Sleepless Doctor

Yesterday afternoon, Director Liang went to an expert consultation.

I was solving a friend's problem, and the emergency department phone came in like crazy.

Generally speaking, the emergency department only communicates with the inpatient general manager. If there are difficult problems and second-line professors, Director Liang will not receive calls.

He hasn't dealt with the emergency department for many years, and now he is going to Jianxie Hospital, and he is less and less responsible for the second hospital. Looking at the phone, Director Liang was a little dazed, and it took a few seconds before he picked it up.

The emergency department was hospitalized without greetings, and directly reported the medical history. A 42-year-old woman suffered a head injury. Her husband immediately called 120 for emergency treatment.

In the 120 ambulance, the visiting doctor gave her a simple bandage, the wound was not big, and the need for sutures to come to the hospital is two different things.

But 10 minutes ago, the patient suddenly stopped breathing and circulation in the ambulance.

Now I am undergoing cardiopulmonary resuscitation and chest heart compression. After 120 emergency doctors asked about the medical history, I learned that the patient saw a rumor on the Internet that soy sauce can detoxify, so I just took a bottle of light soy sauce by mouth.

Because the condition is too special, soy sauce caused cardiac arrest in Pediatrics. The inpatient department of the emergency department consulted the director and directly called the director of the relevant department.

"There is an emergency, please wait for me, old grandson." Director Liang stood up immediately after hearing the report and said to a thin man in front of him.

The man has gray hair and a sad face. There is a large book in front of him, which contains various information collected. He is a very old-fashioned person. Now young people have no such habit, and they always use mobile phones to record.

"Xiao Liangzi, then I'll go back first."

"Wait for me, and I will accompany you to stroke it again when you come back." Director Liang finished speaking and hurried to the emergency department.

While walking fast, Director Liang felt that the current social rhythm is really fast. He just saw a piece of news on Yahoo on the Internet the other day.

Bernard, a doctor in Philadelphia in the United States, posted a strange medical case on his social media: A 39-year-old woman heard the rumor that drinking soy sauce can detoxify, so she drank 1 liter of soy sauce within 2 hours, causing her to ingest The salt content is as high as 200 grams.

As a result, she suffered a cardiac arrest and left permanent brain damage, almost her life.

Generally speaking, a person's daily intake of salt is about 2.5 grams. If you consume 200 grams of salt all at once, isn't this a death. And soy sauce is so terrible, it can be considered a strong man to be able to dry a bottle of soy sauce in one breath!

But now this strong man wants to become a martyr.

This is second. Director Liang lamented that he had just seen this report in Philadelphia, the United States, for at most 3 days, and similar things had already happened around him.

The Internet of Everything... but that's not what it means.

What is the salt content of light soy sauce? Director Liang's mind went blank when he thought of this question.

Only a monster like Teacher Wu would remember this kind of thing.

All the way to the emergency department, the patient has been delivered, and the director of the emergency department and the inpatient are in emergency rescue.

Soon, the patient's blood sodium returned-166m touched l/L.

The upper limit of human sodium ion content is 145m per liter/L. Although the results may vary with different machines, the values ​​are not much different.

High blood sodium is very fatal.

Due to the rapid increase of sodium in the body fluid environment, the balance of osmotic pressure inside and outside the cell membrane is broken, and the water in the cell is "pumped" out of the cell, so the cell will appear wrinkled and dehydrated.

In chronic hypernatremia, the patient may not experience special discomfort because the body gradually adapts.

However, when acute hypernatremia occurs, the brain cells lose a lot of water and the blood supply to the brain is insufficient. The patient usually becomes confused, irritable, sometimes has convulsions, convulsions, and enters a coma or even death.

Director Liang still remembered reports in other literature that hypernatremia can also cause acute renal failure, acute myocardial infarction, and tachycardia related to prolonged QT interval.

The blood sodium was 166m per l/L. Director Liang was really worried that the patient could not be saved.

After the emergency treatment, the patient was sent directly to the icu for further treatment because of the multidisciplinary involvement.

Director Liang met a similar patient for the first time in his life, and he followed it very carefully. Under the command of Director Qian, the patient was finally out of danger after 6 hours.

After a series of rescue treatments, various indicators of the patient returned to the normal range one after another. Although the patient is still in a state of lethargy, she is responsive to calling her and can correctly call her husband's name.

After consultation with the whole hospital, the patient was out of the dangerous period, and the patient was transferred to the Gastroenterology Department to continue treatment.

Although the patient said that he was out of the dangerous period and his high blood sodium was under control, Director Liang also felt that something was wrong.

So after returning, he called the patient’s family to come to his office, and Director Liang was going to carefully question the specific situation.

His friend was still thinking about it in the office, and when Director Liang came back, he asked, "Xiao Liangzi, are you done?"

"Old Sun, no." Director Liang shook his head apologetically, "Or tomorrow, if it's not possible, I will ask someone."

"Please? A criminal investigation expert?"

"No, it's Mr. Wu. He never forgets, and his logical analysis ability should be similar to that of a criminal investigation expert." Director Liang said.

His friend sighed, collected the information sheet carefully, and turned away.

"Sit down." Director Liang and the patient's family said, "I'm Director Liang of the Gastroenterology Department and I just introduced it. I came to you to ask about your lover's details."

"Excuse me, Director Liang." The patient's family tried to squeeze a smile to express their respect for Director Liang.

"Talk about it, think about everything in every 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 finds it quite strange. It may be that I have been with Lao Sun to "solve the case" recently, which made me feel nervous.

However, he did not feel that he was wasting time, asking about the medical history, or drinking soy sauce, was meaningful for his future work.

"Director Liang~www.wuxiaspot.com~ this is the case, my wife has a problem here." As he said, the man pointed his head with his finger.

Director Liang frowned.

Some domestic violence men are willing to say that women have problems with their brains.

"Director Liang, I'm telling the truth. It was diagnosed by the mental hospital." The patient's family quickly explained, "The diagnosis was paranoid schizophrenia."

"Paranoid? Split?" Director Liang didn't know much about mental illness.

"After my spouse was diagnosed, I also learned some related knowledge." The man said, "This disease was initially sensitive and suspicious, and gradually developed into delusions, and there is a generalization trend. The content of delusions is increasingly divorced from reality~www.wuxiaspot.com~ The benefits give you a cash red envelope! Follow the vx public book friend base camp to receive it!

"Through my observations, I found that my spouse's situation is really becoming more and more similar. The doctor in the mental hospital diagnosed it as no problem."

"That's why the soy sauce was drunk?" Director Liang asked.