When a doctor opened a plug-in

At two o'clock in the afternoon, Ma Yuehui took Xu Aiqing for the operation, and Chen Cang stayed in the office to pick up the patient.

The 120 emergency center called. A few minutes later, a 25-year-old man was rushed to the emergency center with a pufferfish poisoning.

Chen Cang was taken aback, what era is there, there are cases of pufferfish poisoning!

Now basically everyone knows that puffer fish can’t be eaten, because it is highly toxic, but is there anyone else eating it?

The most important thing is that the puffer fish is poisonous all over the body. The ovary, blood, skin, liver and roe of the puffer fish are all highly poisonous!

Especially in the reproductive and breeding period at the turn of winter and spring, the toxicity is strongest.

Who is in trouble at this time?

For Chen Cang, who has the perfect level of poisoning identification, he has never encountered a pufferfish poisoning in the past few years, right?

Five minutes later, as soon as the ambulance stopped steadily, a patient was pushed down!

It was a young man in his twenties. After the handover was completed, the doctor on board also handed a camera to Chen Cang: "This is the record of the patient's poisoning process!"

Chen Cangmeng!

The nurse is also blinded!

Is this suicide???

Thinking of this, Chen Cang was a little puzzled.

Why do you need such a good camera to record poisoning?

However, this is not the time to study this thing. At this time, the patient is not in a coma. Although his consciousness is clearer, his speech is somewhat unclear.

Chen Cang hurriedly greeted the nurse to push the patient in, and the camera was also brought in by another nurse.

Here, Chen Cang asked: "You asked quickly, how are you feeling now?"

The patient wanted to sit up, but was exhausted: "Save me...I don't want to die..."

Chen Cang said quickly: "Well, tell us, where are you uncomfortable now?"

The man was struggling to speak, and his breathing gradually became hurried: "I have a numb mouth and a numb tongue, and now I am also numb. I have no energy and can't sit up. I fell down while walking."

When Chen Cang heard this, he understood something in his heart: "Lily, let me monitor the ECG, observe the blood pressure, and prepare to take oxygen."

"By the way, pull an ECG to confirm it!"

Pufferfish 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 terrible. The terrible thing is that it shrinks first, and then spreads. At this time, it means that the poisoning is more serious, and the symptoms will even develop rapidly. Within a few hours, it will directly lead to death!

The toxic components of puffer fish are mainly tetrodotoxin and pufferfish acid.

And his toxin is very powerful!

Not only does it have a local stimulating effect on the gastrointestinal tract, it acts on the nerves quickly after being absorbed, causing nerve endings and nerve center conduction to become impaired, and finally paralyzing the brainstem respiratory and circulating centers, to put it simply, until death!

At this time, another nurse also clarified the video on the camera, and hurried over and said, “Dr. Chen, I figured it out. The patient should be an anchor, or one with hundreds of thousands of fans. He was going to record the show today, eat puffer fish, and then after following those online tutorials, two hours later, he was directly poisoned!"

After Chen Cang listened, his expression suddenly changed!

Eat pufferfish live!

This is too fatal, right?

Thinking of this, Chen Cang couldn't help but shook his head.

Because tetrodotoxin is more peculiar, its toxicity is very stable!

Even after patiently cooking, sautéing and stewing, or sautéing, salting and sun exposure, etc., it cannot be destroyed, which mainly paralyzes the nerve center and nerve endings.

Is the current anchor also a high-risk industry?

Do you have to rely on eating puffer fish to attract fans?

However, this time is not when Chen Cang should be concerned about why he eats puffer fish or how it tastes, but should think about how to rescue it!

Soon, the results of the electrocardiogram appeared, and Chen Cang frowned 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 watched the patient's breathing obviously rapid, this is the paralysis of the respiratory muscles caused by toxins!

Chen Cang quickly turned around: "The amount of colamin is 0.75 grams, intravenously!"

Colamin is a respiratory stimulant, at this time, it can effectively restore the patient's respiratory function.

"1% Strychnine Hydrochloride 2mg! Subcutaneous injection!"

This is to relieve muscle paralysis.

When the patient's condition stabilizes a bit, the nurse quickly organizes the patient to induce vomiting, gastric lavage, and bowel lavage.

The two young nurses are not very old, they move very fast in their hands, and they are very quick after running.

but!

The patient's situation is really not optimistic.

Not only did he not get better, he seemed to be getting worse and he was in a coma.

Chen Cang's expression changed, and he quickly continued to arrange!

"Lily, continue to configure 500ml glucose liquid, intravenous drip, add vitamin C, coenzyme A, and ATP!"

These things can all 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 to be honest!

There is still no special antidote for tetrodotoxin poisoning.

However, the only good news is that the toxins in the body are detoxified and excreted quickly. If they do not die 8 hours after the onset, they can recover more!

Therefore, once poisoning is found, various detoxification and symptomatic treatment measures should be given as soon as possible to allow the patient to pass the critical period.

These eight hours are the speed of life and death for the patient!

Everyone dare not waste more!

Chen Cang took a deep breath to calm himself down.

After all this tossing, breathing paralysis did not appear.

However, the man still fell into a coma.

Gradually blood pressure returned to normal...

However, still did not wake up.

Chen Cang was in trouble.

How to do?

Is there any way?

After thinking about it, Chen Cang suddenly thought of the results of animal experiments in the latest scientific research report.

It is said that the application of cysteine ​​injection in animal experiments can quickly detoxify, and the puffer fish eggs treated with cysteine ​​will not be poisoned when fed to animals.

Seeing the patient's circulation getting worse, Chen Cang gritted his teeth and said to Lily:

"Cysteine ​​0.1g, melted with disodium hydrogen phosphate buffer, intramuscular injection!"

This drug has been used, but it 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 danger period, Chen Cang can only use this trick!

Otherwise, if the time is too long, your life will be lost, and you will talk about liver toxicity.

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