Back in 2002 as a doctor

"When his friend arrived an hour later, he found that the door could not be opened, and the person was missing. Fortunately, he was more decisive and broke in in time. He found the young man lying on his side on the bed, unconscious, smelling of alcohol, short of breath, and with More vomit, no coffee-like substance, and the charcoal of the hot pot is still not extinguished."

"Shen Lang, what's the problem you're talking about." Zhou Congwen started to ask questions like Huang Lao's upper body.

Shen Lang hesitated and hesitated, all he could think of was carbon monoxide poisoning caused by insufficient charcoal burning.Moreover, Zhou Congwen deliberately or unintentionally leads his thinking to this road, which is very annoying.

"I don't know." Shen Lang simply said what he had to say.

"Hehe." Zhou Congwen smiled, "The main complaint is - confusion, nausea, vomiting accompanied by shortness of breath for 1 hour. What about this time?"

Shen Lang knew that Zhou Congwen was deliberately teasing him, so he simply gave up thinking about it and shook his head without hesitation.

"Professor Zhou, if it's pickled fish, could it be nitrite poisoning?" Xiao Kai asked after pondering, "What color is the blood drawn?"

"Shen Lang, look at it." Zhou Congwen said with a smile, "What does it mean that ginger is old and spicy?"

……

……

Note: A lot of words have been deleted in this chapter, and I always feel that writing too much is not good, but when I was eating, I heard people talk about the death of hypoglycemia caused by sulfur-based drugs, my eyes were also very bright, just like Shen Lang .

Just write it down briefly... my lords, please forgive me.

Chapter 1381 Who is Afan

"Nitrite poisoning? The color of blood? What color is that?" Shen Lang pondered.

"At that time, the patient was considering carbon monoxide poisoning, but his condition did not improve during the treatment. At this time, another doctor inadvertently checked the urine routine of the admission examination and found two plus signs for nitrite."

"What is that?" Shen Lang tried hard to recall the urine routine.

Urine routine is one of the four routine examinations for admission, but it is mainly to see if there are red and white blood cells and urine sugar, and to judge whether the patient has urinary tract infection, urinary stones, and diabetes.

No matter how many there are ketones, Shen Lang even forgot about urine routine and nitrite.

"A return of urine routine." Zhou Congwen said, "It was found that the concentration of nitrate in urine routine increased, and the concentration of methemoglobin was urgently checked. The return was 32%."

Shen Lang was a little confused, Xiao Kai frowned, "Professor Zhou, you should be able to tell when you draw blood."

"What do you mean, Dean Xiao?" Shen Lang asked.

"The arterial blood of patients with nitrite poisoning is typical chocolate brown, and does not change color when exposed to the air. Combined with the positive urine nitrite and methemoglobin concentration results, and referring to the characteristics of the large difference between SpO2 and SaO2, a diagnosis can be made. "

As expected of an old clinician, Xiao Kai speaks clearly and logically.

Zhou Congwen looked at Shen Lang with a smile, "How about it, you are still not convinced that you are gossiping, so write back this time."

After finishing speaking, he looked at Xiao Kai and smiled, "Indeed, the patient had nitrite poisoning. The doctor in the emergency department thought it was carbon monoxide poisoning, and almost misdiagnosed it. Fortunately, he did a urine test."

"What's the matter?" Shen Lang was still unconvinced.

In Shen Lang's view, nitrite poisoning has not been encountered once in 800 years.

"Let me tell you the main point of this matter." Zhou Congwen returned to the ward, took Shen Lang back to his office, opened the window and took out Bai Lingzhi.

"In the past, nitrite poisoning was more common, but not much now."

"why?"

"Because the appearance of nitrate is similar to that of table salt and white sugar, it is easy to be mistaken for table salt in the northern region, and sometimes mistaken for white sugar in the southern region. According to literature statistics, poisoning caused by eating nitrite by mistake occupies the first place in my country."

"Principal Xiao knows about this, probably because many children were mischievous many years ago and mistakenly ate nitrite as white sugar."

Xiao Kai nodded.

"This is the past, and now there are not many nitrites on the market, and the possibility of eating the wrong one is not high.

Now mostly used in food processing.

In food processing, nitrate is often used as a coloring agent for meat and fish, making pickled products red in color, but if it is added in excess and reduced to nitrite, it can cause poisoning. "

"Which boss gets confused and puts a handful of nitrite in the bacon, then fuck it."

