Chapter 446 Emergency Mission - Paraquat Poisoning
"The diagnosis of Meig's syndrome is mainly based on the triad of benign ovarian tumors accompanied by pleural effusion and ascites. It was first described by American expert Joe Vincent Meigs and is also called Demons-Meigs syndrome. Symptoms.
Pleural effusion and ascites improved after tumor resection. Recovery or cure, the latter can be regarded as another diagnostic criterion in addition to the triad. "
"Only benign ovarian tumors with pleural effusion, or benign ovarian tumors or ascites, are called atypical or incomplete uterine pleural effusion. Megue syndrome.”
“Based on the current situation, Xiaozhuang’s old neighbor should have incomplete Megue syndrome.”
As he talked, Luo Hao called this disease Meig syndrome. It seems that he is indeed used to it and it will be difficult to break it after a while.
The resident manager of cardiothoracic surgery looked at Luo Hao in the video in confusion.
As he spoke, he threw out the bamboo shoots that Dahei, half-faced, had brought back. Dahei ran quickly happily, and jumped up to catch the bamboo shoots.
Professor Luo seems to have no brain at all. He is very familiar with the theories about Meigs syndrome and incomplete Meigs syndrome.
“Only 2%-5% of resected ovarian tumors are ovarian fibromas. However, Megue syndrome is most commonly associated with ovarian fibromas, and other benign tumor types include theca cell tumors, granulosa Cytoma or Brenner's tumor ”
"In addition to the aforementioned ovarian fibromas or fibromatoid tumors, when patients with other benign ovarian tumor types or malignant ovarian tumors, uterine or fallopian tube tumors have symptoms similar to Megue's syndrome, it is called pseudo-Megue syndrome."
“A scholar once wrote about a 48-year-old woman with advanced gastric cancer accompanied by bilateral ovarian enlargement, ascites, and bilateral pleural effusion. No cancer cells were found in pleural effusion cytology.
After the doctor performed oophorectomy as palliative treatment, the patient's pleural and ascites quickly subsided
So the patient was diagnosed with pseudo-Meig syndrome and received chemotherapy and gastric surgery. Resection. After 84 months of follow-up without further treatment, the patient had no tumor recurrence.”
Luo Hao talked about various papers and literature from Zhuang Yan’s neighbors.
You can pick it up at your fingertips and play it calmly while teasing the dog and giving lectures.
Boring and complicated rare diseases were like bamboo shoots in Luo Hao's hands, thrown out casually, Zhuang Yan jumped fiercely and took it back.
The resident manager of the cardiothoracic surgery department has been confused for a long time. He has a doctorate degree and his own boss... Let’s not talk about surgery, but just in terms of diagnosis, he is far behind Professor Luo.
If it were in the past, he could still say that Professor Luo only had a solid theory and may not be able to do a good job in surgery.
But for the patient who “came back from the dead” some time ago, Professor Luo personally performed the aortic surgical replacement surgery.
The surgery he performed... Let's put it this way, Director Xu is an experienced surgeon, but his level is still not as good as Professor Luo's.
Professor Luo is obviously capable of literary and military skills, there is no doubt about it.
"Similar case reports include approximately 454 documents and a systematic review of 541 patients with typical and atypical Meig syndrome and pseudo-Meig syndrome.
Right-sided pleural effusion There was more fluid than left and bilateral pleural effusions, and the median volume of pleural effusion removed was 2950 (1500–6000) mL.”
So many papers!
The resident manager of cardiothoracic surgery was surprised.
"Xiaozhuang, I have a homework for you." Luo Hao suddenly smiled.
"Senior brother, tell me." Zhuang Yan held her chest up and raised her head, her eyes showing determination.
"Is the pleural effusion in Meg's syndrome an exudate or a transudate? Remember this question, do relevant examinations later, and write down the results." Luo Hao left homework for Zhuang Yan.
"Okay!" Zhuang Yan nodded, wrote down the matter, and immediately remembered what her old man said about "raising a dog."
"Senior brother, you are simply too powerful. If I had known that Xiehe was so strong, would I...do I, the doctor, still have a chance to go to Xiehe?" Zhuang Yan asked.
In the video, Luo Hao's expression was a little strange. He looked at Zhuang Yan in surprise as if he didn't recognize her.
"Senior brother, you know how to teach a doctor, I will apply to be your doctoral student."
