I can see the status bar

Chapter 910 Blood
Health education and health presentations to patients are also an important part of doctors' work.

From this point of view, ancient people and modern people have reached a consensus on disease prevention that spans thousands of years—prevention of disease is far more important than treatment of disease.

Modern medicine has more means and techniques than the ancients in preventing diseases.But... Such progress is mainly reflected in vaccines and hygiene concepts against infectious diseases.

Due to the low productivity of ancient society, diseases caused by obesity and bad living habits were rare.On the contrary, because of malnutrition and various infectious diseases, the average life expectancy of people is not long.

Before the advent of distillation technology, drinking alcohol was only regarded as a luxury of "wasting food" and controlled by official uniforms.Its essence is not to maintain the health of the residents, but to preserve the precious food under low productivity.

Just relying on undistilled wine, "drinkers" may get incurable diseases such as type [-] diabetes before they want to drink liver cirrhosis.

In the stage of initial development of distillation technology, the need for fuel for distillation also limits the extensive development of distilled wine.It wasn't until our country gradually realized the complete self-governance of food and the industry has also developed by leaps and bounds that more and more alcoholic beverages began to appear on the market.

The modern "drinking" and the ancient "drinking" are completely two concepts.Applicable groups of people are different, classes are different, and even what they drink may not be the same thing.However, China is a thousand-year-old country with a long history and splendid culture.The drinking habits that used to belong to the ruling class and the wealthy class are promoted time and time again in their cultural works.As a result, under the influence of poems such as "the sages and sages in ancient times are lonely, but the drinkers keep their names", "singing to wine, what is life like?" Bring a touch of culture.

Coupled with the so-called "masculinity" brought about by spirits, as well as the "medicinal wine" propaganda that claims to have health effects, drinking has become something that seems to be "encourageable" at the cultural and social levels.

Along with this idea of ​​drinking comes a large number of alcohol dependents.And the second leading cause of liver damage—the number one cause of cirrhosis is various types of viral hepatitis.

Sun Lien's health lectures mainly revolved around these two lines-the damage of alcohol to the human body, and "you think you are handsome when you drink, but you actually look bad."

After waiting for the hotel staff to finish their secretarial work, it is almost time to get familiar with the manuscript—there will be about an hour or two before the lecture will start.Sun Li'en was playing the PPT back and forth in the meeting room, and he was also jotting down key points in his notebook from time to time.

The door of the conference room was pushed open suddenly, and the manager rushed in sweating, "Dr. Sun, come here quickly."

Sun Li'en felt a "thump" in his heart, sure enough, he couldn't hide what was supposed to come.He quickly walked down from the podium, walked towards the door, and asked as he walked, "What's wrong?"

"One of the customers vomited blood." The manager looked anxious, "He vomited a lot..."

"Is that the middle-aged man surnamed Lin?" Sun Lien suddenly had a suspect in his mind, "Where is he? Take me there quickly!"

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Lin Yubin returned to his room after being educated by his daughter in the morning.The daughter is not too young now, and it is always inappropriate to live in the same room with her father.So this time the two lived in two separate rooms.

For an old alcoholic, returning to his room alone means the opportunity to drink to his heart's content.After dismissing his daughter with the words "I'm going to the hot spring", Lin Yubin hid in the peephole behind the door and watched for a while.Seeing his daughter gradually leave, he boldly started to call the service department of the resort to ask for wine delivery.

"There is no Moutai?" However, the height of the magic is one foot higher.Lin Yubin's daughter had already guessed that her father had to play such a trick.She notified the service department of the resort in advance - no wine over 20 degrees is allowed to be given to the old man.

The customer's request is always the most important.The resort's service department perfectly fulfilled the guest's request, "Mr. Lin, I'm sorry, but the goods reserve can't be delivered now, and the liquor is gone."

"Huh?" For an old alcoholic, the scariest thing in the world is to hear that he's out of stock.Lin Yubin suddenly panicked, "Is there any wine left?"

