Chapter 815 An Unthinkable Anchor!
At two o'clock in the afternoon, Ma Yuehui took Xu Aiqing for an operation, and Chen Cang stayed in the office to pick up the patient.
The 120 emergency center called, and a few minutes later, a 25-year-old man was poisoned with puffer fish and was being taken to the emergency center.
Chen Cang was stunned, what era is it, and there are cases of puffer fish poisoning!
Now basically everyone knows that puffer fish is not edible, it is highly poisonous, but still people eat it?
The most important thing is that the puffer fish is poisonous all over the body, and the ovary, vagina, skin, liver and roe of the puffer fish are highly poisonous!
Especially in the reproductive and breeding period at the turn of winter and spring, it is the most toxic.
Who is going to touch the bad at this time?
For Chen Cang, who can distinguish the perfect level of poisoning, he has never encountered puffer fish poisoning in the past few years, right?
Five minutes later, just as the ambulance stopped, a patient was pushed down!
It was a young man in his twenties. After the handover, the doctor in the car also handed a camera to Chen Cang: "This is the patient's record of his poisoning!"
Chen Cangmeng!
The nurse is also blinded!
Is this suicide? ? ?
Thinking of this, Chen Cang was a little puzzled.
Why does poisoning still need to be recorded with such a good camera?
However, now is not the time to study this thing. At this time, the patient is not in a coma. Although his consciousness is relatively clear, his speech is somewhat unclear.
Chen Cang hurriedly called the nurse to push the patient in, and the camera was brought in by another nurse.
Here, Chen Cang asked, "How are you feeling now?"
The patient wanted to sit up, but was exhausted: "Help me... I don't want to die..."
Chen Cang said quickly: "Well, tell us, where are you feeling now?"
The man struggled to speak, and his breathing gradually became rapid: "I have a little numbness in my mouth and tongue, and now my body is numb, and I can't sit up. I fell while walking."
When Chen Cang heard it, he had some understanding in his heart: "Lily, take the ECG monitoring, monitor the blood pressure, and prepare to inhale oxygen."
"By the way, pull an electrocardiogram to confirm!"
Puffer fish poisoning can cause different degrees of atrioventricular block, which will affect Chen Cang's treatment for a while!
What Chen Cang is most worried about now is that the patient is suddenly in a coma!
Afterwards, Chen Cang directly took the flashlight and looked at the man's pupils, and it really shrank a little!
Generally speaking, shrinking is not scary. What is scary is that it shrinks first and then disperses. At this time, it means that the poisoning is more serious, and even the symptoms will develop very quickly. Within a few hours, it will directly lead to death!
The toxic components of puffer fish are mainly tetrodotoxin and pufferfish acid.
And his poison is very powerful!
It not only has a local stimulating effect on the gastrointestinal tract, but also acts on the nerves quickly after being absorbed, causing obstacles to the conduction of the nerve endings and the nerve center, and finally paralyzing the respiratory and circulatory centers of the brainstem, to put it simply, until death!
At this time, another nurse also figured out the video on the camera, and hurriedly came over and said, "Doctor Chen, I figured it out, the patient should be an anchor, or one with hundreds of thousands of fans. He was going to record a show today, eat puffer fish, and then after following those online tutorials, two hours later, he was directly poisoned!"
After Chen Cang heard this, his expression suddenly changed!
Live eating puffer fish!
This is too deadly, isn't it?
Thinking of this, Chen Cang couldn't help shaking his head.
Because tetrodotoxin is rather unique, its toxicity is very stable!
Even after patiently cooking, frying and stewing, or by frying, salting and sun exposure, it cannot be destroyed, mainly causing paralysis of the nerve center and nerve endings.
Is the current anchor also a high-risk industry?
Do you have to eat puffer fish to suck powder?
However, this time is not the time when Chen Cang should be concerned about why he eats puffer fish and how it tastes, but should think about how to rescue him!
Soon, the electrocardiogram results appeared, Chen Cang frowned immediately when he saw it, second-degree atrioventricular block!
The ECG monitor was just connected, and the alarm sounded immediately!
"Shortness of breath!"
"Blood pressure drops!"
Chen Cang looked at the patient's obvious shortness of breath. This was the paralysis of the respiratory muscles caused by toxins!
Chen Cang turned around quickly: "The dosage of keramine is 0.75 grams, intravenous injection!"
Kelamine is a respiratory stimulant, and at this time, it can effectively restore the patient's respiratory function.
"1% strychnine hydrochloride 2mg! Subcutaneous injection!"
This relieves muscle paralysis.
When the patient's condition stabilized a little, the nurses quickly organized the patient to induce vomiting, gastric lavage, and bowel lavage.
The two young nurses are not very old, and they move very quickly in their hands. They are very quick to run before and after.
but!
The patient's condition is not optimistic.
Instead of getting better, it seems to be getting worse and has fallen into a coma.
Chen Cang's expression changed, and he hurriedly continued to make arrangements!
"Lily, continue to prepare 500ml of glucose liquid, intravenous drip, add vitamin C, coenzyme A, ATP!"
These things can promote the excretion of toxins!
"Xiao Ke, prepare dexamethasone!"
Glucocorticoids can improve the tolerance of tissues and toxins. Chen Cang only hopes to increase some resistance and have a better chance of winning!
Because tell the truth!
There is still no specific antidote for tetrodotoxin poisoning.
However, the only good news is that the toxins are detoxified and excreted very quickly in the body. If they do not die within 8 hours after the onset, they can recover!
Therefore, once poisoning is found, various measures of detoxification and symptomatic treatment should be given as soon as possible, so that the patient can pass the critical period.
These eight hours, for the patient, is the speed of life and death!
No one dares to waste a little more!
Chen Cang took a deep breath and calmed himself down.
After so much tossing, respiratory paralysis did not appear.
However, the man was still in a coma.
Gradually the blood pressure returned to normal...
However, still did not wake up.
Chen Cang was in trouble.
How to do?
Is there any other way?
Chen Cang thought about it, and suddenly thought of the results of an animal experiment in the latest scientific research report.
It is said that the application of cysteine injection in animal experiments can quickly detoxify, and the application of cysteine-treated puffer fish eggs to animals does not cause poisoning.
Seeing that the patient's circulation was getting worse and worse, Chen Cangyi gritted his teeth and said to Lily:
"Cysteine 0.1g, dissolved in disodium hydrogen phosphate buffer, intramuscular injection!"
This drug, which has been used, is toxic to the liver.
But... at this time, the patient's life is more important than anything else!
Because so many rescue measures have been used, and still not out of the dangerous period, Chen Cang can only use this trick!
Otherwise, if the time is too long, you will die, and what about liver toxicity.
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