Chapter 2097： Acetaminophen poisoning

Zheng boss. "Director Kong walked back to the door with his hand. "I just got a call from the Director of the Forest and ICU was in the hospital. ”

Zheng Ren stood up and asked, "Director Kong, what patient?"

"It is said to be a young patient with liver failure." Director Kong said, "Let's go check it out."

"Good." Zheng Ren strode out of the office.

"I remember to have a good meal at noon." Su Yun and Chang Yue said, "Eat carbohydrates!"

After that, Zheng Yan went out with Zheng.

There was a lot of footsteps behind him. Zheng Ren hadn't waited to see it. He said Su Yun said: "Go back and write a medical record."

"I haven't got the surgery today. I don't have to write the surgery records. When I have finished writing the rich, I will paste it." Lin Yuan followed. "Moreover, I can't finish my work overtime, I want you to manage."

"The higher-level doctors talk, are you so screaming?" Su Yun said slyly, "In the United States, do you talk to the big boss?"

"..." Lin Yuan stunned, and his footsteps were slightly.

When she remembered her time in the United States, she was somewhat afraid. Standing in the footsteps, looking at the two people who had left, I finally sighed and went back to write medical records.

Although there is no clear superior doctor in the medical team, the medical team of Zheng Boss is definitely better than Lin Yuan.

Lin Yuan, there are still a few in my heart.

"Boss, young liver failure, what is your problem?" Su Yun also anxious to go to the hospital for consultation, ignore Lin Yuan, and walked around Zheng Ren.

"Generally there are patients with hepatitis B or infectious liver disease, who knows, in the ICU, but also the hospital consultation, it is not easy to do." Zheng Ren looked serious and strode to the fire channel.

Zheng Ren said it was very simple, and the sentences were somewhat unreasonable, but Su Yun knew what his boss meant.

Liver failure is liver failure, and the hospital consultation will not come out.

You can call the director directly to attend the consultation. The meaning of this is intriguing.

Diagnosis is not a problem, 912 if the liver failure is diagnosed wrong, it is not the top three large hospitals in the country. Finding yourself to go to the hospital for consultation is definitely a matter of surgery.

Zheng Ren has a preliminary idea, and all kinds of speculations are many. But guessing is just speculation, and it’s not counted.

Su Yun did not speak anymore and began to ponder this young patient with liver failure.

Entering the ICU, the door of the conference room is open, and several directors have sat in it, whispering something to talk about.

Zheng Ren changed his clothes and went in, and Professor Yang of the liver and **** waved.

"Zheng boss!"

"Yang Ge." Zheng Ren smiled and walked over to sit next to him. "What patient?"

Said, he picked up the medical records on the table.

High fever for 2 days, with jaundice for 6 hours. The main complaint came into view, and Zheng Ren’s eyebrows wrinkled.

Fever for 2 days, acute liver failure, this disease is more urgent!

Rapid onset means that the condition is extremely fierce and the treatment effect will not be particularly good.

And there is jaundice, the degree of liver failure is estimated to be very heavy...

This person is afraid of being embarrassed.

Looking down, the names and oral doses of the three cold medicines appear in the current medical history, as well as other proprietary Chinese medicines.

The diagnosis of the patient is very clear - acetaminophen poisoning!

Acetaminophen is the name of the drug, the main drug component of paracetamol that is seen everywhere decades ago.

The drug is absorbed by the gastrointestinal tract and metabolized by the liver. 90% of the drug is combined with glucuronic acid and sulfide in the liver and excreted from the urine.

However, 2-4% of the drugs are metabolized by the intrahepatic cytochrome P-450 mixed functional oxidase system, which becomes a toxic intermediate metabolite that binds to glutathione.

Under normal circumstances, acetaminophen does not cause harm to the human body. After all, the metabolic function of the liver is quite powerful.

However, if the dosage of the drug is too large, glutathione is depleted, and the toxic intermediate metabolite binds to the hepatocyte protein, which leads to hepatocyte necrosis.

Zheng Ren glanced at the amount of the drug, and he already had the calculation result.

Normally, taking acetaminophen medicine once orally 7.5g can produce toxic side effects.

The younger patients took a dose of the drug orally, enough for liver failure two or three times.

"I am going to... This is how much acetaminophen is eaten." Su Yun said with a medical record, surprised.

“Hey, the patient is in a bad condition now.” Professor Yang sighed and said: “The liver cells are rapidly necrotic, the liver is severely debilitated, and hepatic encephalopathy has already occurred.”

"..."

Zheng Ren looked at the age of the medical record, 20 years old, very sorry in his heart.

It’s just that once it looks like a common cold, just eating some cold medicines, you have to face such serious consequences.

It is estimated that this small patient named Chen Li was never thought of.

If there is a next time, he will certainly not eat so many cold medicines indiscriminately. Unfortunately, there is no chance to come back once in the world.

Now the patient has had hepatic encephalopathy, plus severe jaundice, which proves that liver failure has reached an almost irreversible stage.

"Zheng boss, can you see if there is any other way?" Professor Yang asked softly.

After joining forces with Zheng Boss to perform embolization + surgical resection, Zheng Bo seems to be not interested in this aspect. Professor Yang also has the heart to eat the benefits.

Professor Yang’s own paper has a way to publish it. If this is the case of Zheng’s boss, it’s really impossible to say it.

The high level of technology is not willing to compete for benefits, or that people simply do not see the benefits of this. Such people, who are not willing to make friends?

Professor Yang was very close to Zheng Ren, and his relationship has been very hot recently. So he asked casually, not to see.

Zheng Ren shook his head and signaled that he had no good idea.

"Liver transplantation seems to be done only." Su Yun frowned.

"Liver transplantation needs matching, the key is to take chances and wait for donors." Professor Yang sighed.

He also knows that patients need liver transplantation, can wait for donors, and three or five months are considered short.

Until the death of those who did not wait for the donor, there is a handful.

Director Li of 912 hepatobiliary surgery is good at liver transplantation. Although the number is small, he does dozens or dozens of units every year.

“It’s a junior, and I’m usually very good.” Professor Yang glanced at the door and whispered: “The school attaches great importance to this matter.”

I want to come too.

Although the school is not at fault, but such a young child has something to do with the incident, how to explain it with the family?

It is impossible to escape from the dead, as in the past, and to be destined.

If the family is out of control...

Thinking of this, Zheng Ren’s head hurts for a while.

"The family members of the patients flew from their hometown and they will arrive in three or four hours." Professor Yang said: "When I came up, I saw Director Ye’s come with Vice President Yuan."

“The school’s principal is here too?”

"Well, there is a person who talks with Vice President Yuan. I look at the face and feel like the headmaster of the school."

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