"Um... this..." The staff in the service department felt a headache right now.Such a large resort is still offering self-service Moutai to guests in the morning, and now it says that there is no drop of alcohol... This is really unreasonable.It was even possible to make the old alcoholic feel that something was wrong.

As a resort with a good reputation, the staff of Ningyuan Resort certainly cannot sit back and watch this situation that may embarrass guests.

"Beer...is still available." The clerk thought for a while, and came up with a countermeasure that he felt should work, "Is this okay?"

"It's better than nothing." I didn't expect this alcoholic to refuse anyone, even if it was beer, he didn't intend to refuse, "Bring me two boxes first."

Ten minutes later, two boxes of 10 cans of beer were delivered to Lin Yubin's room.And it also comes with several common appetizers.Everything from packaged potato chips to the usual dishes like edamame in brine.

"Mr. Lin, drinking a lot of beer is not good for your health." Before leaving, the waiter said to Lin Yubin specifically, "You can eat more of these snacks." This content is actually the manager and Sun Lien discussing "healthy life symposium ", Sun Lien told them as a short story.

In the "free-spirited" Western world, alcoholics and homeless people often cannot afford hard alcohol.In the case of very limited income, in order to drink enough alcohol, the homeless can think of almost any way.From theft of medicinal alcohol to homebrew.And beer with limited alcohol content but very low price has also become one of their main sources of alcohol.

At Oktoberfests in some places, all beer is served for free.This became an important opportunity for homeless people to satisfy their alcohol addiction.But... due to lack of money, homeless people can't afford all kinds of expensive snacks at the Oktoberfest.

After drinking a lot of beer, the kidneys in the human body will naturally start to work hard to expel a large amount of water ingested in a short period of time as soon as possible.And the problem lies in this process - because there is no appetizer, the homeless people lack sodium intake.After excreting a few times of urine, their unhealthy electrolytes will start to become disordered, and the hyponatremia will be "urinated" alive.

Hyponatremia is a serious disease that threatens human safety.In the face of such lesions, in order to preserve the remaining sodium, the kidneys will reduce their work intensity, or even temporarily stop working.

Although the drop in blood sodium slows down temporarily, the digestive tract is still working and absorbing the water and alcohol in the beer.Because of the difference in osmotic gradient, water in the body will start to move to the high sodium area.In the case of hyponatremia, the only internal environment that can be called high sodium is the central nervous system.

Cytotoxic cerebral edema occurs when a large amount of water floods into the central nervous system.If it develops further, serious situations such as brain herniation will occur.This is fatal.

By this time, the patient is often unconscious.If they are lucky enough, someone will send them to a medical facility - and the story that follows is even more terrifying.When doctors encounter patients with cerebral edema, they will start diuresis soon to try to remove excess water, and diuresis will further aggravate hyponatremia.

Hyponatremia will further aggravate cerebral edema, and if doctors do not respond quickly enough, the patient will die soon.And if they respond quickly enough, they will supplement the patient with sodium ions through hypertonic saline.

The speed of replenishment was not fast enough, and the patient's cerebral edema further aggravated, and he would die soon.And if the speed of replenishment is a little too fast, the fragile central nervous cell myelin will disintegrate by itself.Depending on the extent of demyelination, patients may become vegetative, permanently paralyzed, or lose some neurological function.

No matter what it is, there has to be a degree.

"Okay, okay, I understand." Although the waiters accepted the "shocking education" provided by Sun Lien, they became more vigilant about it.But when the old alcoholic is addicted to alcohol, how can he control these things?After Lin Yubin waved away the waiter, he sat on the sofa and drank beer from one can to the right.In an hour's time, he completely drank a case of beer.

Fortunately, he liked the appetizers brought by the waiters.Especially the sea salt-flavored potato chips, and beer are a perfect match.So, within an hour, Lin Yubin ate three whole bags of potato chips.

Although eating and drinking is quite enjoyable, the alcohol content that a case of beer can provide is limited after all.Generally speaking, the alcohol content of beer is about 3.5%~4%. Twelve cans of 12ml beer contain no more than 330ml of alcohol.It is roughly equivalent to drinking half a catty of Moutai.

