Chapter 474

"Which weeds faster?"

"Yes, Director Xiao, this is the kind of pesticide he uses at home!"

As Qi Tiancheng nodded in confirmation, Xiao Chenguang's heart sank.

No wonder Qi Tiancheng is so anxious.

There are actually many types of pesticide poisoning.

Among them, organophosphorus poisoning caused by insecticides such as dichlorvos is the most common.

Usually within a few hours, liver and kidney function will be severely damaged, leading to heart failure. If not treated in time, death will soon occur.

Generally, organophosphorus poisoning, as long as it is discovered in time, emergency gastric lavage, enema, fluid rehydration, diuresis, and blood purification treatment will have obvious effects.

The key to treatment is atropinization.

This is a valuable experience summed up by predecessors.

But now...

"Qi Tiancheng, are you sure they used weed killer? Have you brought the medicine bottles at home?"

Xiao Chenguang walked quickly towards the rescue room, during which he once again confirmed the pesticide ingredients with Qi Tiancheng.

"The child's grandmother has already gone home to get the pesticide bottle, but judging from the child's current condition, it is indeed a matter of quick weeding."

Qi Tiancheng has seen too many such tragedies all the way from the countryside.

The kind used in rural areas is quick to kill weeds and its ingredients are Baicao. It has efficient weeding ability and even caused a stir in the entire agricultural world when it was developed.

Originally, scientific researchers could win the agricultural science and technology award at the time with this invention. Who knew that behind the efficient weeding ability, there was a poison that had a highly toxic effect on livestock.

At this time, the two of them had quickly walked into the emergency room.

As soon as I walked in, there was a pungent ammonia smell.

Just like the smell of a public toilet that hasn't been cleaned for a long time, it makes people feel uncomfortable.

"It certainly doesn't smell like organophosphate poisoning."

Xiao Chenguang knew that Baicao was colorless and odorless. Later, the manufacturer was afraid that humans and animals might accidentally ingest it, so they deliberately added odorants, warning colors and emetics.

But this still cannot stop people who want to be poisoned by pesticides.

As a result, decades later, production was banned, and poisonings gradually became less common.

"Grandpa, it's uncomfortable, it's so uncomfortable!"

The boy lying on the rescue bed was thin and small. If Qi Tiancheng hadn't stated his age in advance, in Xiao Chenguang's opinion, he would have been just ten years old.

This is a form of developmental delay caused by chronic malnutrition.

"My child, it's grandpa's fault. Grandpa is useless. He doesn't look down on you and makes you suffer."

Standing beside the child's bed was an old man with a haggard face and an equally skinny appearance.

Qi Tiancheng said that this was the child's grandfather, who had just turned 60, but in the eyes of others, some would believe him if he said he was an old man.

"Grandpa, it's not your fault, it's all my fault. I just want to help you more at home after school so that you and grandma won't be so tired."

The child, who was originally feeling uncomfortable, immediately began to comfort him in a sensible way after seeing his grandfather's self-blaming look.

It is said that children from poor families become masters early.

This scene made everyone present feel sore.

There was silence.

Only the monitor beeped.

The blood oxygen saturation on the screen is a measly 82%

The heart rate was 120 beats/min, and the systolic blood pressure reached 155mmHg due to hypoxia.

The child's condition is worse than imagined.

"Tiancheng, have you done a urine test?"

Although children can currently diagnose Baicao with a high probability. Dry poisoning, but further diagnosis is needed.

Like organophosphorus pesticide poisoning, blood can be drawn to check the cholinesterase status.

But like this kind of grass in front of me. The diagnosis of dry poisoning can be confirmed if half of the indicator strip in the urine test turns blue.

And the darker the color, the more toxic it is.

"We have already rushed the laboratory department to do it."

Qi Tian immediately replied.

At this time, there was a sudden rush of footsteps in the corridor.

"Doctor Qi, the child's urine test is positive, the semi-quantitative test result of paraquat is + + +, the concentration is about 30-100 μg/mL!"

The staff of the laboratory department gasped and rushed all the way to the emergency room.

She held the laboratory indicators, which had the results of the child's examination.

When the blue color, which is as deep as the bone marrow, comes into view, the symbol above is like a carving knife, piercing everyone's heart.

"Director Xiao, what should I do?"

Qi Tiancheng was facing the test results at this moment, and he was already aware of the outcome of his child.

This kind of pesticide, which gives people time to regret but does not give people a chance to live, is the king of pesticides in the eyes of emergency doctors.

There is no magic medicine.

With just one capful, about 5-10ml, there is more than 60% chance of death.

If you drink more than one sip, that is, more than 30ml, the probability will soar to 90%!

But the child in front of me used a whole bottle.

"Tiancheng, don't panic. The child just spilled it on his body. If it is covered by clothes, even if it gets on the skin, as long as the skin is not damaged, the absorption rate is far less than that of the digestive tract."

Xiao Chenguang's words were like a sea-calming needle, soothing Qi Tiancheng's restless heart.

And as Xiao Chenguang said, human skin has the function of resisting external invasion.

For the child in front of me, this is a blessing among misfortunes.

"Take off the child's clothes and continue cleaning and disinfecting the skin. Qi Tiancheng, I leave this task to you."

"clear!"

"Give him 500 mg of methylprednisolone, a large-dose hormone shock, to relieve lung symptoms."

"yes!"

"400mg of reduced glutathione to counteract the peroxidation damage of paraquat."

"Okay."

As Xiao Chenguang issued his medical orders one by one, everyone in the emergency room moved instantly.

His appearance was like a backbone, giving everyone hope for the child's survival.

Qi Tiancheng pulled over an operating table filled with saline, gauze and other items.

He began to clean and change the child's burned skin over and over again.

After getting Xiao Chenguang's prescription, the nurse on duty in the emergency department immediately ran to the pharmacy, took the necessary medicines back to the emergency room, and began to add medicine and infuse.

"By the way, don't give him oxygen first to prevent worsening pulmonary fibrosis."

"Give him another subcutaneous injection of low molecular weight heparin to prevent the formation of micro-thrombi in the lungs and prevent pulmonary embolism."

"Another urgent arterial blood gas check to see the oxygenation index."

Xiao Chenguang's medical orders continued.

For paraquat, a disease that has no cure, perhaps people living in this era can only bow their heads and accept their fate.

But Xiao Chenguang, who came from the future, was able to stand on the shoulders of giants in decades of medical development and fight against this type of disease!

Then, the drawn arterial blood was urgently sent to the laboratory for testing.

One minute later, the results of the arterial blood gas analysis were sent over.

After seeing the oxygen partial pressure index above, everyone felt a greater pressure sweeping towards them.