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Chapter 417 Blood

Health education and health preaching for patients is also an important part of doctors' work.

From this point of view, ancient people and modern people reached a consensus across thousands of years on preventing diseases - preventing diseases is far more important than treating diseases.

Modern medicine has more abundant means and technologies than the ancients in preventing diseases. However... such progress is mainly reflected in the concept of vaccines and hygiene for infectious diseases.

Due to the low productivity of society in ancient times, diseases caused by obesity and poor living habits are rare. On the contrary, due to the influence of malnutrition and various infectious diseases, people's average life expectancy is not long.

Before the advent of distillation technology, drinking was just a luxury of "waste food" and was controlled by the official uniforms. Its essence was not to maintain the health of residents, but to preserve precious food under low productivity.

With undistilled wine, "drinkers" may get incurable symptoms such as type 2 diabetes before they want to drink cirrhosis.

In the initial development of distillation technology, the need for fuel for distillation also restricted the widespread development of distilled liquor. It was not until my country gradually realized the complete autonomy of grain and the industry also developed greatly that alcoholic beverages began to appear more and more on the market.

Modern "drinking" and ancient "drinking" are completely two concepts. The applicable population and classes are different, and even the drinking is not necessarily the same thing. But China is a thousand-year-old country with a long history and glorious culture. The drinking habits of the former exclusive ruling class and wealthy class have been promoted again and again in their cultural works. As a result, "Since ancient times, all sages were lonely, and only those who drink were left with their names", "Song of wine, how much life is there?", "raising a glass to invite the bright moon, and becoming three people against the shadow", drinking has also brought a touch of cultural atmosphere.

Coupled with the so-called "maleness" brought by spirits and the publicity of "medical wine" that claims to have health care effects, drinking has become a thing that seems to be "worthy of encouragement" at the cultural and social levels.

What emerges with this concept of drinking is a large number of alcohol dependants, and the second leading cause of liver damage - the first leading cause of cirrhosis is various types of viral hepatitis.

Sun Lien's health lecture mainly revolves around these two routes - the damage to the human body by alcohol, and "You think you are very handsome when drinking, but actually look bad."

After waiting for the hotel staff to complete the secretary's work, it was almost time to prepare the familiar manuscripts - about an hour or two left, the lecture was about to begin. Sun Lien was playing the PPT back and forth in the conference room, and he also kept the key points in his notebook from time to time.

The door of the conference room was suddenly pushed open, and the manager rushed in with sweat on his face, "Dr. Sun, come here quickly."

Sun Lien's heart skipped a beat. Sure enough, he couldn't hide what was coming. He walked down from the podium quickly and walked towards the door, asking, "What's wrong?"

"A customer vomited blood." The manager's expression was a little anxious, "I vomited a lot..."

"Is it the middle-aged man named Lin?" Sun Lien suddenly had a suspicion in his mind, "Where is he? Take me there quickly!"

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Lin Yubin returned to his room since he was educated by his daughter in the morning. His daughter is not young now, and it is always not suitable to live in the same room with his father. So this time the two lived in two separate rooms.

For an old drunkard, returning to the room alone means a chance to drink happily. After sending his daughter away with the words "I want to go to the hot springs", Lin Yubin hid in the cat's eyes behind the door for a long time. Seeing his daughter gradually leaving, he felt relieved and boldly started calling the resort service department to ask for wine.

"There is no Moutai?" However, the demon is one foot taller. Lin Yubin's daughter had long guessed that her father had to play with this skill. She greeted the resort service department in advance - no wine over 20 degrees is allowed to be given to her father.

The customer's request is always the most important. The resort's service department perfectly fulfilled the customer's request. "Mr. Lin is sorry, now the goods cannot be delivered, and the liquor is gone."

"Ah?" For an old alcoholic, the most terrifying thing in the world is hearing that he has no inventory. Lin Yubin suddenly panicked, "No wine is gone?"

