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Chapter 119 Damage

Sun Lien has traveled between hospitals and medical schools many times over the years, especially after the internship, and has frequently traveled between the two places. However, it was the first time that he left the hospital in a police car and several police cars were walking together.

After explaining to all the police comrades, Sun Lien also got into the police car with him. The police car also pulled Zhan Jun and Lao Wu and drove all the way to the medical school.

Logically speaking, Sun Lien shouldn't have been involved. After all, he is just a doctor, and it's enough to ask his family to call the police after discovering the problem. But the trouble is that Sun Lien was excited for a moment and asked Lao Wu to call his colleagues from the criminal investigation, and now he became the caller. Therefore, Sun Lien was also taken to the Zhanjun barbecue by the police. From a medical perspective, Sun Lien really needs to get a sample of bacon for inspection. Although Zhan Hao's symptoms are most consistent with acute lead poisoning, it is still impossible to rule out that there are other toxic substances, so the bacon must be tested as soon as possible.

"What's the matter between the Zhan Army?" Zhao Baoan at the entrance of the medical school looked at the police car that was entering one after another, and said a few words to himself in surprise.

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It was very smooth to find the remaining bacon, but when Sun Lien tried to obtain a small part of the samples, he encountered a series of obstacles.

"This is evidence, Dr. Sun." Old Wu interrupted the argument between Sun Lien and the criminal investigation team members helplessly. "Doctor Sun, the evidence found by the police must not be divided into one piece for you to check for substances. We will do poison testing. If necessary, we will notify you as soon as possible when the examination results come out."

Sun Lien was still a little dissatisfied, "If you don't do poison testing immediately, you will clarify the source and type of toxic substances. How can we do targeted treatment? The poison testing in our hospitals and medical schools is also recognized by the judicial system. Can't it be enough to do it directly in medical schools?"

Of course, if Sun Lien's suggestion can be adopted, there will be no disputes and conflicts. The police system has the practice of the police system. Especially as violent agencies and law enforcement departments, the police system has a serious view on regulations and procedures, and there are strict procedures for providing evidence and preservation of evidence. In order to protect the integrity and credibility of evidence, and even to ensure the confidentiality and suddenness of criminal investigation operations, they cannot do poison testing according to Sun Lien's "taken for granted".

After several attempts, Sun Lien sighed and gave up his plan to convince the other party again. In fact, it can be seen that the police also seemed helpless. Everyone was trying to save people, but the methods were different.

"In addition to urine lead, add a bone puncture and trace element examination." Sun Lien called Xu Yourong on WeChat, "The police put away the bacon and did not allow us to do poison testing."

"The results of urine lead and blood lead have come out, which is confirmed to be acute lead poisoning." Xu Yourong answered an answer that Sun Lien did not expect, "Is it necessary to continue to do other tests?"

Sun Lien thought for a while and insisted on his opinion, "I still have to do it. If there is no way to get sample testing, we cannot determine the specific toxic substances. What I am worried about is that the other party's poisoning substances are impure or more than one - the symptoms of heavy metal poisoning are too similar. Out of caution, it is better to check it again."

"I understand." Xu Yourong's answer was very direct, "I'll let someone do it right away."

"Also, don't stop treating lead and liver protection, and continue to inject suspended red blood cells that are hemolytic." Sun Lien said anxiously, "Contact with the Municipal Occupational Disease Prevention and Control Institute. If necessary, please ask the experts in their institute to consult."

After Sun Lien called, the police officers of the criminal investigation team who had already looked down on him curiously asked, "Are you the attending doctor? Why do you look so young? How do you take care of your doctor?"

"It's all night long three times a week, and it's basically impossible to eat three meals regularly. Occasionally, you have to face medical troubles. The basic salary is 2,000 yuan a month, and it takes three hours to write about cases every day." Sun Lien summarized the content of his daily work.

"So miserable?" The detective was shocked, "I'm almost catching up with us! How old are you?"

"Twenty-five." Sun Lien showed a smile at the detective who was about to die suddenly, "I guess you must be older than me, so brother, please do a poison test as soon as possible after you go back."

"I'm only two years older than you." The detective who looked at least 38 years old also smiled as if he was about to die suddenly. "We will catch a forensic doctor when we go back. Don't worry, brother. If he doesn't get a result, I will pull him to stay up late with me."

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There is nothing to say about lead removal treatment, it is all standard procedures. 1 gram of disodium calcium yed acid is added to 250ml of 10% glucose intravenously intravenously. As a commonly used water-soluble chelating agent, disodium calcium yed acid can be chelated with multiple divalent and trivalent metals at the same time, and the best treatment for lead poisoning. It can also promote ejaculation and promote excretion on various heavy metals such as copper, zinc, iron, manganese, and cobalt.

As for the reason why the "symptomatic treatment" of the Second Hospital can work, the people in the treatment group finally understood the reason after discussion - reducing glutathione is also one of the first-line drugs for treating lead poisoning. Reduced glutathione can combine with lead hydrogen phosphate in the liver and excrete it out of the human body. During the first acute lead poisoning, due to the serious damage to Zhan Hao's liver function, the Second Hospital increased the dosage of reducing glutathione in the treatment. This was the case with no heavy metal chelating agents, and the lead content in Zhan Hao was barely controlled. However, the effect of this treatment was still quite limited. The blood lead level in Zhan Hao's body was still severely exceeded the standard, but it did not continue to show acute poisoning. This is why after eating bacon suspected to be poisoned for the second time, Zhan Hao's symptoms reappeared, and it appeared more fiercely than before. The already high blood lead level was increased again, which made the disease more serious.

"The chelating agent can minimize the subsequent damage to various organs in his body, but it has no practical significance for the nervous system that has already caused damage." Sun Lien's treatment team was in a meeting, and Xu Yourong was too lazy to preside over the meeting, so the speaker was replaced by Yuan Ping'an. "Although we have clarified the cause of Zhan Hao, the situation is still not optimistic. Nerve damage is irreversible, and we should be able to successfully save the patient's life, but for a young and middle-aged man, such a life is obviously not of a quality of life."

"You have read so many documents and you should know that in this case, we don't have many methods to use." Dr. Pascal yawned, "There seems that there are no other options left in the brain neurotrophic drugs and hyperbaric oxygen chamber."

"Even if it is cell transplantation treatment, we don't even know the specific location of his demyelination injury, and it is impossible to arrange an surgical plan. What's more, our hospital does not have corresponding experimental treatment arrangements." Xu Yourong added, and then shook his head with regret, "We are doctors, not gods."
Chapter completed!
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