Out of the operating room, Guo Xiang just wanted to go home. Another patient in the emergency department said it was very dangerous. Guo Xiang hurried over to see the situation.
"What's going on?" Asked Guo Xiang.
"The patient drank a liter of saline." Dr. Lin in the emergency department said.
"Salt water? How much salt did you put? " Guo Xiang was surprised. How could anyone drink so much salt water and not be afraid to die?
One liter is two liters. The weight is different according to the specific gravity of salt water. Even if there is only two kilograms of salt water, it is enough.
"My wife put, put a bag of salt, half a kilo..." the patient's husband stammered.
Guo Xiang was surprised. Half a kilo of salt? That's terrible.
The main component of salt is sodium chloride. A person's recommended dosage of salt every day is 6 grams, and the lethal dose is 40 grams. Does this person eat a packet of salt?
250 grams, six or seven times the lethal dose?
"Hang up 5% glucose solution immediately, add some excreted diuretics, and check the blood sodium index!" Guo Xiang said immediately.
"Yes!" Dr. Lin nodded. In fact, he was already doing it.
Guo Xiang looked at the patient's husband, "then why don't you look at it? How can you let your lover drink so much salt water? Don't you know that drinking so much salt water will kill you? "
The patient's husband was sweating. He really didn't know that eating too much salt would kill him?
But he didn't stop it, but didn't look at it at all.
"In fact, my love is here..." the patient's husband pointed to his head. "There's a problem here. She always thinks someone wants to hurt her. She makes all kinds of drugs for herself. I don't know where some come from."
"Persecution paranoia?" Guo Xiang frowned.
"It should be. I took her to see a psychiatrist before. I took medicine for a while, but it didn't seem to be of any use." Said the patient's husband.
"Is that for any other reason?" Next to Xu Wei said.
They have encountered several cases before, either because of porphyria or because of pregnancy. In fact, there was no problem with their spirit.
"You see, this is my lover's previous case!" The patient's husband took the previous case to Guo Xiang.
Guo Xiang looked at it. It was really a mental illness, and it was diagnosed by the authoritative psychiatrist in the city. It should not be wrong.
The doctor diagnosed it as "paranoid schizophrenia". The symptom is that the patient always feels that someone is hurting her, someone is monitoring her, and someone is monitoring her. She dare not eat what others give, dare not listen to what others say, and even doesn't believe what her husband says.
Later, she only ate bread and canned food and said it was the safest.
The psychiatrist prescribed a lot of drugs for her, but it didn't have any effect. Instead, she found out anemia and vitamin deficiency. After all, she ate so single and didn't have enough nutrition.
"Then why did she drink so much salt water this time?" Asked Guo Xiang.
"She doesn't know who said that salt can sterilize and disinfect, that she should disinfect her body and discharge all the toxins. I said I couldn't drink it. In fact, I was afraid that she would suffer if she drank too much. I really didn't know that eating too much salt would kill her. "
"But she doesn't listen at all, and I can't watch her all the time. Today, that's when she went shopping, she drank so much salt water. When I came back, I saw her lying on the ground with a packet of freshly opened salt on the side... "
The patient's husband looked worried, "and the kettle with salt water. I don't know if she drank it all. It's estimated that she drank it."
At this time, Dr. Lin came over, "our ambulance told the car doctor that the patient had lost consciousness when they arrived, but there was normal breathing and heartbeat. When they were carried to the car, they gave oxygen and electrocardiographic monitoring."
"On the road, the patient's heart rate began to rise gradually, and then her heart and breath suddenly disappeared. Fortunately, her colleagues took turns in cardiopulmonary resuscitation to successfully press her back." Dr. Lin continued.
"Doctor, why do you die after eating too much salt?" The patient's husband asked. He still didn't understand. Isn't salt something to eat every day? Why do you die if you eat too much?
"Have you ever seen pickled fish and pickled vegetables?" Guo Xiang looked at the patient's husband. "What will those dishes look like if they are salted a lot?"
"Will it become... Dry?" The patient's husband replied uncertainly.
"Yes, people drink too much salt water, just like pickles, pickling out all the water in their bodies. This is hypernatremia! "
"The sodium in body fluid increases rapidly, the osmotic pressure balance inside and outside the cell membrane in the body is broken, and the water in the cell is' pickled 'out of the cell, and the cell will become wrinkled and dehydrated. It's like pickled fish. "
"Can human cells live when they are dry?" Guo Xiang said, "just like in the sea, no matter how thirsty you are, you can't drink seawater. The more you drink, the faster you dehydrate, the faster you die."
"The lethal dose of a person's salt is 40 grams. You have 250 grams. If you hadn't rescued it in time, I'm afraid people would have......" Guo Xiang shook his head.
The patient's husband wiped the cold sweat on his forehead. Now he's a little afraid.
Although the wife has mental problems, she is still her own daughter-in-law after all. She has spent so many good times together before.
After hanging a full five liters of glucose, the patient's blood natriuretic value finally fell to the normal level. Fortunately, it fell down, otherwise it would have to be dialyzed.
However, the patient was still not awake. He occasionally opened his eyes and fell asleep again.
Guo Xiang went home first.
The next day, because he was worried, Guo Xiang came to the hospital again.
When I got to the hospital, I went directly to the ward to see the patient. The patient was awake but speechless.
"Can you hear me?" Asked Guo Xiang.
The patient nodded slightly, opened his mouth and said nothing.
Guo Xiang frowned at her and couldn't even speak. Was he weak or his throat broken?
"Raise your left hand and let me see!" Guo Xiang said.
The patient's fingers moved, as if trying to lift them up, but his arms did not move, as if they weighed a thousand kilograms, and he couldn't lift them at all.
"Where's your right hand?" Guo Xiang said again.
The patient still moved his fingers and didn't lift it up.
Is this muscle weakness or something wrong with the nerves?
After some examination, it was found that the patient had motor speech disorder, that is, muscle damage or paralysis of pronunciation, dysphagia and sudden flaccid paralysis of limbs, which was caused by the loss of muscle tension of limb muscles.
That's why patients can't even lift their hands.
"It seems that we need to do MRI to clarify the focus." Guo Xiang said.
"What is NMR?" The patient's husband asked, now the MRI is not so popular, and ordinary people don't know it is normal.
"It's a magnetic resonance imaging scanner, which can clearly see what's wrong in the body. Your lover, I doubt there's something in my mind, so that's why?" Guo Xiang said.
"You mean tumor?" The patient's husband was shocked.
"Don't rule out this possibility. Let's check it first." Guo Xiang said.