"Xiao Zhuang." Luo Hao looked at Zhuang Yan in confusion, "What happened to you today? Do you have a fever? ”
"No, I've never heard of this disease before. Senior brother, you're petting a cat and seeing a doctor at the same time. It's so cool!" Zhuang Yan felt that this matter was too simple. What the old man meant.
Simple task!
“!!!”
Not only Luo Hao, but also Meng Liangren was stunned.
Zhuang Yan is different today than usual.
But it’s not over yet.
Zhuang Yan didn't seem to have thought about it, and said directly, "Recently, medical security has become more and more strict, and some examinations cannot be done, but if something goes wrong, the doctor will still have to take the blame.
Senior brother, you can tell the patient at a glance If there is a problem, there can be differential diagnosis and so on. If I am half as good as my senior brother, there will definitely be fewer hidden dangers in clinical practice."
Luo Hao listened blankly to Zhuang Yan's words, forgetting his hands. Got rua bamboo.
Zhuzi expressed dissatisfaction, raised his head and cupped Luo Hao's hand, interrupting Luo Hao's thinking.
Luo Hao started to rub the bamboo head again. The hair of the bamboo was a bit hard, like a brush, but it was actually not easy to rub.
Maybe it has something to do with the fact that bamboo grows wild in the Qinling Mountains. After all, survival comes first if it grows wild. Wild cats and domestic cats are two different things, and bamboo is the same.
Zhuang Yan was still talking, and Luo Hao was dumbfounded.
"Senior brother, when you recruit doctoral students from now on, I will definitely be your founding senior sister!"
"Xiaozhuang, don't make trouble." Luo Hao stammered.
"I'm not making trouble, what I said is true!" Seeing Luo Hao's bewildered expression, Zhuang Yan didn't know if what she said was right or wrong. She had to go home and ask the old man about this.
But the senior brother has different emotions, which means that the dog-raising theory is correct, and at least it can make the senior brother who usually "wears" a mask have mood swings.
Volatilities are a good thing.
"It's okay, I'll hang up and let's talk about it at work. By the way, Lao Meng, if Corey has anything to do, tell me right away."
"Okay, Professor Luo."
Luo Hao hung up the video without giving Zhuang Yan a chance to continue.
"Mr. Chang, let's go back first." Meng Liangren stood up, with a calm expression on his square face, and nothing strange could be seen at all.
The resident manager of the cardiothoracic surgery department felt a little ashamed, "Lao Meng, what's next?"
"For consultation, see the gynecologist. Didn't you put in a breast bottle?"
"What's next? "
" Transfer to the gynecology department and perform laparoscopic surgery to remove the tumor. Professor Luo just said that it is most likely benign. You can explain it to the patient's family, and Xiaozhuang can also help. ”
After Meng Liangren finished speaking, he looked at Mr. Chang strangely, wondering why he looked a little dull today.
"Eh, eh, eh." The resident manager of the cardiothoracic surgery department responded repeatedly, "Old Meng, you guys are really..."
"Haha." Although he did not tell the whole story, Meng A good man knows what Chang always means.
Meng Liangren was also wondering what was wrong with Zhuang Yan today, and she had no intention of talking more at the cardiothoracic surgery department.
Leaving the ward, Meng Liangren walked in deep thought.
"Lao Meng, senior brother is so awesome! Don't you think? He was petting the cat and giving a diagnosis at the same time!" Zhuang Yan praised.
"Xiaozhuang, what are you doing?"
"What I said is true, don't you think? Do you really not think so?!"
" Professor Luo was the same in the past, but I have never seen you with such strong emotions." Meng Liangren was confused.
“It was before, and I feel particularly deeply today. After my senior brother said that, Mr. Chang also searched online, and the result was a mispronunciation of Xiehe. Don’t you think it’s cool?!”
Zhuang Yan waved her hands as she spoke, showing strong emotion.
This is too simple, just express your feelings. This is much easier than suppressing your admiration for your senior brother.
Meng Liangren thought for a while and remained silent.
……
……
"There's something wrong with Xiaozhuang." Luo Hao said, stroking the bamboo.
"Don't worry, I knew you were coming today and the panda house will be closed for the day!" Wang Jiani said with a smile, "Professor Luo is so majestic!"
"Hate, this is part of scientific research, you Don’t talk nonsense.”
“Yes, yes, it’s part of scientific research.”
