Chapter 1730： Diagnostic treatment

"Don't talk nonsense. But it's really possible to say rat poison." Zheng Ren went down with Su Yun's words. "The IQ of the mouse is not low. If you eat the rat poison, it is said that you will not touch something similar." ”

Linger silently watched Zheng Ren and Su Yun discussing in the illness, some nonsense, but these nonsense is a must.

Obviously, these two young people are not in the heart, and they are grasping the possibility of certain nothingness through dialogue.

"Well, the replacement products are all preparations that are milder in medicinal properties and ultimately induce visceral bleeding." Su Yun continued to clarify the viewpoint of the preparation.

This situation is somewhat similar to Chen Zehui's progress.

There are symptoms of bleeding gums 8 days ago, and it is not good to know when it first appears.

2 days ago, I went to the district hospital to check and did not see the problem. Up to now, in just over 40 hours, the hemoglobin dropped directly to 5.5g.

The most important thing is that after the patient fainted, the continuous outbreak of the disease has been sent to the 912 emergency department, which is shocking!

The evidence points directly to a chemical, and according to Su Yun, it should be a chemical used for poison rats.

"The slow effect...explosion..." Zheng Ren whispered.

"The first generation of anticoagulant drugs such as enemy sodium salt and coumatetralyl, the effect is good, the effect is relatively moderate. When I was in the laboratory, there were wild mice to bully my little mouse, I used the mouse to kill They are administered." Su Yun said proudly.

"It's rarely used now."

"Well, not too much now. Because the killing of ether has a weakness, the final drug is not strong enough, so the wild rat is quite destructive before it dies."

"Do you think this patient is poisoned by a second-generation hemolytic poison rat?" Zheng Renshun wants to go with Su Yun's words, and his speech speed is getting faster and faster.

The more you think, the more reasonable it is.

If it was just speculation, Zheng Ren now has a 90% judgment on the patient's condition.

The symptoms that can be asked from the beginning of the patient - the bleeding of the gums, up to the test list two days ago, and then suddenly broke out today, until the last struggling patient suddenly hypovolemic shock, massive hemoptysis.

Which one of these evidences came out alone was very dull and not directed.

But put it together, Zheng Ren can be sure that Su Yun's suggestion is correct.

“Is it a bromadiolone?” Zheng Ren thought of several case reports about brominated enemy poisoning, where the situation described is very similar to that of the immediate patient.

"I think about it." Su Yundao: "It has the characteristics that it is not easy to cause rodents to be shocked and easy to kill rats. It also has the outstanding advantages of acute toxicity. Single-dose use can effectively prevent various rats.

At the same time, it can effectively kill rodents that are resistant to first-generation anticoagulants. It is moderately toxic to aquatic organisms such as fish and aquatic insects. ”

"You said, I feel that it is bromine." Zheng Rendao: "That is recommended for diagnostic treatment. Intramuscular injection of vitamin K1, the amount can be slightly larger."

"If there is no effect?" Su Yun did not ask the brain.

The situation is urgent. When discussing the condition, someone always has to act as the most annoying role - to raise objections.

"Then look at life, anyway, vitamin K1 has the effect of promoting blood clotting. Even if the patient is not brominated enemy poisoning, intramuscular vitamin K1 is only good, no harm." Zheng Ren recalled the side effects of the drug, casually said.

"You go to the hospital and always say that you have a diagnostic treatment." Zheng Rengan smiled and did not mind. It is really a rare side effect of vitamin K1, even a lethal reaction...

Forget it, when using medicine, you must not think about 100,000 parts per million.

Once you think about it, then you can't use any medicine, just wait for it to die.

Now the social atmosphere and the responsibility of doctors have turned such a paradox into reality, doctors can only...

Zheng Renzhen did not want to think about these unhappy things.

Intramuscular vitamins work in an hour.

If the patient is as described in himself and Su Yun's analysis, it is poisoned by bromadiolone, and vitamin K1 is a special drug.

The intramuscular injection is too slow, or the vein is given. Otherwise, it is okay to have a two-pronged approach.

If you make a mistake, it is not poisoned by bromadiolone, then you can only perform blood filtration, and then say something.

Zheng Ren and Su Yun rushed in. As for Ringer... Zheng Ren temporarily ignored him.

There is no accident in Linger, emergency first aid, or what kind of poisoning of rat poisoning. This kind of thing can be said to be strange when Mr. Zheng’s temper has time to say a few words to himself.

Zheng Ren knew that he was surrounded by Su Yun's thinking, but logically judged that Su Yun's statement was correct, so Zheng Ren did not object because he wanted to oppose it.

Yes, the implementation is. Zheng Ren did not really wait for Su Yun to say, more and more certain, the pace at the foot is getting faster and faster, and finally ran.

All the way to the trot, the danger hit a nurse to take blood.

"Give vitamin K1!" Zheng Ren entered the ICU, directly said.

“Hmm?” The hospital stayed awkward.

“Just a simple analysis, consider that it may be caused by bromadiolone poisoning!” Zheng Rendao: “10mg intramuscular injection, 80mg into the pot!”

As said, Zheng Ren’s voice is getting bigger and bigger and more and more determined.

This is a state unique to the rescue.

There is nothing to be discerning about the amount of this drug. The patient's weight was measured according to 5 mgkg.

The onset time of the drug is 3-6 hours, and the time for the onset of the vein can be shorter. It is hard to say how long it takes. Zheng Ren did not go, and stared at the patient in the ICU.

Looking at the vitamin K1 muscle injection, the remaining 8 vitamin K1 into the drip pot, Zheng Ren opened the speed, almost into the vein.

I hope to improve, Zheng Ren has seen the same diagnosis on the patient system panel - upper gastrointestinal bleeding.

I finished the operation today I had a meal at noon, and I went back to 912 to see Zhou Litao. I didn't expect to encounter such a patient.

Ringer also followed suit.

The advancement of the hospital deposit is in the name of the Medical Service. The money is probably not coming back, so the medical office is more practical.

Then there is communication with the immediate family members of the patient, and so on.

After 1 hour and 35 minutes, Zheng Ren did not find any new diagnosis on the system panel.

Under the action of three groups of hemostatic drugs, the patient did not show signs of continued bleeding.

The patient's blood pressure was steady and rising, and the subcutaneous congestion was stable and did not continue to spread.

Diagnostic treatment, it seems correct, it should be bromadiolone poisoning!

It’s just that the time is too long, the location of the specific poisoning, what to eat, it is estimated that it is difficult to verify.

Zheng Ren’s feelings are more intuitive than others.

After the patient's system panel was intramuscularly injected and intravenously given vitamin K1, the color gradually deepened for more than 10 minutes, and then it did not deepen, but began to fade.

This is the result.

Until the blood pressure was stable, Zheng Ren was really relieved.

"General Wu, vitamin K1 gives a longer time." Zheng Ren finally shouted: "The half-life of bromadiolone is 16-19 days, and it should always be antagonized with vitamin K1, don't make the disease repeat."

"Know!" ICU's hospitalization was exhausted and replied.