Sun Lien has traveled between the hospital and the medical school many times over the years, especially after the start of his internship. But this was the first time he set off from the hospital in a police car, and there were several police cars going together.
After explaining the discovery to the police comrades, Sun Lien also got into the police car. The police car also pulled Zhan Jun and Lao Wu and drove all the way to the medical school.
Logically speaking, Sun Lien should not get involved. After all, he is just a doctor. After discovering the problem, it is enough for his family to call the police. But the trouble is that Sun Lien got excited and asked Lao Wu to call his colleagues in the criminal investigation.
, now he became the caller. Therefore, Sun Lien was also taken to Zhanjun BBQ by the police. From a medical point of view, Sun Lien did need to get some bacon samples for testing. Although Zhan Hao’s symptoms and acute
Lead poisoning is the most consistent, but other toxic substances cannot be ruled out, so the bacon must be tested for poisons as soon as possible.
"What did Zhan Jun do?" Zhao Baoan, who was at the entrance of the medical school, looked at the police cars filing in and muttered a few words to himself in surprise.
Finding the remaining bacon went smoothly, but when Sun Lien tried to obtain a small sample, he encountered a series of obstacles.
"This is evidence, Doctor Sun." Lao Wu reluctantly interrupted the argument between Sun Lien and the criminal investigation team, "Dr. Sun, the evidence found by the police cannot be divided into pieces for you to check for substances. Poisons
We will do the testing, and if necessary, we will notify you as soon as the test results are available."
Sun Lien is still a little dissatisfied, "If we don't conduct poison testing immediately to clarify the source and type of toxic substances, how can we provide targeted treatment? The poison testing in our hospital and medical school is also recognized by the judicial system. Can't it be done directly in the medical school?
Already?"
Of course, if Sun Lien's suggestion can be adopted, there will be no debate or conflict. The police system has its own practices. Especially as a violent agency and law enforcement department, the police system takes the rules and procedures very seriously, and the production of evidence and evidence are
There are strict procedures for preservation and other contents. In order to protect the integrity and credibility of the evidence, and even to ensure the confidentiality and suddenness of criminal investigation operations, they would not be able to conduct poison testing as Sun Lien "taken for granted" under any circumstances.
After several attempts failed, Sun Lien sighed and gave up trying to persuade the other party again. In fact, it could be seen that the police seemed very helpless. Everyone was trying to save people, but the methods were different.
"In addition to urinary lead, we also need to do a bone puncture and trace element examination." Sun Lien called Xu Yourong on WeChat. "The police put away the piece of bacon and did not allow us to do a poison test."
"The results of urine lead and blood lead came out, confirming acute lead poisoning." Xu Yourong answered an answer that Sun Lien did not expect, "Is it necessary to continue to do other tests?"
Sun Lien thought for a while and insisted on his opinion, "We still have to do it. If we can't get samples for testing, we won't be able to determine the specific toxic substances. What I'm worried about is that the substances poisoned by the other party are impure or there are more than one.
The symptoms of heavy metal poisoning are too similar, so out of caution, it’s better to check again.”
"I know." Xu Yourong's answer was straightforward, "I'll have someone do it right away."
"Also, do not stop the treatment of lead removal and liver protection, and continue to transfuse suspended red blood cells for hemolysis." Sun Lien said urgently, "Contact the Municipal Occupational Disease Prevention and Control Office, and if necessary, invite experts from their office to come
consultation."
After Sun Lien made a phone call for a while, the criminal investigation team policeman who initially looked down upon him asked curiously, "Are you the attending doctor? Why do you look so young? Doctor, how do you usually take care of yourself?"
"I work all night three times a week. It's almost impossible to eat three meals regularly. I have to deal with medical troubles occasionally. The basic salary is two thousand a month. It takes three hours to write cases every day." Sun Lien summed up his usual work.
content.
"So miserable?" The detective was surprised, "We are almost catching up! How old are you?"
"Twenty-five." Sun Lien showed a smile that was about to cause sudden death at the detective, "I guess you must be older than me, so brother, please do a poison test as soon as possible after you go back."
"I'm only two years older than you." The detective, who looked at least thirty-eight years old, smiled as if he was about to die suddenly. "We will get a forensic doctor to do the test when we get back. Brother, don't worry, he will give the results.
, I pulled him to stay up late with me."
There is nothing to say about lead removal treatment. It is a standard process. Add 1 gram of calcium disodium edetate to 250 ml of 10% glucose and inject it intravenously. As a commonly used water-soluble chelating agent, calcium disodium edetate
At the same time, it can chelate with a variety of divalent and trivalent metals, and has the best therapeutic effect on lead poisoning. It can also promote the excretion of various heavy metals such as copper, zinc, iron, manganese, and cobalt.
As for the reason why the "symptomatic treatment" of the Second Hospital is effective, everyone in the treatment team finally figured out the reason after discussion. Reduced glutathione is also one of the first-line drugs for the treatment of lead poisoning. Reduced glutathione can and
The lead hydrogen phosphate in the liver is combined and excreted from the body. During the first acute lead poisoning, due to Zhan Hao's liver function being severely damaged, the Second Hospital increased the dosage of reducing glutathione in the treatment. Only then did the second hospital increase the dosage of reducing glutathione.
In the absence of heavy metal chelating agents, the lead level in Zhan Hao's body was barely controlled. However, the actual effect of this treatment was still quite limited. The blood lead level in Zhan Hao's body still seriously exceeded the standard, but it did not continue to show symptoms.
It's just acute poisoning. And this is why Zhan Hao's symptoms reappeared after eating suspected poisoned bacon for the second time, and they appeared more fierce than before. The already high blood lead level was increased again, which made Zhan Hao
The disease becomes more severe.
"Chelation can minimize the subsequent damage to various organs in his body, but it has no practical significance for the nervous system that has already been damaged." Sun Lien's treatment team was having a meeting, and Xu Yourong was too lazy to chair it, so the speaker was replaced by
Yuan Pingan. "Although we have clarified the cause of Zhan Hao's disease, the situation is still not optimistic. The nerve damage is irreversible. We should be able to successfully save the patient's life, but for a young and middle-aged man, such a life is obviously not possible.
It doesn’t improve the quality of life.”
"You should know after reading so much literature that in this case, there are not many methods we can use." Dr. Pascal yawned greatly, "Cranial neurotrophic drugs and hyperbaric oxygen chamber, other than that,
There doesn’t seem to be any other options left.”
"Even if it is a cell transplantation treatment, we don't even know the specific location of his demyelinating damage, and it is impossible to arrange a surgical plan. What's more, our hospital does not have corresponding experimental treatment arrangements." Xu Yourong added, and then felt a little regretful.
He shook his head and said, "We are doctors, not gods."