Wang Jiani has learned to use yin and yang, and Luo Hao is helpless. It's really hard to learn well, but it's easy to learn bad things.
"Here, fruit." Wang Jiani took out a few apples and threw one to the bamboo. The bamboo caught it and started to chew it.
Then Wang Jiani pricked a cut apple with a toothpick and put it into Dahei's mouth.
Zhuzi seemed a little jealous, baring his teeth at Dahei, and at the same time rubbing his head on Wang Jiani's legs, as if to indicate that he would eat in the same way.
"Is the bamboo like this in normal times?"
"No, usually the bamboo just needs to eat a few more. The bamboo is different only when it sees you. It doesn't care about others, it only cares about you. You." Wang Jiani explained.
"Bullshit." Luo Hao laughed, stretched out his hand, and brought his two heads together at the same time.
Oh, it’s a bit troublesome. Luo Hao looked at Zhuzi and Dahei and felt that it was quite tricky.
These two dogs fell into the water so synchronically, they were addicted to competing for favor.
“Ding dong~~~”
When Luo Hao stretched out his hands and prepared to play together, a long-lost mission prompt sounded in his ears.
[Emergency mission: Survivors of paraquat.
Task content: Emergency rescue of a patient taking paraquat orally.
Task time: 14 days.
Task reward: 20 points of mall currency, +1 random attribute point. 】
Paraquat? !
Luo Hao immediately retracted his hands, shaking his head and half in front of him, waiting for Luo Hao to react.
"Be good, you two, and don't argue or make trouble." Wang Jiani tried to persuade Zhuzi and Dahei.
But when Luo Hao came, her words had almost no force. Zhuzi and Dahei looked at Luo Hao eagerly, slightly hostile to each other.
It's not the kind of life-and-death hostility that Zhuzi had in Qinling, but the jealous hostility.
Wang Jiani was also speechless. Before she could speak, these two idiots started fighting.
Luo Hao ignored the two little guys, took out his mobile phone and started to contact one of Qilu's senior brothers.
Luo Hao has no special research on paraquat poisoning.
But in the group, he saw a senior brother saying that he had rescued 14 patients who drank paraquat in half a year. Luo Hao was very impressed. At that time, he added the senior brother's contact information and asked for advice on the most basic treatment process.
Faced with system tasks, Luo Hao would definitely not rely on others, so it was inevitable to contact Qilu's senior brother directly.
"Hello, Brother Che, I am Luo Hao."
"Hello, Dr. Luo."
"Are you busy there?"
"No, I'm fishing on the weekend." Senior Brother Che said leisurely, "What's the matter? Dr. Luo? By the way, I saw the pen with your name in the ward yesterday. "?" Luo Hao was startled, but he understood it immediately.
It is normal for a doctor to lose his pen. Who knows who took it away, and then ended up in Qilu Hospital in some incredible way.
But this is normal, just a wandering pen. "Brother Che, last time I saw you talking about the treatment of paraquat..."
"Oh oh oh!"
Speaking of the treatment of paraquat poisoning, the person on the other side of the phone Senior Brother Che's interest suddenly became high.
Talking about other things, Qilu may only be regarded as the best in the country, not the top, but when it comes to treating patients who drink paraquat, it has an aura of preferring others.
The Qilu plan is no joke.
Luo Hao exchanged a few words with Senior Brother Che and hung up the phone as soon as he knew he was free.
"Luo Hao, are you leaving?" Wang Jiani held Luo Hao's clothes, while Zhuzi and Dahei rubbed their heads against Luo Hao.
The whole family is reluctant to leave.
well.
Luo Hao sighed, he didn’t want to either.
What the hell, when he thought of paraquat poisoning, Luo Hao looked particularly pleased with the jealous Dahei and Zhuzi.
“Well, there’s something going on at the hospital. There are patients who drank paraquat.”
“Ah? It’s true! Didn’t you say that you will definitely die if you drink paraquat? Pulmonary fibrosis, It’s a miserable death.”
"That's not entirely true. If treated early, there is still hope of survival."
"So amazing!" Wang Jiani exclaimed.
"Of course, helicopters often take off and land at the Baotuquan campus of Qilu University. It is said that the patients transported are all patients who have drunk paraquat. Their treatment time is urgent, even more urgent than hemorrhagic shock. "
Luo Hao said, already standing up and spreading his arms.
