Chapter 2013

The patient's emergency test report comes out as soon as possible.

Blood potassium 9.8 mmol / L, standard hyperkalemia.

Blood gas analysis: pH 7.3, arterial carbon dioxide partial pressure 38.2 mmHg, arterial oxygen partial pressure 124 mmHg, HCO3 19.5 mmol / L, alkali excess 6.5 mmol / L, standard alkali excess - 3 ~ + 3 mmol / L, arterial oxygen saturation 98.4%.

Zhou Litao asked the nurse to inject 10ml of calcium gluconate intravenously and hang a 250ml bottle of 5% sodium bicarbonate.

After ten minutes of observation, the patient's state gradually stabilized.

When consciousness recovered, ECG gradually became sinus rhythm.

The general manager of Nephrology pushed the patient away. The nurse began to clean and disinfect, and an emergency rescue was over.

This speed, this level, is simply too capable! Zheng Ren was also very impressed.

The technical level of 912 is strong, which is undeniable.

Zhou Litao walked back with a smile. It seems that he has forgotten the patient who just ate bananas.

This kind of rescue is not worth remembering in the emergency department, which speaks less than four or five times a day and more than ten times a day.

If you don't have renal failure and eat dozens of kilograms of bananas, it's worth talking about. But there is renal failure. The patients who have just finished dialysis are greedy... It's a little sad. It's really not worth remembering.

"Boss Zheng, when will you and Brother Yun go back?" Zhou Litao asked with a smile.

"Wait for sister Lin's inspection." Zheng Rendao, "it is estimated that we will have to be hospitalized and use sodium DIMERCAPTOPROPANE sulfonate for a few days to drive away mercury."

"As long as it can be cured, it doesn't matter to stay in the hospital for a few days." Lin Jiaojiao looked much better and said softly.

I'm not afraid of illness or hospitalization. I'm afraid the doctor said with regret, what about your family? Or just say, eat something when you go home.

That's the rhythm of pills, and now Lin Jiaojiao thinks it's not a problem. But I have to pay attention to it in the future. If I find boss Zheng again because of mercury poisoning, I don't think it makes sense.

"By the way, sister Lin, this is president Zhou of the emergency department." Su Yun thought of something and introduced it to Lin Jiaojiao.

Lin Jiaojiao wanted to stand up. Su Yun pressed her back and said with a smile, "it's time for president Zhou to be hospitalized. I want to find a girlfriend. Please help me see if you have a good temper. The key is to be able to stand a dead girl with a bumpy head like the boss."

Lin Jiaojiao smiled and said, "Brother Yun, you can't say that. Boss Zheng is smart."

"Just good luck." Su Yun said disdainfully.

Zheng Ren smiled innocently and didn't have any idea about Su Yun's words. I'm really lucky. The hero's aura given by big pig hoof is no joke.

After chatting for a while, they knew that the result was coming out and didn't find a place for Lin Jiaojiao to rest.

This is a hospital. Treatment is the most important. Anyone who has nothing to do comes here for vacation.

More than ten minutes later, director Kong strode back with the test sheet in his hand.

"Jiao Jiao, look at you, fooling around!" Director Kong said in a reproachful tone.

Zheng Ren took the test sheet and glanced at it.

The blood mercury concentration was 19.6ng/ml and the urine mercury concentration was 28.2ng/ml, which was 4-5 times higher than the normal value.

It is estimated that the mercury content of the cosmetics used by Lin Jiaojiao slightly exceeds the standard, and the amount is relatively large.

Fortunately, however, this numerical symptomatic treatment will be no problem for a period of time.

If you don't pay attention this time, or treat nephrotic syndrome for a period of time and have repeated attacks, even the gods can't help it.

"Boss Zheng, I can't understand this. I know Gao. What should I do?" Director Kong's tone seemed different from before.

Zheng Ren's heart moved slightly, but he didn't publicize it. In the corner of his eye, he saw Su Yun's convergence of various expressions and gathered around him, pretending that he didn't hear anything.

"It's all right, director." Zheng Ren said lightly, "intramuscular injection of sodium dimercaptopropionate 0.25g once a day for 3 days and stopping for 4 days is a course of treatment."

"That's it?" Director Kong didn't want to believe it.

"Er... If you are hospitalized, you can use some symptomatic treatment methods such as energy mixture, trace elements, calcium supplement and volume expansion diuresis." Zheng Ren hurriedly continued.

Director Kong smiled with satisfaction after hearing a lot of drugs that seemed useful, but in fact, when you think about them carefully, they would never help more than 5% of the disease.

This person, care is chaos.

Director Kong, who has been an old doctor for many years, is not immune to vulgarity.

Using only one drug or intramuscular injection gives people a very informal feeling. This is heavy metal poisoning, accompanied by nephrotic syndrome and edema of both lower limbs. What if there is no urine!

Zheng renlian hurriedly asked Zhou Litao for a pen, wrote down what he had just said, and signed his name behind it.

After thinking about it, he drew a smiling face.

"What are you doing?" Su Yun doesn't understand.

When Zheng Ren handed the paper to director Kong, he asked in a low voice.

"After all, I'm not the director of other departments and the general manager of hospitalization. Don't you think it's too awkward to take the diagnosis and treatment."

"Boss, it's like who can overturn the diagnosis." Su Yun said contemptuously: "it's time to be overbearing. Why pretend to make people look uncomfortable."

Zheng Ren thinks Su Yun is really crooked. He just draws a smiling face and expresses his goodwill. How can he become hypocritical.

"Director, sister Lin is all right. We're going back." Su Yun then talked to director Kong.

"Well, please." Director Kong is here.

"Director, you see what you said." It is rare for Zheng Ren and Su Yun to say the same thing at the same time.

They didn't stop much. They spoke to Zhou Litao and strode back.

"Why are you in such a hurry?" Zheng Ren asked.

"Don't you think director Kong just felt a little angry?" Su Yun asked with a smile.

"I don't think so. It is estimated that the director is still worried about the things of that year." Zheng Rendao.

"Install it, you can install it vigorously." Su Yun said contemptuously: "boss, just us, you say something from your heart."

"That's what I mean. Why are you so dark."

"You're bullshit." Su Yun suddenly said, "I forgot something!"

"What?"

"Sister Lin's bottle of whitening cosmetics forgot to tell her to send it for inspection." Su yundao.

"It is estimated that the mercury content exceeds the standard. You don't need to test it." Zheng Rendao, "it's the same as giving hormones to patients with fever. The effect is particularly good."

"But it's a little egg, but it's not big."

These things are really hard to say.

At night, they walked home.

It took a long time to wait for the test. It was late. Xie Yi and Chang Yue went to bed, but they still left a light for them in the porch.

After opening the door, the sunspot squatted there, stretched out his tongue and waited for the two to come back.

Zheng Ren changed his shoes, turned his dog's head and went to bed.