Sleepless Doctor

Doctors, nurses, and stretcher workers came quickly.

　　 Seeing the patient who was asleep, the 120 emergency doctor asked, "He is the patient?"

　　 "Yes, I suspect alcoholic hypoglycemia now." Wu Mian sat in a chair, with her back slightly tilted back, her legs appearing a little longer.

　　 "Uh..." The 120 emergency doctor was taken aback. He looked at the patient carefully and still thought it was ordinary drunkenness.

　　 "Who are you." The 120 emergency doctor asked the same question as a middle-aged man, an ultimate philosophical question.

"You don't need who I am. I have already reminded you of the need to sit. Now 23 minutes have passed since he lost consciousness. If he is brought back to the hospital, it will take at least another 30 minutes. Hypoglycemic encephalopathy will cause... No explanation Now, you can bear all the consequences, everything is up to you."

　　 Wu Mian looked at the name badge of the 120 emergency doctor and said.

　　 "..." The 120 emergency doctor was taken aback, and then forcibly defended, "I need an infusion when I get in the car, and I can give glucose + vitamin C."

"What if it is cerebral hemorrhage?" Wu Mian asked, "Don't you give mannitol? You give some sugar slowly, what's the use? What if you give it quickly, which increases blood pressure and worsens cerebral hemorrhage? In this situation, Can you rule out subarachnoid hemorrhage?"

　　 "..." The 120 emergency doctor was completely speechless.

　　 A few words and a few guesses on the other side of this young man completely blocked all the roads.

　　 And when he talked about bearing all the consequences, he directly hit the soft underbelly of 120 emergency doctors. Senior professionals like Wu Mian know what doctors are most afraid of.

　　120 The emergency doctor has no idea to save his face. If the patient has any problems, he can't eat it. Besides, this young man has said everything like this, and if something goes wrong, he can't run away.

　　 Follow the good, then take a blood sugar measurement. Anyway, Baidu, the family members of patients in the hospital, has seen more doctors. Doctors have long formed a habit, not bad in this case.

　　 "Test fingertip blood sugar first." 120 emergency doctor said.

　　 The little nurse took out the blood glucose meter long ago and began to perform the operation. Wu [　fo]mian stood with his colleague and listened to whom... it seemed that there was no need to think about it. Besides, it's just a fingertip blood sugar measurement, not a major operation.

　　 Soon, a drop of blood dripped on the instrument.

The alarm sound of 　　dididi didi didi immediately came from the instrument in the hands of the young nurse. The 120 emergency doctor took a look at the probe, and the blood sugar of the fingertip was 1.23mmol/L.

　　120 The emergency doctor was startled, what's the matter? Unexpectedly, it is really alcoholic hypoglycemia!

　　 This kind of situation is rare, and it is difficult to encounter one case in a year.

　　 "Get in the car quickly and give 50ml high sugar." Wu Mian stood up and took the chair aside. "Hurry back as soon as possible. If the hypoglycemia is corrected, there will be no sequelae."

　　120 The emergency doctor did what Wu Mian said in a daze, carried the patient back to the ambulance, and injected 50ml50% glucose intravenously.

　　 In less than 2 minutes, the patient took a deep breath and then vomited it out. The smell of alcohol diffused in the car, making the doctors and nurses feel drunk.

　　 Seeing that the patient was okay, the 120 emergency doctor let out a sigh of relief.

　　 He was a little surprised that what the young man said just now turned out to be right, but his self-esteem was hit hard. How can I be worse than a passerby?

　　 Seeing that the patient can already talk, it should be no problem. The 120 emergency doctor picked up the phone and opened the website to search for the concept of alcoholic hypoglycemia.

　　 There are many entries, so he clicked on one and looked at it carefully.

Alcohol can inhibit the synthesis of liver glycogen. Ethanol is oxidized into acetaldehyde and acetic acid in the liver, and a large amount of coenzyme I is oxidized and reduced to reduce coenzyme I, resulting in a reduction of coenzyme I, so that lactic acid, glycerol, and amino acids in the blood cannot be changed through the process of gluconeogenesis. Glucose is formed, and the production of blood sugar is reduced, so blood sugar is lowered.

　　 After drinking, the body's adrenergic nerve excitement and cortisol function increase, consume too much energy, glucose catabolism increases, and blood glucose levels in plasma decrease.

　　 After 120, the emergency doctor took a breath.

　　He comes from a second-class hospital around him. In general, drunk patients are given some sugar and salt water in the emergency department, and at most some naloxone and other patients will be awakened by themselves.

　　 If you have severe vomiting, you may check a blood routine and serum ions for fear of concurrent ion disorders. But the patient in front of him just slept soundly, even if he was sent to the hospital, he probably wouldn't have a blood test.

　　 As for blood sugar, it is "over-medical" and will not be checked at all.

　　 In recent years, doctors' abuse of examinations has become extremely heavy and public opinion pressure, unless there is consideration, otherwise they will not do too many examinations.

　　 Thinking back to the situation at that time, the 120 emergency doctor felt a guilty conscience.

so close.

　　 He looked at the patient and let out a sigh of relief.

　　 "Brother Yang, who was that person just now?" the little nurse asked.

　　 "I don't know." 120 emergency doctor said, "I heard him very slippery, I guess he is a colleague in a hospital. No, he is too young, I guess it is Gui Peisheng."

　　 "Don't be nonsense, can Gui Peisheng have such a big aura?" The little nurse said contemptuously, "You were all dumbfounded at that time."

　　 "Why, I'm afraid that there will be a doctor-patient dispute." 120 emergency doctor said.

　　 "I knew he was right. Your level is half a bottle of oil, and you slammed back and forth." The little nurse naturally stood on Wu Mian's side and said, "Brother Yang, how do you think you have low blood sugar."

　　" Asking so much~www.wuxiaspot.com~ the emergency doctor said unhappily.

　　 "I just entered the hotel, and I saw a pair of long and straight legs against the light. I really want to touch them."

　　 "……"

　　 "If it weren't for emergency rescue, I would definitely ask him for contact information." The little nurse said, "I thought he would follow, but I pushed the patient into the car. I looked back and found no one at all."

　　 "Who knows." 120 emergency doctor said, "It may also be a regular trainee who doesn't know the heights of the sky, and he will come out and talk nonsense when he learns something at school."

"Cut! Our hospital will not accept a few patients with alcoholism someday? If I see too much, I will give a doctor's order. Isn't it just sugar, salt water, vitamin C, and naloxone. If you vomit badly, then give me some antiemetic medicine. . When did you check your blood sugar?"

　　 In a word, the 120 emergency doctor was speechless.

　　 Recalling the situation at that time, without any equipment or examination, it was not easy to say that it was alcoholic hypoglycemia. Although he also talked about cerebral hemorrhage, the 120 emergency doctor knew that it was frightening himself.

　　Weird, where did the young man come from?

　　 "Brother Yang, if you see him in the hospital later, tell me." The little nurse said with blinding eyes, "At first glance, I feel that he can handle everything."

　　 "You are lust." The 120 emergency doctor said sourly.

　　 "That's right, what's the matter!" The little nurse said, not to be outdone, staring.