Before Wang Jiani and Luo Hao could hug each other, Zhuzi also stood up and hugged Luo Hao and Wang Jiani tightly. Dahei barked anxiously from behind.
"Hahaha." Luo Hao let go of the bamboo, touched Dahei, and finally hugged Wang Jiani, "Let's go!"
"Drive slowly, and send me a message when you get there."
"Okay, I know."
Luo Hao strode away from Ha Dong and turned on Bluetooth after getting in the car.
Nowadays, such retro and nostalgic cars are no longer enough to look at. At least they cannot do many things while driving.
It's time to upgrade, Luo Hao thought to himself.
Driving back to the hospital, within a few minutes, Luo Hao already had his own plan.
This disease is a bit tricky... Luo Hao sighed as he drove the car.
The lethal dose of paraquat is 5-15ml. It has no specific antidote. It is known as the "King of Pesticides" and its production, sale and use have long been banned in mainland China.
And even if patients with paraquat poisoning can be rescued, they often have serious sequelae.
The person who developed paraquat and is known as the "Father of Paraquat in China" is Li Dejun, the former director of the SD Provincial Pesticide Research Institute.
Professor Li was very satisfied with his work.
Because in the last century, it changed the status quo of China's dependence on imported herbicides and made an outstanding contribution to ensuring enough food.
But since Professor Li attended a lecture on the diagnosis and treatment of paraquat patients, he began to ask himself whether paraquat should not be allowed to appear in the world.
Luo Hao feels that he has nothing to do with Professor Li. They all drank pesticides voluntarily. How can he blame Professor Li?
Money is hard to make and shit is hard to eat. If you have to eat it, no one can stop it. There is no way to stop it without paraquat, and there are methods such as jumping off a building and cutting one's wrists.
Besides, when we were making paraquat, we were only thinking about how to get rid of weeds. Who would have thought about what it would be like if people drank it.
People who drink paraquat are special. If they are discovered early and are forcibly sent to the hospital by their family members, they may still be saved.
But the treatment process is very painful. The patient himself does not feel any abnormality, and even the patient's family members will doubt whether the hospital is making a fuss out of a molehill.
In the past, doctors could only watch their patients chatting and laughing, and there were even young lovers who died for their love and cried in each other's arms.
They don't feel it themselves, and they don't know that one foot has stepped into the gate of hell.
Patients who have just drank paraquat can be cured if they are sent to a large tertiary hospital in time, but it will cost a lot of money and may not be completely cured.
This is only a case of timely discovery at home, not in time. When the patient is admitted to the hospital with spontaneous symptoms, the main symptoms are dizziness, fatigue, difficulty breathing, and multiple vomiting of dark green stomach contents.
It is even possible that patients will only be discovered if they have twitching limbs and impaired consciousness.
Convulsions are a sign of toxic encephalopathy, which means poison has invaded the brain. According to our past experience, if this is caused by paraquat, there is basically no cure.
Now that the system has issued a task, Luo Hao doesn't think the patient can't be saved, as long as everything is done quickly.
But everything is unknown now. Feng Zixuan, Jin Rongcan, and Zhuang Yongqiang are not as easy to fool as Da Nizi. They can say whatever they want.
Luo Haoneng and Da Nizi said that they were going to treat patients with paraquat poisoning, but they could not tell them in advance.
After learning the news, Luo Hao was going to contact the hospital immediately and apply for a helicopter.
Of course, the shorter the time, the better, even if a helicopter is used.
I hope that in the urban area, patients can go directly to the hospital within an hour, so...
Before Luo Hao thought of saving trouble, his cell phone rang.
A rarely contacted name appeared on the phone - Professor Li from the University of Technology (Machine Girlfriend).
Luo Hao saw the label Robot Girlfriend in the remark name and thought of Professor Li he saw that day.
He is a very interesting person. It is said that the data on liquid metal running was the supercomputer applied for by Professor Li, so I owe him a favor.
"Hello, Professor Li!" Luo Hao answered the phone and greeted him enthusiastically.
Professor Li was probably startled by Luo Hao's enthusiasm and was stunned for a second.
"Professor Li, you?" Luo Hao only said this.
“Professor Luo, I have something to trouble you with.”
“Say it.”
"My nephew broke up with his girlfriend, and the paralyzed little boy drank paraquat." Professor Li cursed angrily.
