The treatment for autoimmune hemolytic anemia is prednisone, cyclophosphamide and other drugs.

Prednisone is a glucocorticoid.

Cyclophosphamide is an immunosuppressant.

After Wei Ding was diagnosed with lupus brain, Xu Qiu immediately gave glucocorticoid immunosuppressants. The treatment method was very similar to that of autoimmune hemolytic anemia... After using the treatment drug for autoimmune hemolysis, autoimmune hemolysis occurred instead?

No matter how you think about it, this is impossible to happen...

Therefore, this guess can also be directly overturned.

"Are you still taking over the shift?"

At this moment, a pleasant female voice sounded outside the conference room.

Everyone looked at the same time and saw Dr. Gu from the laboratory department standing at the door with a report in his hand.

"Dr. Xu, the results are out. We conducted qualitative testing as you requested, and sibutramine was indeed detected in the urine..."

She sent the list to Xu Qiu. The "Sibutramine", "Norsibutramine" and "Shuangnorsibutramine" on it were all positive, but the other poison indicators were not marked.

"Sibutramine?"

Director Shen and others looked at each other in confusion.

A few years ago, there was a period of time when weight loss pills became popular. The hospital frequently received patients with chest pain, chest tightness, and palpitation. When they checked the electrocardiogram, they could often find arrhythmia, ventricular fibrillation and other pathological manifestations. If they continued to check, some people had myocardial ischemia.

In more severe cases, myocardial infarction has occurred.

Moreover, it is not unique to a certain hospital or certain areas, but spreads across the country and is getting worse.

Later, when the country fell into disgrace, the National Health Commission also dispatched an expert team to investigate, and finally identified a drug - sibutramine.

The State Food and Drug Administration immediately included it in the list of prohibited production, sales and use. In the same year, it appeared in the "List of Substances Possibly Illegally Added to Health Foods (First Batch)" and was characterized as "poisonous and harmful."

Non-food raw materials”.

So far, this popular Internet-famous weight-loss drug has been completely banned because it increases the risk of serious cardiovascular disease and even leads to stroke and death.

"In this case, the patient's heart failure can be explained."

"However, the literature records that sibutramine only increases the risk of heart disease. It mainly affects cardiovascular disease, blood pressure, etc. What does it have to do with the patient's acute liver injury?"

"The hepatotoxicity of sibutramine is not clear, but we have experienced drug ban controversy before, and various sequelae must have been listed. If it is not mentioned, it means that it is similar to other drugs. Even if it is overdosed, it is unlikely to cause acute symptoms.

Liver damage…”

Doctors have put forward their own opinions.

The emergence of sibutramine gave them a new direction, but it still did not explain many doubts about Wei Ding.

On the contrary, it brought more confusion...

"Dr. Xu, I also brought samples sent for testing by the patient's family," Dr. Gu said.

She took out a dust-free bag from her white coat, which contained a green package of powdery substance.

"This is the green vegetable fiber enzyme he is selling... It is not written in the instructions, but after testing, the ingredient sibutramine was indeed found."

Xu Qiu nodded and breathed a sigh of relief.

The information checked last night was not in vain, the truth came out.

"However, there is another question, where does anemia come from?"

Xu Qiu didn't think of the reason.

An enlarged heart shadow is a symptom of chronic anemia, not the cause.

Similarly, even if sibutramine can lead to an increase in cardiovascular risk, Xu Qiu has clarified the causative process, but the answer to anemia has never been found.

The most common thing among ordinary people is malnutrition.

But Wei Ding is obese, and many doctors will subconsciously rule this out.

Xu Qiu analyzed it carefully.

The poor complexion can also be explained by his illness, but Wei Ding's hair is yellow and brittle, and his nails are dull and thin, which are intuitive manifestations of malnutrition.

But Xu Qiu has no evidence.

At this moment, Dr. Gu dug in his pocket again, "Dr. Xu, there is this."

Everyone was slightly stunned, are you a Doraemon? Can you take it all out at once?

Xu Qiu's eyes fell on the item in Dr. Gu's hand, which was a small bag of meal replacement oatmeal.

"this……"

Before Xu Qiu could ask, Dr. Gu explained: "When I went to get the sample, the patient told me that he sold a lot of things, including this green weight loss product, meal replacement products, and some shampoos and so on.

of."

After a pause, she looked suddenly serious and said, "They are basically three-no products."

Xu Qiu noticed the word meal replacement.

He asked keenly: "What does the patient usually eat?"

Dr. Gu looked at Wang Fan.

Xiao Wang was on duty last night, and Wang Fan was also in charge of this patient.

Wang Fan said repeatedly: "All his money was used to purchase goods, and the public space in the dormitory almost became his warehouse. He basically used the products he sold for food and clothing, and he usually took meal replacements plus the green-packaged enzymes.

"

When Xu Qiu heard this, she finally came to a conclusion: "Malnutrition."

At this point, all mysteries have been solved.

"What caused the patient's severe illness last night was not acute liver injury, anemia, heart failure, etc." Xu Qiu said loudly.

Everyone immediately pricked up their ears.

At the same time, I was filled with doubts.

Not really?

Apart from these most critical indicators, what else can make a patient fall into hell in a short period of time? ωωw..net

"Respiratory alkalosis." Xu Qiu said concisely and to the point.

Director Shen and others had expressions of astonishment on their faces, and Wang Ping, He Hai and others were equally surprised.

This disease is more common among girls. After a breakup, women cry loudly, leading to hyperventilation, which causes a large amount of carbon dioxide to be excreted from the body, thereby causing respiratory alkalosis. The symptoms are generally not too serious, and they are just shortness of breath and accelerated heart rate. Even if

If it's more serious, it's just dizziness and twitching.

Respiratory alkalosis can indeed be combined with metabolic acidosis, because the patient's heart and lungs have underlying diseases - however, for this common condition, just cover the lips with a mask and let the patient inhale his own exhaled gas to replenish carbon dioxide in the body.

How could a disease that was in remission induce such a terrifying severity?

"One more thing, how could the patient develop respiratory alkalosis for no reason..." Director Shen was puzzled.

The essence of respiratory alkalosis is hyperventilation, which results in the emission of large amounts of carbon dioxide.

There are many causes of hyperventilation.

For example, it may happen when you cry loudly and are out of breath after a breakup.

In addition, the most common ones are mental hyperventilation, as well as secondary increases in ventilation caused by hyperthyroidism or fever; hypoxic hypoxia, in order to compensate for hypoxia, the cost is hyperventilation, etc...

Generally speaking, diseases of the central system, such as meningitis, encephalitis, etc., may also stimulate the respiratory center and excite breathing. Theoretically, this possibility also exists in lupus brain, but there is a prerequisite for everyone -
Chapter completed!