someone to do a brain CT to see if there was any problem.
However, looking at the patient’s state, it looks good, and the body has resisted the load of cardiac arrest.
…
Case summary: Do not repeatedly add cold medicines, read the instructions carefully!
…
Back to the clinic,
Lin Feng started to sit for a consultation, and behind him, there were 12 pennants…
The first patient.
“Chang Meilin, please go to the third consultation room…”
Then,
I saw a young couple and ran in.
The kind that holds his belly.
A look of pain.
“Doctor Lin, no, my boyfriend and I were poisoned!”
Lin Feng: “???”
0 ········Find flowers·····
poisoned?
“Don’t worry, what’s the situation?”
At this time, Lin Feng’s spirit is tense.
Girlfriend Barabala said quickly: “That’s it. I bought four or five catties of cherries last night and ate them this morning. I ate them all with my boyfriend…”
Lin Feng: “……………………”
With a sigh of relief.
Cherry?
Poisoned?
It should be impossible…
The girlfriend continued: “Then, it didn’t take long for my boyfriend and I both to have stomach pains. I searched the Internet and there was an article saying that because cherry pits contain cyanogenic glycosides, it reacts with gastric acid to produce highly toxic. Cyano ions, which caused cyanide poisoning…”
0 ….. …
Lin Feng: “………………”
“Then what?”
“Then… No, my boyfriend and I both have stomach pains and are poisoned. Doctor Lin must save us…”
Lin Feng: “Then do you have symptoms such as vomiting and diarrhea?”
The girlfriend was stunned and shook his head: “No…”
Lin Feng: “When did the abdominal pain start?”
Girlfriend: “Half an hour ago…”
Lin Feng nodded.
Then they performed physical examinations on each of them.
no problem.
“Get some blood… blood routine will do…”
…
after an hour,
The blood test results came out.
No problem at all.
Lin Feng: “It’s okay, just eat too much cherries, a little indigestion…”
My girlfriend is still having stomachache and is a little anxious.
“Doctor Lin, this is poisoning…”
“Trust me, you just have indigestion…”
Lin Feng explained:
“What cyanogenic glycosides you just mentioned, the seeds of cherries, apricots, peaches, plums, and loquat all contain cyanogenic glycosides…”
“Cyanogenic glycosides are not poisonous, but under the action of enzymes and acids, cyanogenic glycosides will release hydrocyanic acid. As you said, hydrocyanic acid is indeed toxic… But at least you have to eat a few hundred catties at a time. Cherries can be poisoned, otherwise the human body will easily break it down and get rid of the body…”
A few hundred catties…
Young couple, looking at each other…
. again.