“Where is the person?”
“Jiangwan Town, Yilan County.”
Fuck!
Luo Hao cursed in his heart.
Luo Hao only knew the approximate distance to that place, which was at least 200 kilometers away from the First Hospital of the Medical University.
Even if we use a medical helicopter, it will take at least two hours to go back and forth.
"Are you sure it's paraquat? How much did you drink?"
"One bottle, about 400ml."
Luo Hao's hands went numb.
He never expected that the system, which had not issued a task for a long time, would actually give him such an "awesome" task.
You must know that in order to prevent people from accidentally taking paraquat, an odorant was added to it. When you open the bottle, there will be a pungent stench.
Most people commit suicide by drinking pesticides, 10-20ml of paraquat at most, but Professor Li’s nephew drank 400ml in one go!
But Luo Hao also knew that this was just talk, and he might not actually be able to drink it all. But even so, this is a difficult patient.
But there is a benefit. Professor Li is not the kind of person who is short of money, so medical expenses should not be considered too much.
"Okay, I will contact the hospital immediately and ask for a helicopter to go to Jiangwan Town, Yilan County. Professor Li, please contact Jiangwan Town and find a location where the helicopter can land."
"What?!" Professor Li was stunned. .
"Helicopter, medical helicopter, keep the phone open and contact us at any time."
Luo Hao had no time to talk nonsense with Professor Li. After hanging up the phone, he called Dean Zhuang Yongqiangzhuang.
"Ronaldiner, you..."
Zhuang Yongqiang was still chatting, but Luo Hao interrupted him.
"Director Zhuang, there is a patient I know who drank 400ml of paraquat."
With one sentence, Zhuang Yongqiang on the other side of the phone was silenced.
"I applied for a medical helicopter to pick up patients in Jiangwan Town, Yilan County."
"Wait, Ronaldinho, you know that is paraquat. If it exceeds 5ml, you will definitely die." Zhuang Yong said forcefully.
"Dean Zhuang, that's the old almanac." Luo Hao said firmly, taking a look at the system tasks. Luo Hao was sure that the 14-day task time was correct.
"Old Huang Li?"
"Well, take the patient and I will contact the senior brother from Qilu Hospital to assist in the treatment. He has rescued at least a dozen similar patients and successfully treated them."
Zhuang Yongqiang on the other side of the phone was dumbfounded.
“If we can save him, our hospital will have a medical gap...”
"Don't talk nonsense. I'll call you a helicopter. Where are you?"
"I'm on the way and can't make it back." Luo Hao said calmly, "I contacted Chen Yong and called Zhuang Yan. Let’s go pick them up together, I’ll be here to prepare for the rescue.”
After finalizing the helicopter matter, Luo Hao contacted Chen Yong. Lao Liu is on duty today, and he is accompanying Lao Liu in the operating room.
It was a coincidence. Luo Hao took a look at the luck value, which may have something to do with it.
After contacting him, Luo Hao called Feng Zixuan.
Zhuang Yongqiang agreed. Other specific tasks were implemented by Feng Zixuan. The dean would definitely not do such a thing.
Feng Zixuan’s mobile phone is busy, he must be busy with the helicopter.
The First Hospital of the Medical University has a medical helicopter project, but with the consumption level of the Chinese people, who can afford it?
So in the past ten years, the number of helicopter takeoffs and landings in the First Hospital of Medical University has been very few.
Even Feng Zixuan probably doesn’t understand the process.
Luo Hao hung up the phone and concentrated on driving.
Soon, Feng Zixuan’s call came in.
"Ronald, the helicopter is ready to fly. I have contacted Jiangwan Town where the helicopter will be parked. Give me the phone number there and I will contact the patient's family. Drive well and don't be distracted."
Luo Hao felt a little warm in his heart.
We brought Feng Zixuan from home to rescue him over the weekend. Not only did he not feel "angry about getting out of bed", he was also concerned about his driving.
Luo Hao was rarely moved by others. He nodded, regardless of whether Feng Zixuan could see it or not, and then spoke a series of numbers.
Feng Zixuan did not express surprise. There is nothing surprising about Luo Hao being able to remember a phone number.
More than half an hour later, Luo Hao finally drove to the First Hospital of Medical University.
Feng Zixuan stood solemnly in front of the green channel of the emergency department with his hands behind his back, watching 307 approaching.
(End of this chapter)