"Didn't take any medicine?" Xu Qiu confirmed again.

The man was about to nod, but suddenly he thought that his wife was still having diarrhea, so he immediately said, "Is it a medicine to cure stomachache?"

"What."

"It seems to be called oleracycin."

Xu Qiu paused.

Otachomycin is an old-fashioned antibiotic that was once popular in rural areas and was a magical drug for treating diarrhea in the eyes of the older generation.

But now, because of the many side effects of drugs and most of them have already developed drug resistance, it has long been no longer a routine choice for human medication, but has shined in the field of veterinary use, such as treating enteritis, gill rot disease, vertical scale disease, etc. in fish.

However, oleracycin has a strong effect on diarrhea caused by intestinal infection or dysentery, and is still used by old doctors in some village and town clinics.

"Although oleracillin can cause side effects, it is concentrated in gastrointestinal reactions, liver and kidney damage, etc., which is inconsistent with Jiang Qiang's performance." Xu Qiu ruled out oleracillin.

After asking a few more questions, he did not get a valuable medical history. Then Xu Qiu returned to the emergency room.

At this time, tracheal intubation has been completed here.

The mask does not work, but tracheal intubation can work?

However, to everyone's expectations, Jiang Qiang's oxygen saturation remained at an extremely low level.

Xu Qiu's face changed.

"Needle."

A brief instruction was issued, and the nurse immediately prepared the equipment and completed disinfection of the injection area.

Xu Qiu quickly took a needle, and the strength in his hand slowly increased. After a while, the dark brown blood slowly filled the needle.

"this……"

"How could it be this color!"

The doctors present were stunned.

It's not just blood, it's more like melted chocolate paste.

The moment he saw the chocolate-colored blood, a disease appeared in Xu Qiu's mind.

Metallurglobinemia.

It also has a certain name, called Blue Infant Disease.

As the disease is named, people suffering from the disease often have too much orthohemoglobin in their blood. The deep pathogenic mechanism is that the body cannot produce enough orthohemoglobin reducing enzymes and cannot reduce orthohemoglobin to hemoglobin.

Hemoglobin, which has oxygen-carrying function in the human body, is reduced by errohemoglobin. If it is stuck at this step, the blood will naturally lose its ability to carry oxygen, which will lead to hypoxia and turn blue...

The most classic manifestations are difficulty breathing, blue skin, and cyanosis of the mucosa.

Jiang Qiang's condition is exactly in line with the manifestations of methorhemoglobinosis.

"Prepare methylene blue." Xu Qiu immediately ordered.

The most effective rescue method to deal with methorhemoglobinosis is oxygen inhalation.

Secondly, it is a large amount of infusion to dilute the concentration of toxins in the body. The drugs used are vitamin C and methylene blue. They are both reducing agents that can reduce the positive trivalent methorhemoglobin to divalent ferrous ferrous, restore the oxygen carrying capacity, and significantly improve the symptoms of hypoxia.

Soon, 100mg of methylene blue was injected into Jiang Qiang's body through intravenous injection.

Everyone is waiting.

Didi-

Didi-

Suddenly, the monitor marked the blood oxygen number that began to rise, and it remained above 60 in just a few minutes. As methylene blue takes effect, the patient's blood oxygen is still rising to the normal range.

"Huh~"

Everyone's mood suddenly relaxed.

Rescued!

Many people wiped the sweat from their foreheads. In order to save the patient, most of them rushed all the way, sent to the rescue room and carried out treatment non-stop. Now they can finally take a breath.

This is the charm of the emergency department.

A life can easily pass through in your hands.

But at the same time, you will also get a chance to prolong your life because of correct rescue drugs and reasonable treatment measures.

Competing with Death is a true portrayal of the emergency department doctor.

...

The other doctors left with a relaxed look on their faces and returned to their posts.

Xu Qiu kept his family.

Although the patient was saved, he could be diagnosed with methorhemoglobinemia, but there were many points that Xu Qiu couldn't understand.

For example, how could Jiang Qiang suddenly suffer from blue infant disease? It was a life-threatening degree!

There are many clinical reasons, such as genetics, allergic reactions, foods containing excessive nitrite, or toluene pigments.

"Does her family have similar situations?" Xu Qiu asked.

Jiang Qiang's husband immediately shook his head and denied it: "Only her mother has a little high blood pressure, everyone else is healthy. By the way, her aunt's uncle died of liver cancer. Is this count?"

Xu Qiu shook his head.

Family history is only considered to be a direct relative, and liver cancer has nothing to do with Jiang Qiang's disease, so it is not related to it.

After asking a few more questions, the possibility of hereditary methhemoglobinemia is ruled out, so it can only be induced by acquired factors.

The easiest thing to come into contact with in the family is nitrite foods, such as kimchi, pickled products, etc.

However, after asking, I learned that Jiang Qiang's family did not have the habit of pickling kimchi and they almost never eat these things.

The second is to store mothballs that are easy to come into contact with in clothing.

In the past, mothballs were prepared from naphthalene. This substance is not only a Class 2b carcinogen, but also long-term contact can induce methhemoglobinemia...

Although it has been disabled, it can still be purchased in some places.

"We live without a wardrobe. We put clothes in a box and we have never used mothballs." Jiang Qiang's husband denied this speculation again.

In this way... Xu Qiu fell into deep thought again.

The common contact with women may also be nail wash.

But Xu Qiu did not see any signs of using nail polish on Jiang Qiang.

Out of rigor, Xu Qiu still asked routinely, but unexpectedly got a negative answer.

In fact, in addition to the above, there is another common substance, aniline, which is one of the chemicals that cause occupational diseases. It has long been infamous, but the patient is a female worker in an electronics factory and cannot touch these.

"Have you worked in other industries before?" Xu Qiu asked as usual.

The printing and dyeing industry, or those linked to rubber, plastic, paint, perfume or drug synthesis, may have close contact with aniline.

Jiang Qiang's husband shook his head: "We were assigned to an internship in the electronics factory when we were in my senior year. Later, we have been staying in this factory and have never done anything else."

"I see."

Seeing that no more information was collected, Xu Qiu could only return to the office.

The next day, Jiang Mai, who was in charge of handing over the shift, focused on Jiang Qiang.

"This morning, the patient's arterial blood has become rosy, and the patient has awakened and his consciousness is very good." Jiang Mai reported.
Chapter completed!