The girl was vomiting violently. It was estimated that what she ate was almost vomiting. Now she can only vomit some bile. But the vomiting reaction was still there, and severe retching caused the body to twitch and curled up on the bed.
I uttered tears, and looked pitiful.
"A little yellow?" Su Yun held the girl and asked Zheng Ren.
"Well, let me have a look." Zheng Ren carefully opened his eyelids and looked at the sclera. "Suspected hemolytic jaundice ... Zhou Zhou!"
"诶!" Zhou Litao was busy, but he still heard Zheng Ren's shout during his busy schedule.
"Boss Zheng, you have something to say, I remember." Lin Ge followed the picture and took out a notepad.
仁 Zheng Ren couldn't help crying and laughing, all in one room, and Ling Ge's appearance made him uncomfortable. Next to him is the dean and directors of related departments. Is he too treacherous?
"No, Lin." Zheng Ren said in a hurry, and then strode to Zhou Litao. "Check the total bilirubin in the patient in bed 2 and suspect hemolytic jaundice."
"Hemolytic jaundice ..." Zhou Litao stunned for a moment, but then ordered the doctor nearby.
The whole emergency room was messed up, gastric lavage, fluid replacement, and blood drawn.
There were too many patients all at once, each of them needed emergency treatment,
Even the well-trained 912 emergency department cannot cope with it easily;
No matter how well Zhou Litao prepared before, he couldn't deal with it easily.
"Boss Zheng, what do you suspect?" Ye Qingqiu came to Zheng Ren and asked.
"Acute copper poisoning." Zheng Rendao, "There are symptoms of acute gastrointestinal inflammation, and the symptoms of hemolytic jaundice in patients, this is the preliminary judgment."
"Zhou Zhou!" Zheng Ren shouted, "Give oral water or sodium thiosulfate. If you can't get it orally, first lower the gastric tube and infuse it with nasal feeding."
"Okay!" Zhou Litao was too late to dialectic, and he responded immediately.
Although busy, there were only 8 patients, and the gastric tube went down in a few minutes.
"Boss Zheng, there is no sodium thiosulfate. Can a 1% potassium ferrocyanide solution work?"
"Okay, give 20ml!" Zheng Ren stood beside President Yan, but didn't discuss it with President Yan at all. He looked around the emergency room, Shen said, "Preparing 1g of dimercaptosodium, adding 10ml of normal saline, After the test results come back intravenously. "
"Is there any sodium dimercapto!"
"No emergency."
"Boss Zheng, I'll go to the pharmacy to get the medicine." Linge said voluntarily, and then saw Zheng Ren nodded, he turned to glance at Ye Qingqiu, and left in a hurry.
"Zhou Zhou, give liver protection drugs in serious cases." Zheng Rendao, "Director Luo, what do you think?"
Director Luo Luo was standing next to the patient in bed 2 for a medical examination. He listened to Zheng Ren asking himself, and he completed the examination. "The boss Zheng is right. The patient is in a more serious condition. I will return to the ward for treatment in the intensive care unit."
"Okay!" Zheng Ren didn't have any opinion. The mess here was messy and there was nothing wrong with Director Luo's care.
It is only acute hemolytic jaundice, not hemolysis caused by diseases of the immune system. It should be able to improve immediately after a series of symptomatic treatments.
"Director Luo, don't forget to give sodium dimercaptoate when you return." Zheng Ren exhorted.
"Is it sure that it is copper poisoning?" Director Luo was not polite at this time, he frowned.
"Check the serum copper, serum ceruloplasmin, urinary ketones, and urge the inspection department to take the results directly." Zheng Ren did not insist, the necessary inspections still need to be done.
After a series of tests and medications were finished, Zheng Ren stood aside and said nothing, watching the emergency department's medical staff busy.
Linger took the medicine back and everyone was waiting to check the return. Ye Qingqiu called and the Inspection Section was probably too busy.
"President Yan." The group walked in from the door of the emergency room, the first of them was in their fifties, with a straight suit and a gentle character.
"Principal He." President Yan turned back with a smile, and the two shake hands. Dean Yan said, "The initial diagnosis was copper poisoning."
"Bronze poisoning ..." Principal Ho frowned for a moment, "Is anyone poisoning? Shouldn't it?"
"..." Zheng Ren was also very speechless and poisoned. This imagination is not bad, but even if it is poisoned, it does not seem to use copper to poison.
The hot pot in the north, especially Beijing, is very normal. Copper is non-toxic in the eyes of ordinary people. Even if it is poisoned, it is also poisonous like rat poison, and metal copper is definitely not used.
"Did the school investigate?" Dean Yan asked.
"We are investigating the cafeteria, and we are hurrying to do our self-examination." President He whispered closer, "President Yan, take a step to speak."
Dean Yan Yan knew that this was an incident involving collective poisoning. It is possible to talk lightly and seriously.
Zheng Ren frowned. Shouldn't it be a thorough inspection at this time to see what went wrong in the school? Whispered, what's the matter?
He raised his ears and listened carefully, Zheng Ren felt that his hearing was a little sharper, and he could vaguely hear the conversation between President Yan and President He.
"President Yan, can you help me with this?" President He's voice was very low, and Zheng Ren rushed to the door again, so he could barely hear it. "On my side, I first checked and found the problem. where."
"Principal He ~ www.novelhall.com ~ We are friends, and we must help." Dean Yan expresses his sincerity, "But we have already reported this to the Health Bureau and the Municipal Center for Disease Control."
"Lao Yan, how do you get started so fast!" Principal Ho's voice had begun to tremble, and said a little bit complaining.
"Principal He, three or more people are collective incidents. It is an old rule to report immediately. The following people report it directly, and the process is a problem." Dean Yan whispered, "I know you are difficult. I wo n’t take it The Boss Zheng who won the Nobel Prize was detained and looked at the patients here. As long as the students are fine, you will be fine. "
The principal He was silent next.
2.3 seconds later, Dean Yan continued to say earnestly: "On the other side of the CDC, look for someone to see the situation of the school's active investigation?"
"Oh, that's the only way." Principal He clearly said with a low mood.
When the two returned, President Yan's expression was calm, and President He whispered with the people around him.
Zheng Ren thought about these old foxes. Just after the emergency treatment, President Yan must haven't had time to report. Why did he suggest that President He should call the CDC to mediate?
不是 Isn't this little trick broken at a poke? How could there be such a stupid person? Or is he already in a hurry?
Then Ye Qingqiu came in from outside, without any expression on his face, but Zheng Ren followed Dean Yan's eyes and noticed Director Ye's hanging finger.
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