Chapter 1730

"Don't be ridiculous. But it's really possible to say rat poison." Zheng Renshun went on with Su Yun's words, "the IQ of mice is not low. If they die after taking rat poison, it is said that they will not touch similar things around them."

Linge silently watched Zheng Ren and Su Yun discuss their illness. There was some nonsense, but it was necessary.

Obviously, the two young people have no number in mind, and are seizing some nihilistic possibilities bit by bit through dialogue.

"Well, the new generation of products are all those preparations with mild properties and finally induce visceral bleeding." Su Yun continued to clarify the point of view of the preparation.

This situation is really similar to the progress of Chen Zehui's condition.

There were symptoms of gum bleeding 8 days ago. It's hard to say when it first appeared.

Two days ago, I went to the district hospital for examination and found no problem. Up to now, there is only a short time of more than 40 hours, and the hemoglobin has been directly reduced to 5.5G.

The most important thing is that after the patient fainted, he was sent to the 912 emergency department. The continuous outbreak of his condition is shocking!

These evidences point directly to a certain chemical agent. According to Su Yun, it should be a chemical agent used to poison rats.

"The effect is slow... Outbreak..." Zheng Ren whispered.

"Rodenticides of the first generation anticoagulants such as diphacine sodium salt and Rodenticide ether have good effects and moderate effects. When I was in the laboratory, wild rats bullied my mice, so I gave them rodenticide ether." Su Yun said proudly.

"It's rarely used now."

"Well, not much now. Because there is a weakness in rodenticide ether and the final efficacy is not strong enough, the wild rats are quite destructive before they die."

"Do you feel that this patient is poisoned by the second-generation hemolytic rodenticide?" Zheng Renshun wanted to go according to Su Yun's words. His speed was faster and faster.

The more you think about it, the more reasonable it is.

If it was just speculation before, now Zheng Ren has 90% confidence in the judgment of the patient's condition.

From the first symptom that patients can ask - gum bleeding, to the test sheet two days ago, to today's sudden outbreak, until the last patient who can struggle suddenly has low blood volume shock and massive hemoptysis.

Which of these evidences is taken out alone is very plain and has no directivity.

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

"Bromadiolone?" Zheng Ren thought of several case reports about bromadiolone poisoning, where the situation described was very similar to that of the patient in front of him.

"I think so." Su Yun said: "it has the characteristics of not easily causing shock to rats and easy to wipe out harmful rats. In addition, it also has the outstanding advantages of strong acute toxicity. A single dose can effectively prevent and eliminate all kinds of rats.

At the same time, it can also effectively kill harmful mice resistant to the first generation anticoagulant. It is moderately toxic to aquatic organisms such as fish and aquatic insects. "

"If you say so, I feel like bromadiolone." Zheng Ren said: "then it is recommended to treat it diagnostically. The amount of vitamin K1 injected intramuscularly can be slightly larger."

"What if it doesn't work?" Su Yun did not ask.

In case of emergency, when discussing the illness, someone must always play the most annoying role - raising objections.

"It depends on your life. Anyway, vitamin K1 can promote blood coagulation. Even if the patient is not bromadiolone poisoning, intramuscular injection of vitamin K1 is only good, not bad." Zheng Ren recalled the side effects of drugs and said casually.

"You go to the hospital and talk to the general manager for diagnostic treatment." Zheng Ren smiled dryly and didn't mind. If there are rare side effects of vitamin K1, even fatal reactions

Forget it, when taking medicine, you must not think about one hundred thousand or one in a million.

Once you think so, you can't use any medicine. Just wait to die.

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

Zheng Ren really doesn't want to think about these unhappy things.

After intramuscular injection of vitamin K1, it takes 3-6 hours to take effect.

If the patient is bromadiolone poisoning as he and Su Yun said in the analysis, vitamin K1 belongs to specific drugs.

The absorption of intramuscular injection is too slow. I'd better give it intravenously. Otherwise, it's OK to do both.

If the judgment is wrong, it is not bromadiolone poisoning, then we can only carry out blood filtration and then talk about the next thing.

Zheng Ren and Su Yun run in quickly. As for ringer... Zheng Ren ignores him for the time being.

Linge didn't have an accident. Emergency treatment sounds like rat poison poisoning. It's strange that boss Zheng can have time to talk to himself.

Zheng Ren knew that he was coerced by Su Yun's thinking, but logically, Su Yun's statement was right, so Zheng Ren did not object because he wanted to object.

Yes, just execute. Zheng Ren didn't really wait for Su Yun to say. He became more and more sure, and his pace became faster and faster. Finally, he ran.

Trotting all the way, I ran into a nurse who came to take blood.

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

"Huh?" He was always stunned in hospital.

"Just a simple analysis, considering that it may be caused by bromadiolone poisoning!" Zheng Ren said: "10mg intramuscular injection, 80mg into the pot!"

With that, Zheng Ren's voice became louder and firmer.

This is a unique state during rescue.

There's nothing to be picky about the dosage of this medicine. The patient's weight was treated according to 5mg / kg, and the comparison standard was.

The onset time of drugs is 3-6 hours. The onset time of intravenous administration can be shorter. It's hard to say how long. Zheng Ren didn't leave at all. He helped stare at the patient in the ICU.

Watching the intramuscular injection of vitamin K1, the remaining 8 vitamin K1 entered the drip pot. Zheng Ren opened the speed and almost entered the vein at one breath.

I hope it can get better. Zheng Ren has seen another diagnosis on the patient's system panel - upper gastrointestinal bleeding.

After the operation today, I had lunch and went back to 912. I wanted to see Zhou Litao, but I didn't expect to meet such a patient.

Ringer began to talk.

Advance payment of hospitalization deposit shall be made in the name of the medical department. The money probably won't come back, so the medical office is more practical.

Then there is communication with the patient's immediate family, 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 the three groups of hemostatic drugs, the patient also showed no signs of continuous bleeding.

The patient's blood pressure increased steadily, subcutaneous congestion was relatively stable, and there was no continuous diffusion.

Diagnostic treatment seems to be correct. It should be bromadiolone poisoning!

It's just that the time is too long. It's estimated that it's difficult to verify the specific poisoning location and what you ate.

Zheng Ren's feelings are more intuitive than others.

After intramuscular and intravenous administration of vitamin K1, the color of the patient's system panel gradually deepened for more than 10 minutes, then it did not deepen, but began to lighten.

This is what works.

Zheng Rencai was really relieved until his blood pressure was stable.

"Mr. Wu, it takes longer to give vitamin K1." Zheng Ren finally told: "the half-life of Bromadiolone is 16-19 days. We should always use vitamin K1 to antagonize it. Don't make the disease repeated."

"I know!" The total inpatient in ICU was exhausted.