Lin Yubin felt that his stomach was a little cramped, he stood up, intending to sway around, and then continue to deal with the remaining case of beer.But he really overestimated his stomach, and somewhat underestimated the power of carbon dioxide contained in beer.He only felt his throat loosen, and a large gulp of beer mixed with mashed potato chips spewed out of his mouth.

After throwing up all over himself, Lin Yubin, who came back to his senses, hadn't even slowed down, and the second and third vomiting began.By the time he realized something was wrong, he had already vomited blood three times.

Blood is supposed to be something that runs in a blood vessel.When they come out of one's body in an abnormal way, everyone will feel flustered.And Lin Yubin's flustered level is unusual now - he vomited a lot of blood, and he didn't feel any pain at all.

The door of Lin Yubin's daughter's room was knocked in a panic. She opened the door and saw her father whose chest was covered in blood and vomit.The pungent smell of wine mixed with the sour smell of stomach contents hit the nostrils.

The first second she saw her father, she thought her father had been attacked—the blood was all over his body, and he looked really scary.

"Call the doctor." Lin Yubin only said this to his daughter, and then began to vomit again.This time, almost all the spit out was blood.

Seeing that the situation was not good, Lin Yubin's daughter immediately called the front desk of the resort.The front desk immediately notified the news to Sun Li'en who was making preparations in the conference room.

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"Ask the waiter to go to my room and bring that very big box here." When Sun Lien arrived at the scene, Lin Yubin was half lying on the ground.His head was tilted, and from time to time he would spit out a mouthful of saliva mixed with blood.And his daughter put her body under her father's upper body, trying to keep him in a relatively comfortable posture. "How much blood did he vomit?" Sun Li'en said the second half of the sentence to Lin Yubin's daughter.

"I don't know, he was covered in blood when he arrived at my door." Lin Yubin's daughter looked at Sun Li'en in surprise, and asked the manager beside him, "Where is 120? Haven't you come yet?",

"The road up the mountain is still closed, and I can't get on 120." Sun Li'en said as he moved closer to Lin Yubin.Then during a quick check, he looked at Lin Yubin's status bar.

"Lin Yubin, male, 54 years old. Alcohol dependence syndrome (226456.39.28), alcoholic fatty liver (75375.51.58), gastric varicose veins (14334.20.52), hematemesis (00.08.12), increased heart rate (00.05.48. [-])"

Compared with the morning, Lin Yubin had two more states of vomiting blood and blood pressure drop.This is well understood - after vomiting blood, the patient's blood volume drops, which causes a drop in blood pressure, and in order to compensate for the "efficiency drop" caused by the drop in blood volume, the human body's heart rate will rise compensatoryly.In other words, Lin Yubin vomited a lot of blood, and he lost at least 800ml of blood volume through gastrointestinal bleeding.

This degree of blood loss is likely to be gastric bleeding.Sun Li'en suddenly became nervous—in his impression, the huge medical box that Brunn brought for him... didn't seem to have a three-chamber two-bag tube in it.

Under the explanation of the manager at the side, Lin Yubin's daughter finally realized that the person in front of her should be the only person in the entire resort hotel who could save her father's life.She asked nervously, "Doctor, what's wrong with my dad?"

"It's hard to say." Sun Lien frowned and replied, "It looks like digestive tract bleeding, but it's hard to say where it is."

According to general clinical experience, such a large amount of bleeding is likely to be gastric bleeding.And the status column also said that Lin Yubin himself has alcoholic fatty liver and gastric varicose veins, and his probability of gastric bleeding is very high.

But there were two main reasons why Sun Lien hesitated and was unable to judge.First, the "gastric varicose veins" on the status bar did not directly become "stomach bleeding".The second is the bloodstains on Lin Yubin's body - they seem to be very normal venous blood, without the common "caviar" characteristics after being digested by gastric acid.

(End of this chapter)