Yesterday afternoon, director Liang went out to see an expert.
While solving a friend''s problem, the emergency department called like crazy.
Generally speaking, the emergency department only communicates with the inpatient general manager. In case of difficult problems, there are second-line professors. Director Liang will not receive calls.
He hasn''t dealt with the emergency department for many years, and now he has to go to jianxie hospital. He is responsible for less and less things in the second hospital. Looking at the mobile phone, director Liang was stunned and took a few seconds to pick it up.
There was no greeting in the emergency department. She reported her medical history directly. A 42 year old female had head trauma. Her lover immediately called 120 first aid.
On the 120 ambulance, the visiting doctor made a simple bandage for her. The wound was not big. It was different whether she came to the hospital or not.
But 10 minutes ago, the patient suddenly stopped breathing and circulation in the ambulance.
Now he is undergoing cardiopulmonary resuscitation and extrathoracic cardiac compression. After 120 emergency doctors asked the medical history, they learned that the patient saw a rumor on the Internet that soy sauce can detoxify, so he just took a bottle of raw soy sauce orally.
Because the condition is too special, there are many cases of cardiac arrest caused by drinking soy sauce. The inpatient of the emergency department always asks the director for instructions, and calls the director of the relevant department directly.
"There is an emergency rescue, Lao sun. Please wait for me." director Liang immediately stood up after listening to the report and said to a thin man in front of him.
The man had gray hair and a sad face. In front of him was a large book containing all kinds of data collected. He is a very old-fashioned man. Now young people don''t have this habit. They all keep notes on their mobile phones.
"Xiao Liangzi, I''ll go back first."
"Wait for me, I''ll go back with you again." director Liang said and hurried to the emergency department.
While walking quickly, director Liang lamented that the current social rhythm is really fast. He just saw a news on Yahoo on the Internet a few days ago.
Bernard, a doctor in Philadelphia, USA, released a wonderful medical case on her social media: a 39 year old woman listened to the rumor that drinking soy sauce can detoxify, so she drank 1 liter of soy sauce within 2 hours, resulting in her intake of up to 200 grams of salt.
As a result, she had a cardiac arrest and left permanent brain damage, almost dying.
Generally speaking, people eat about 2.5 grams of salt every day. It''s not death to eat 200 grams of salt at once. And how hard soy sauce is to drink. It''s a hero to dry a bottle of soy sauce in one breath!
But now this hero is going to become a martyr.
This is second. Director Liang lamented that he had just seen the report of this case in Philadelphia in the United States. It was only three days at most, and similar things had happened around him.
All things are interconnected... That''s not what I mean.
What''s the salt content of raw? Director Liang''s mind went blank at the thought of this problem.
Only a monster like Mr. Wu can remember this kind of thing.
All the way to the emergency department, the patient has been sent to the emergency department, and the director and inpatient manager of the emergency department are in emergency rescue.
Soon, the patient''s blood sodium returned - 166mmol L.
The upper limit of sodium ion content in human body is 145mmoll. Although the results may vary with different machines, the values do not differ much.
High blood sodium is fatal.
Due to the rapid increase of sodium in the body fluid environment, the osmotic pressure balance inside and outside the cell membrane is broken, and the water in the cell is "pumped" out of the cell, so the cell will show a wrinkled and dehydrated state.
In case of chronic hypernatremia, the patient may not feel special discomfort because of the gradual adaptation of the body.
However, in acute hypernatremia, a large number of brain cells lose water and the brain blood supply is insufficient. Patients are usually in a trance, irritable, and sometimes have convulsions, convulsions, coma and even death.
Director Liang still remembers that in other literatures, hypernatremia can also lead to acute renal failure, acute myocardial infarction and tachycardia related to QT interval prolongation.
Blood sodium is 166mmol. Director Liang is really worried that the patient can''t be saved.
After emergency rescue, because it involves many disciplines, the patients were directly sent to ICU for further treatment.
Director Liang met a similar patient for the first time in his life, and he followed him wholeheartedly. Under the command of director Qian, the patient finally got out of danger after 6 hours.
After a series of rescue treatment, various indexes of patients have returned to the normal range one after another. Although the patient is still sleepy, she reacts when she is called and can correctly call her husband''s name.
After the consultation of the whole hospital, the patient has been out of danger, and the patient was transferred to the Department of Gastroenterology for further treatment.
Although the patient said that he had been out of danger and high blood sodium had been controlled, director Liang also felt that there was something wrong.
So when he came back, he called the patient''s family members to his office. Director Liang was ready to carefully cross examine the specific situation.
His friend was still thinking hard in the office. When he saw director Liang coming back, he asked, "Xiao Liangzi, are you finished?"
"Old sun, No." director Liang shook his head apologetically, "or tomorrow, I can''t. I''ll ask someone."
"Ask someone? Criminal investigation expert?"
"No, it''s Mr. Wu. He never forgets. His logical analysis ability should be similar to that of criminal investigation experts." director Liang said.
His friend sighed, carefully collected the information book, and turned away.
"Sit down." director Liang and the patient''s family members said, "I''m director Liang of the Department of Gastroenterology. I just introduced it. I came to you to ask your lover carefully."
"Please, director Liang." the patient''s family tried to squeeze out a smile to express their respect for director Liang.
"Tell me, think about everything in detail. It''s best not to miss anything." director Liang said, "at least from the situation 2-3 months ago."
The patient''s condition is not complicated, but director Liang feels quite strange. It may be that he has been accompanying Lao sun to "solve the case" recently, which makes him nervous.
However, he doesn''t think he is wasting time. Asking about the medical history or drinking soy sauce is meaningful to his future work.
"Director Liang, yes, my love has a problem here." the man pointed to his head.
Director Liang frowned.
Some men with domestic violence are just willing to say that women have brain problems.
"Director Liang, I''m telling the truth. It was diagnosed by the mental hospital." the patient''s family quickly explained, "that diagnosis is paranoid schizophrenia."
"Paranoid? Split?" director Liang doesn''t know much about mental diseases.
"After my wife''s diagnosis, I also learned some relevant knowledge." the man said, "at the beginning of the disease, it showed sensitivity and paranoia, gradually developed into delusion, and there was a general trend, and the content of delusion was increasingly divorced from reality."
"Through my observation, I found that my wife''s situation is really more and more like that. The doctor in the mental hospital diagnosed no problem."
"That''s why I drink soy sauce?" director Liang asked.