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Chapter 498



Chapter 498

as everyone knows

Sprouted potatoes or green skins are poisonous.

How is it poisonous?

These parts of it, containing solanine, have strong irritation and corrosiveness on the gastrointestinal mucosa after consumption, and have a paralyzing effect on the central nervous system, and are life-threatening in serious cases.

But

It is estimated that many people do not know that green tomatoes are also poisonous!

Green tomatoes, which contain the same toxic substance as sprouted potatoes, solanine.

After consumption, it will produce nausea, vomiting, blue skin color, salivation, dizziness and other poisoning symptoms.

If you eat it raw, the danger is even greater!

"What? Are green tomatoes poisonous? "

"It must be poisonous... What are your symptoms now? Is there photophobia? Or irritability? Or convulsions? "

The above three are severe manifestations of solanine poisoning.

The aunt shook her head: "It's just a little stomachache, nausea, diarrhea..."

Lin Feng breathed a sigh of relief.

It's still only mild, and it shouldn't be a big problem.

"You stay in the hospital first, don't go, drink more water, and then eat lightly... Waiting 3-5 hours should ease up... If it is aggravated, come to me quickly, I will bill you to wash the stomach and induce vomiting ... Of course, you can also induce vomiting and speed up recovery..."

Lin Feng was very glad that the aunt in front of him was only mild.

If it is severe,

Gastric lavage and catharsis are basic operations.

Moreover, in addition to causing nerve toxicity, solanine may also cause liver and kidney function damage.

"Thank you Dr. Lin~~~"

Auntie thanks for leaving.

Some will ask,

Since green tomatoes will be poisoned, can you eat the unripe green tomatoes and want to put them red? Will it be poisoned?

The answer is: eat it after turning red, it is not a big problem. (Does not mean that it is not poisoned, but the probability is very small)

In addition to solanine in potatoes and green tomatoes, which can cause poisoning,

Fresh enoki mushrooms!

It can also make people poisoned!

Fresh enoki mushrooms contain colchicine, and after human consumption, it is easy to produce toxic dicolchicine due to oxidation.

It has a strong stimulating effect on the gastrointestinal mucosa and respiratory mucosa, and symptoms such as dry throat, nausea, vomiting, abdominal pain, diarrhea and so on will occur; After eating a large amount, it may also cause serious symptoms such as fever, water-electrolyte balance disorders, blood in the stool, blood in the urine, etc.

So, eat enoki mushrooms, be sure to cook them! Cooked!

Colchicine, previously written about (chapters 340-341).

Although it is toxic,

But it is also a very well-known drug.

The use of colchicine can inhibit the production of interleukin-6 by human cells, which can reduce joint pain, inflammation, swelling and other symptoms.

Therefore, colchicine tablets are clinically used for acute attacks of gouty arthritis, or to prevent the onset of recurrent gouty arthritis in the acute phase.

However, this drug can not reduce the production of uric acid in the body, nor can it promote the excretion of uric acid, and can only be used for 'acute'.

......

After 3 hours,

The aunt's face turned red and came back to find Lin Feng.

"Dr. Lin, thank you so much, my symptoms are better!"

"That's good... Don't eat any more green tomatoes in the future. "

"Don't dare, don't dare..."

The aunt has palpitations, where do you dare to eat.

......

An office building.

Chen Mei is the head of the human resources department, and she is also a small leader.

However, the high-intensity work caused her to suffer from a 'geriatric disease' - high blood pressure this year.

The body is not good.

Yesterday, she felt a headache.

It is the pain method of the blood vessel 'suddenly'.

However, she is used to it, and she has been in such pain before, taking some ibuprofen and antihypertensive drugs, and just resisting it.

Today, go to work.

She was in her office, and her subordinates reported to her.

Suddenly, my head hurt sharply,

Whoops~~

The whole person fell the sofa, and then his limbs twitched, as if he was electrocuted.

This frightened her subordinates.

"Sister Chen! Sister Chen! "

As a result, there was no reaction at all, and he was still convulsing.

Subordinate Zhang Ling panicked and quickly called 120.

......

Next patient,

Just as Lin Feng was about to press the call machine,

Nurse Xiaoyanagi walked in.

"Doctor Lin, there was just a patient who suddenly fainted, and he was sent over at 120... The director arranged for you to go to the doctor..."

"Okay, how long will it take? What is the patient's situation? "

"3 minutes... The patient's condition is: female, 36 years old, colleague who came with her, suddenly fell to the ground this morning, stiff limbs, convulsions, coma... Did an electrocardiogram and found nothing wrong ... Blood pressure is a bit high, 180/110! "

When Lin Feng heard this, he subconsciously thought of stroke (cerebral hemorrhage or cerebral infarction)

"Well, as soon as the patient arrives, contact the family immediately..."

rise

Quickly took Xiaoru and nurse Xiao Ai to the door of the hospital.

soon

The patient 120 car arrived at the entrance of the hospital.

"Quick, send to the rescue room first... Then call the CT room..."

Send to the rescue room,

Connect to an ECG monitor.

Blood pressure measurement: 184/113...... It's already dangerous

Heart rate: 100...

Blood glucose measurement: normal...

Draw blood, send it for testing...

・ Looking at the pupils, there is no problem...

• Conscious coma, calls should not ...

"Dr. Lin, the family has been contacted, it is the patient's husband, who is coming, it will take half an hour..."

"Ask his husband if he has any past medical conditions..."

“............ Dr. Lin, asked, there is a 2-year history of high blood pressure..."

"Did you take your medicine on time?"

"............, her husband said, usually rarely take medicine..."

“............"

180 blood pressure, this blood pressure is already a bit high.

Lin Feng thought that the patient may have a cerebral hemorrhage.

After all, the patient has a history of hypertension, and not much treatment, there is still a headache in the past two days, and today he suddenly fell to the ground and convulsed, which is highly suspected of cerebrovascular accident, so head CT must be done.

High blood pressure - > cerebral hemorrhage - > blood gushing directly out of the brain - > squeeze the surrounding brain tissue - > surrounding brain tissue will also be ischemic and hypoxic, producing edema - > edema in turn will exacerbate brain ischemia and hypoxia...

However, the fastest and most effective method of cerebral edema is to inject "mannitol" (all kinds of car accidents, post-disaster rescue of cerebral hemorrhage, all use this).

It is a dehydrating agent.

After entering the human body, it can take away the water in the brain, thereby reducing the edema of brain tissue.

However, it also has side effects, dehydration is too bad, there will be possible complications, such as: water and electrolyte disorders, difficulty urinating, thrombophlebitis, dizziness, blurred vision, hyperosmolar thirst... Wait......

By the way, there is one more thing to note.

The patient's head is broken and epidural bleeding may occur.

"The patient is awake..."

suddenly

The nurse shouted.

Lin Feng turned his head to look, and sure enough, the female patient Chen Mei had opened her eyes.

"Can you see me talking? ...... That's a few (three fingers)..."

“3...... (Very conscious, said the answer at once)"

"Stick out your tongue and I'll see..."

"Ahhh... (sticking out his tongue, centering)..."


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