I can see the status bar

Chapter 290 Damage (Part [-])
Sun Li'en has traveled between the hospital and the medical school many times over the years, especially after the internship began, and frequently traveled between the two places.But it was the first time that we set off from the hospital in a police car, and several police cars went together.

After explaining the discovery to the police comrades, Sun Lien also got into the police car, and the police car also pulled Zhan Jun and Lao Wu all the way to the medical school.

Logically speaking, Sun Li'en shouldn't get involved. After all, he is just a doctor, and it is enough for his family members to call the police after discovering a problem.But the trouble is that Sun Lien got excited and asked Lao Wu to call his criminal investigation colleagues over, and now he became the caller.Therefore, Sun Lien was also brought to Zhanjun barbecue by the police.From a medical point of view, Sun Li'en really needs to get some bacon samples for testing.Although Zhan Hao's symptoms are most consistent with acute lead poisoning, other toxic substances cannot be ruled out, so it is necessary to conduct a poison test on the bacon as soon as possible.

"What's wrong with Zhan Jun?" Zhao Baoan at the gate of the medical school looked at the police cars rushing in, and said a few words to himself in surprise.

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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, Dr. Sun." Old Wu helplessly interrupted the argument between Sun Lien and the criminal investigation team, "Dr. Sun, the evidence found by the police must not be divided into one piece for you to check the substance. Poison We will do the tests, if necessary, and we will let you know as soon as the test results come out."

Sun Lien was still a little dissatisfied, "If we don't do 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, and we can do it directly in the medical school. gone?"

Of course, if Sun Lien's suggestion can be adopted, there will be no conflicts.The police system has a police system approach.Especially as a violent agency and law enforcement department, the police system takes regulations and procedures very seriously, and there are strict procedures for proof production and evidence preservation.In order to protect the integrity and credibility of the evidence, and even to ensure the confidentiality and suddenness of criminal investigations, it is impossible for them to do poison testing according to Sun Lien's "take it for granted".

After several failed attempts, Sun Lien sighed and gave up his plan to persuade the other party again.In fact, it can be seen that the police are also very helpless.Everyone is trying to save lives, but the means are different.

"In addition to urine lead, add a bone puncture and trace element inspection." Sun Lien made a WeChat call to Xu Yourong, "The police put away that piece of bacon and did not allow us to do a poison test."

"The results of urine lead and blood lead came out, and it was confirmed to be acute lead poisoning." Xu Yourong answered an answer that Sun Lien didn't expect, "Is it necessary to continue to do other tests?"

Sun Lien pondered for a while, and insisted on his own opinion, "We still have to do it. We can't get a sample test, so we can't determine the specific toxic substances. What I'm worried about is that the poisoned substances are not pure or more than one ——The symptoms of heavy metal poisoning are too similar, out of prudence, it is better to check again.”

"Understood." Xu Yourong's answer was straightforward, "I'll get someone to do it right away."

"Also, don't stop the treatment of lead removal and liver protection, and continue to transfuse the suspended red blood cells for hemolysis." Sun Lien said eagerly, "Contact the Municipal Occupational Disease Prevention and Control Office, and if necessary, invite their experts to come. consultation."

After Sun Lien made a phone call for a while, the criminal investigation team policeman who had looked down on him asked curiously, "Are you the attending doctor? Why do you look so young? How do you take care of yourself as a doctor?"

"Three nights on duty three times a week, it is basically impossible to eat three meals regularly, and occasionally have to face medical troubles, the basic salary is [-] a month, and it takes three hours to write the case every day." Sun Lien summed up his usual work in a smooth manner. content.

"So miserable?" The criminal policeman was taken aback, "It's almost catching up with us! How old are you?"

"25." Sun Li'en showed a sudden death smile towards the criminal policeman, "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 criminal policeman who looked at least 38 years old also showed a smile that was about to die suddenly. Just drag him to stay up all night with me."

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In fact, there is nothing to say about lead removal treatment, it is a standard procedure.Add 1 gram of disodium calcium edetate to 250ml of 10% glucose for intravenous infusion.As a commonly used water-soluble chelating agent, disodium calcium edetate can chelate with various divalent and trivalent metals at the same time, and has the best therapeutic effect on lead poisoning.It can also promote the discharge of various heavy metals such as copper, zinc, iron, manganese, and cobalt.

As for the reason why the "symptomatic treatment" of the Second Hospital was 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 combine with lead hydrogen phosphate in the liver and be excreted from the body.During the first acute lead poisoning, because Zhanhao’s liver function was severely damaged, the Second Hospital increased the dosage of reduced glutathione in the targeted treatment.Only then did the level of lead in Zhan Hao's body be barely controlled without heavy metal chelating agents.However, the effect of this treatment is actually quite limited, and the blood lead level in Zhan Hao's body is still seriously exceeding the standard, but it does not continue to manifest as acute poisoning.And this is why after eating the suspected poisoned bacon for the second time, Zhan Hao's symptoms will reappear, and the symptoms will appear more fiercely than before-the already high blood lead level is raised again, which makes the disease worse. more serious.

"The chelation agent can minimize the subsequent damage to various organs in his body, but it has no practical significance to the already damaged nervous system." Sun Lien's treatment team was having a meeting, and Xu Yourong was too lazy to preside over it, so the speaker was replaced by Yuan Ping'an. "Although we have clarified the cause of Zhan Hao, 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 a life. quality."

"You should know that after reading so many documents, there are not many methods we can use in this case." Dr. Pascal yawned, "Cranial neurotrophic drugs plus hyperbaric oxygen chamber, other than that There seemed to be no other options left.”

"Even if it's a cell transplantation treatment, we don't even know the exact location of his demyelination injury, and it's impossible to arrange a surgical plan. What's more, our hospital doesn't have a corresponding experimental treatment arrangement." Xu Yourong added, and then felt a little regretful Shaking his head, "We are doctors, not gods."

(End of this chapter)