Chapter 1729 Diagnostic Treatment

"Don't talk nonsense. But the rat poison you mentioned is really possible." Zheng Ren followed Su Yun's words and continued, "The IQ of rats is not low. If they eat rat poison and die, it is said that they will not touch similar things around them again. "

Linger silently watched Zheng Ren and Su Yun discussing their illness, some nonsense, but this nonsense was necessary.

Obviously, these two young people have no idea in their hearts, and are grasping some nihilistic possibilities little by little through dialogue.

"Well, the replacement products are the kind of preparations with relatively mild medicinal properties that eventually induce internal bleeding." Su Yun continued to clarify the point of view of the preparations.

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

8 days ago, there were symptoms of bleeding gums, and it is hard to say when it first appeared.

I went to the district hospital for an examination 2 days ago and did not find any problems. Now, in just over 40 hours, the hemoglobin has dropped directly to 5.5g.

The most important thing is that after the patient fainted, the continuous outbreak of the disease since he was sent to the 912 emergency room 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.

"Slow onset...burst..." Zheng Ren whispered.

"The rat poisons of the first generation anticoagulants, such as sodium adipate and coumate, have a good effect, and the effect is relatively mild. When I was in the laboratory, a wild rat bullied my guinea pig, so I used coumate to treat it. They have been administered." Su Yun said proudly.

"It's rarely used now."

"Well, not too much now. Because of the weakness of coumate, the final effect is not strong enough, so wild rats are quite destructive before they die."

"Do you think this patient has been poisoned by the second-generation hemolytic rat poison?" Zheng Ren followed Su Yun's words and wanted to go, his speech became faster and faster.

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

If it was just speculation before, now Zheng Ren is 90% sure about the patient's condition.

From the first symptom that the patient could ask—gingival bleeding, to the test sheet two days ago, to today’s sudden outbreak, and finally to the patient who was still struggling with sudden hypovolemic shock and massive hemoptysis.

Which one of these evidences is taken out alone is very bland and has no direction.

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

"Is it brodiolone?" Zheng Ren thought of several case reports on brodiolone poisoning, and the situation described there was very similar to the situation of the patient in front of him.

"I think so." Su Yun said: "It has the characteristics of not easily arousing the alarm of rodents and easy to kill rodents. It also has the outstanding advantage of strong acute toxicity, and a single dose can effectively control all kinds of rodents.

At the same time, it can also effectively kill rodents that are resistant to first-generation anticoagulants. Moderately toxic to aquatic organisms such as fish and aquatic insects. "

"If you say that, I think it's brodiolone." Zheng Ren said, "Then suggest diagnostic treatment. Intramuscular injection of vitamin K1, the amount can be slightly larger."

"What if it doesn't work?" Su Yun asked without thinking.

In emergencies, there is always someone to play the most annoying role when it comes to discussing a medical condition—a dissenting opinion.

"It depends on your fate. Anyway, vitamin K1 has the effect of promoting blood coagulation. Even if the patient is not poisoned by brodiolone, intramuscular injection of vitamin K1 has only advantages and no disadvantages." Zheng Ren recalled the side effects of the drug and said casually.

"You go and tell the hospital manager for diagnostic treatment." Zheng Ren smiled dryly and didn't mind. If there is a rare side effect of vitamin K1, or even a fatal reaction...

Forget it, when you take medicine, you must not think about one-hundred-thousandth, one-in-a-million things.

Once you think like this, you can't use any medicine, just wait for death.

The current social atmosphere and the responsibilities of doctors have turned such a fallacy into reality, doctors can only...

Zheng Ren really didn't want to think about these unpleasant things.

After intramuscular injection of vitamin K1, 3-6 hours onset.

If the patient is poisoned by bromodilone, as he and Su Yun said in the analysis, vitamin K1 is a special drug.

Intramuscular absorption is too slow, or intravenous injection. Otherwise, it is possible to do both.

If the judgment is wrong, it is not brodiolone poisoning, then only hemofiltration can be performed, and then we can talk about the next thing.

Zheng Ren and Su Yun ran in quickly, as for Linger... Zheng Ren ignored him for the time being.

There was no accident to Ringer. The emergency treatment sounded like some kind of rat poison poisoning. With Boss Zheng's temper, it was strange that he could have time to talk to himself.

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

Yes, just execute it. Zheng Ren didn't really wait for Su Yun to speak, he became more and more certain, the pace under his feet became faster and faster, and finally he ran.

As I trot all the way, I narrowly bumped into a nurse who came to take blood.

"Give vitamin K1!" Zheng Ren said directly after entering the ICU.

"Huh?" The hospital manager was startled.

"I just made a simple analysis, and consider that it may be caused by bromodiolone poisoning!" Zheng Ren said: "10mg intramuscular injection, 80mg into the pot!"

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

This is a state unique to rescue.

There is nothing wrong with the dosage of this drug. The patient's body weight was administered according to 5 mg/kg, and the standard was compared.

The onset time of the drug is 3-6 hours, and the onset time of intravenous administration can be shorter, and it is hard to say how long it will take. Zheng Ren didn't leave at all, and helped stare at the patient in the ICU.

Watching the vitamin K1 injected intramuscularly, and the remaining 8 sticks of vitamin K1 entering the dripping pot, Zheng Ren turned on the speed and entered the vein almost in one breath.

Hope it gets better, Zheng Ren has seen another diagnosis on the patient's system panel - upper gastrointestinal bleeding.

After the operation today, I had lunch at noon. When I returned to 912, I wanted to see Zhou Litao, but I did not expect to meet such a patient.

Ringo followed suit.

Advance payment of the hospital deposit shall be made in the name of the medical office. The money is probably irreversible, so it is more practical for the medical department to come forward.

Then there is the 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 agents, the patient also showed no signs of continued bleeding.

The patient's blood pressure rose steadily, and the subcutaneous congestion was relatively stable, and did not continue to spread.

The diagnostic treatment seems to be correct, it should be brodiolone poisoning!

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

Zheng Ren felt more intuitive than others.

After the patient's system panel was injected intramuscularly and intravenously with vitamin K1, the color gradually darkened for more than 10 minutes, and then it no longer deepened, but began to lighten.

This is what worked.

Until the blood pressure stabilized, Zheng Rencai was really relieved.

"Mr. Wu, vitamin K1 should be given for a longer time." Zheng Ren finally warned: "The half-life of bromodiolone is 16-19 days. It must be antagonized with vitamin K1 all the time. Don't cause the disease to recur."

"I know!" The ICU hospitalized general replied exhausted.