"Uh...this..." The staff of the service department had a headache now. Such a large resort was still providing self-service Moutai to customers in the morning, but now they said that there was no drop of wine... This is really unreasonable. It may even make this old alcoholic detect a problem.

As a resort with a good reputation, the staff of Ningyuan Resort certainly cannot sit idly by and see this situation that may embarrass guests.

"If you have beer... there is still some." The clerk thought about it and came up with a response plan that he should be useful. "Is this possible?"

"It's better than not." Unexpectedly, the drunkard refused. Even if it was beer, he didn't plan to refuse. "Get me two boxes first."

Ten minutes later, two boxes of 32 cans of beer were delivered to Lin Yubin's room. Several common dishes were also included, from packaged potato chips to salted edamame and other common dishes.

"Mr. Lin, drinking a lot of beer is not good for your health." When the waiter left, he specifically said to Lin Yubin, "You can eat more of these dishes." This content was actually what the manager told Sun Lien as a short story when he discussed the "Healthy Life Symposium" with Sun Lien.

In the "free and unrestrained" Western world, homeless people who are addicted to alcohol often find it difficult to afford the expenses of strong alcohol. When income is very limited, homeless people can think of almost anything in order to consume enough alcohol. From stealing medical alcohol to homemade spirits, the alcohol content is limited, but very low-priced beer has also become one of their main sources of alcohol.

At the Beer Festival held in some places, all beer is provided for free. This has become an important opportunity for homeless people to satisfy their alcohol addiction. However,... because they have no money, homeless people cannot afford the expensive variety of dishes at the Beer Festival.

After drinking a lot of beer, the kidneys in the human body will naturally start to work hard and excrete a large amount of water intake in a short period of time as soon as possible. The problem lies in this process - because there is no food, the homeless people lack sodium intake. After excreting several urine, their originally not very healthy electrolytes will start to have disorders, and hyponatremia will be "urinated" alive.

Hyposodium is a serious lesion that threatens human safety. In the face of this lesion, in order to preserve the remaining sodium, the kidneys will reduce the working intensity and may even temporarily stop working.

Although the decline in blood sodium has temporarily slowed down, the digestive tract is still operating continuously and absorbing water and alcohol from beer. Due to the poor osmotic gradient, the water in the human body will begin to transfer to places with high sodium. In the case of hyponatremia, the only internal environment that can be called high sodium is the central nervous system.

A large amount of water pours into the central nervous system, and cytotoxic cerebral edema will occur. If it develops further, serious conditions such as brain hernia will occur. This will be fatal.

At this time, patients often lose consciousness. If they are lucky enough, someone will send them to a medical institution - the next story is even more terrifying. Doctors will soon start diuresis to try to excrete excess water after encountering patients with cerebral edema, and diuresis will further aggravate hyponatremia.

Hyposodium blood can further aggravate brain edema. If doctors do not respond quickly enough, the patient will die soon. If they respond quickly enough, they will supplement the patient with sodium ions through hypertonic saline.

If the supplementation speed is not fast enough, the patient's brain edema will further aggravate and he will die soon. If the supplementation speed is a little too fast, the myelin of fragile central nervous system will disintegrate on its own. Depending on the range of demyelination, the patient may become a vegetative person, permanently paralyzed or lose some of his neurological functions.

No matter what it is, it must be of a certain degree.

"Okay, OK, I understand." Although the waiters received the "shocking education" provided by Sun Lien and were more vigilant about it. But when the old alcoholic was addicted to alcohol, how could he care about this? Lin Yubin waved his hand and drove away the waiter. After sitting on the sofa, he started drinking beer one can on the left and one can on the right. In just an hour, he completely drank a box of beer.

Fortunately, he liked the dishes brought by the waiters. Especially the sea salt-flavored potato chips, which were naturally paired with beer. So, in an hour, Lin Yubin ate three large bags of potato chips.

Although it is quite satisfying to eat and drink, the alcohol content of a box of beer is limited after all. Generally speaking, the alcohol content of beer is about 3.5% to 4%. The total amount of alcohol contained in 12 cans of 330ml beer is only 158 ml. It is probably equivalent to half a kilogram of Moutai.

