Section 135
His entire lungs had begun to be affected and localized fibrosis had begun.
The main cause of death due to paraquat is pulmonary fibrosis, progressive dyspnea, and finally respiratory failure.
Pulmonary fibrosis is an irreversible pathological change.
Once the tissue begins to fibrosis, it proves that the person will not survive.
Especially paraquat poisoning.
At first, Zhang Yi thought about doing blood replacement if he could remove toxins earlier.
Maybe there could be a glimmer of life.
However, the toxicity spread too quickly.
By the time I got dialysis, it was already too late.
On the hospital bed, Hu Kai's breathing rate had gradually become faster.
Chen Fang immediately arranged for the patient to have an HRCT.
That is, a high-resolution CT scan of the chest.
HRCT is a necessary means to diagnose lung fibrosis.
There were relatively few patients in the evening, and the film came out in less than ten minutes.
Chen Fang looked at it and shook his head.
Then he gave the film to Zhang Yi to watch.
Zhang Yi also had a look of regret on his face.
Family members came to them and asked:
"Doctor, how is our Hu Kai's condition? Is there a high chance that he can be saved?"
Zhang Yi and Chen Fang looked at each other with the same meaning in their eyes.
Zhang Yi sighed slightly and said:
“It is indeed possible to regain a glimmer of hope by doing hemodialysis.
But now, we discovered that his lungs have begun to undergo fibrosis, which is irreversible.
We have removed as much toxins from his blood as possible.
But there is really nothing we can do about the toxins that have spread into the body and organs.
All we can say now is take it one step at a time.
But I hope you will be mentally prepared.
The lethal dose of paraquat is 5 ml, which means a small sip can basically kill you.
And Hu Kai drank a whole bottle!
Now...we have done everything we need to do.
I hope you won't be too sad in the end. "
Paraquat, what can we do?
Moreover, the patient was unwilling to cooperate with the rescue at first.
It's too late now.
Hemodialysis can only be said to have alleviated the spread of toxicity.
Why!
Zhang Yi thought, this should be the first fatal patient in his hands...
I heard Zhang Yi say this.
The family fell into silence for a while.
Finally, Hu Kai’s wife cried and asked again:
"Doctor...is there really nothing you can do? What about another hemodialysis? We still have money, so we can still do it."
“The lungs have already become fibrotic, and the results of another hemodialysis session will be the same.
Currently, there is no specific drug for paraquat.
Once its toxicity spreads to the whole body, it is basically irreversible and death is inevitable.
Many TV news reported that people could still survive after drinking paraquat, or they drank a very small amount and were rescued.
Either he drank fake paraquat, which is not that toxic.
But Hu Kai was different. He tried his best to buy the discontinued paraquat and drank a bottle.
Alas, there is really no other way. Now we can only use drugs to delay the progression of his disease, but the final result will not change. "
When Hu Kai's wife heard this, she immediately broke down and cried in the emergency room.
While crying, he walked to the bed and scolded Hu Kai.
All kinds of ugly words were shouted out.
Although Hu Kai felt extremely uncomfortable, his consciousness was still sober.
Looking at the devastated expression on his wife's face.
He opened his mouth and shouted softly:
"Doctor...doctor..."
When Zhang Yi heard this, he quickly walked to him and asked:
"What's wrong?"
"Doctor... can I still be saved? I... I don't want to die anymore..."
The doctors and nurses who heard this frowned with regret.
Do you regret it now?
It's too late!
"Why don't you want to die anymore?" Zhang Yi asked.
Hu Kai pointed to his wife and said:
"What will she do if I die... I still have the child... I... don't want to die, doctor, can you save me?"
Really impressed!
Only now do you remember that you still have a wife and children? !
Zhang Yi shook his head and took a deep breath.
How can he answer this?
If you can save it, save it!
Why! What a crime!
Suddenly, Zhang Yi thought of his own system.
While the system can only reward clinical knowledge and surgery...
But what if?
"System, are you there?"
[Sorry, this patient has entered the terminal stage of disease development and is no longer treatable. 】
Zhang Yi was stunned.
You already know what I’m going to say before I say it? !
But the system said so, and Hu Kai really had no choice but to wait for death.
"Sorry, the toxicity in your body is too strong, and there is nothing we can do at the moment. Please spend the remaining time talking to your family."
Zhang Yi answered truthfully.
I saw Hu Kai looking at Zhang Yi blankly.
There was a little light shining in the dry eyes.
I don't know if he wants to cry.
But what's the use of crying now.
You shouldn’t, absolutely shouldn’t, and you shouldn’t drink this pesticide...
…
7:30 in the morning.
As the morning shift was approaching, the old lady with heart failure in the emergency room suddenly got worse.
Unable to respond to calls, blood pressure drops, and carotid pulse disappears.
Zhang Yi, who had not slept a wink all night, immediately stood beside the bed and performed cardiopulmonary resuscitation on the old lady.