Lin Yubin felt his stomach a little overwhelmed, so he stood up, intending to sway and then continue to solve the remaining box of beer. But he really overestimated his stomach and underestimated the power of the carbon dioxide contained in the beer. He felt that his throat was loose, and a large amount of stomach content mixed with potato chips sprayed out of his mouth.

After vomiting all over, Lin Yubin, who came to his senses, had not even recovered from his energy, and the second and third vomiting began. By the time he realized something was wrong, he had vomited blood three times.

Blood should be something flowing in the blood vessels. When they come out of their body in an abnormal way, they will feel panicked. Lin Yubin is very nervous now - he vomited a lot of blood and did not feel any pain at all.

Lin Yubin's daughter's door was knocked open by a panic knock. She opened the door and saw her father, whose chest was covered with blood and vomit. The pungent smell of alcohol mixed with the sour smell of stomach contents came to her nose.

The first second she saw her father, she thought her father had been attacked - her body was covered in blood, and she looked really scary.

"Call the doctor." Lin Yubin said only one sentence to his daughter, and then he started vomiting again. This time, almost all the vomiting was blood.

Seeing that the situation was not good, Lin Yubin's daughter immediately called the resort's front desk. The front desk immediately informed the news to Sun Lien, who was preparing in the conference room.

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"Let the waiter go to my room and bring that very large box over." When Sun Lien arrived at the scene, Lin Yubin was already half lying on the ground. His head was tilted, and from time to time he would spit out a mouthful of saliva mixed with blood. His daughter put his body under his father's upper body and tried to keep him in a relatively comfortable position. "How much blood has he vomited?" Sun Lien said to Lin Yubin's daughter in the second half.

"I don't know, he was covered in blood when he arrived at my door." Lin Yubin's daughter looked at Sun Lien in surprise. She asked the manager beside her, "Where is 120? Haven't you come yet?"

"The road up the mountain is still closed, and you can't get up at 120." Sun Lien said as he approached Lin Yubin. Then, when he was quick to check, he looked at Lin Yubin's status bar.

"Lin Yubin, male, 54 years old. Alcohol-dependent syndrome (226456.39.28), alcoholic fatty liver (75375.51.58), gastric varicose veins (14334.20.52), hemoglobin vomiting (00.08.12), heart rate increase (00.05.48)"

Compared with the morning, Lin Yubin has two more states: vomiting blood and blood pressure drop. This is easy to understand. After vomiting blood, the patient's blood volume decreases, which triggers a drop in blood pressure. In order to make up for the "efficiency decline" caused by the decrease in blood volume, the human heart rate will increase compensatoryly. In other words, Lin Yubin vomits absolutely a lot of blood, and the blood volume he lost through gastrointestinal bleeding is at least 800ml.

This level of blood loss is likely to be gastric bleeding. Sun Lien suddenly became nervous - in his impression, the huge medical box that Bruen brought to him... did not seem to have a three-chamber and two-cystic tube put in it.

After the manager on the side explained, Lin Yubin's daughter finally realized that the person in front of her should be the only person in the entire resort hotel who could save her father's life. She asked nervously, "Doctor, what's wrong with my dad?"

"It's hard to say." Sun Lien frowned and replied, "It's like a gastrointestinal bleeding, but it's hard to say where it is."

In general clinical experience, such a large amount of bleeding is likely to be gastric bleeding. And the status column also says that Lin Yubin himself has alcoholic fatty liver and varicose veins in the gastric fundus, and the probability of gastric bleeding is very high.

But there are two main reasons why Sun Lien hesitated and could not judge. First, the "stomach varicose veins" on the status bar did not directly turn into "stomach bleeding". Second, the blood stains on Lin Yubin's body - they seem to be very normal venous blood, and they do not have the common "caviar" characteristics after gastric acid digestion reaction.
Chapter completed!
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