"Collective poisoning!" Shen Lang's eyes were shining brightly, and his ears were pricked up.

"Yes." Zhou Congwen said, "Everyone thinks it's ordinary food poisoning. Now you stand up and shout that there is only one truth!"

Shen Lang's eyes were brighter, as if a stone was thrown into a small pond, causing ripples in circles.

Zhou Congwen could vaguely feel that Shen Lang had substituted himself into it, and this situation was indeed a big scene of pretentiousness.

“亚硝酸盐致死量约为3g。中毒潜伏期短，一般食后0.5~3.0小时就能起病，短的可在10~15分钟起病。

In addition, poisoning symptoms can appear after ingestion of 0.2~0.5g of nitrate. "

"Ordinary patients have blood discoloration, just like Dean Xiao said. If you encounter a critically ill patient, your whole body will turn blue."

"Blue?!" Shen Lang was surprised.

"Yes." Zhou Congwen nodded and said, "Nitrite is absorbed into the blood very quickly, which can oxidize Fe2+ in normal hemoglobin to Fe3+ that loses its oxygen-carrying capacity, forming methemoglobinemia and causing hypoxia in body tissues."

"The body turned blue, like Afan..." Zhou Congwen paused as he spoke.

He originally wanted to say Avatar, but now it is 2003, and Avatar should not have been released yet.Almost, he just slipped away.If Shen Lang had a good memory, how would he explain it when the movie really came out?

So annoying, Zhou Congwen was a little upset.

"Who is Afan? Your girlfriend? No, your girlfriend is the landlord's daughter named Liu Xiaobie. Is Afan your ex-girlfriend?" Shen Lang was keenly aware that something was wrong, and asked.

"roll!"

"Don't mind." Shen Lang said with a smile while smoking a cigarette.

Seeing Shen Lang deliberately making fun of him, Zhou Congwen turned his back on him.

He looked at Shen Lang very seriously, "As a clinician, it's not that you can't gossip, but you need to know what the gossip actually means."

Shen Lang was taken aback, he looked at Zhou Congwen, wondering how this guy was wrong and how he started Huang Lao's preaching mode.

But he knew what was interesting and knew that Zhou Congwen's preaching should not be interrupted willfully at this time.

Once this mode is turned on, both Mr. Huang and Zhou Congwen are terrifying.They are focused and serious, thinking that what they do is the most correct thing in the world.

It's a demon, it's really a demon, Shen Lang sighed deeply in his heart.

"For example, all kinds of gossip..."

Zhou Congwen was no worse than Huang Lao in rambling, especially in the face of the premise that Shen Lang might know his secret, he tried his best to muddy the water.

After talking for a full 20 minutes, Xiao Kai was completely confused.

Professor Zhou Congwenzhou is very good at talking about these words. It is estimated that if he wants to participate in the opening week meeting, he can go off the script and beep for an hour, so that everyone can't keep their eyelids open.

It's a pity not to be a dean with this quality, Xiao Kai thought to himself.

"Remember?" Zhou Congwen spoke dryly, and finally looked at Shen Lang and asked.

"Congwen, I understand." Shen Lang said with a serious expression, "By the way, I had my eyes opened in the emergency department a few days ago."

Xiao Kai listened to Shen Lang's hob meat, with a smile on his face.

"What's wrong?" Zhou Congwen asked.

"It's a rather wretched middle-aged man. He found the buddy in the surgical emergency department and said that the doctor has something with me."

"Oh? Insert what?"

"Garlic seedlings." Shen Lang's eyes were shining with stars, as if he didn't listen to a word of what Zhou Congwen said just now, he began to spread another gossip.

"I'll go!" Zhou Congwen laughed, "Pretending to be an elephant? Crayon Shin-chan? Suan sprouts are really rare."

"That's what I said at the time."

Shen Lang became interested, and he started gossiping with Zhou Congwen with a smile.As for what Zhou Congwen said before, he didn't seem to hear a word.

And Zhou Congwen didn't care what Shen Lang was talking about, as long as he didn't chase himself to ask who Afan was.

Seeing the two chatting happily, Xiao Kai felt a little strange in his heart.

Chapter 1382

While chatting, Zhou Congwen's cell phone rang.

"Boss Chunxiao, are you in the provincial capital?" Zhou Congwen asked with a smile after answering the phone.

"Doctor Xiao Zhou."

Boss Chunxiao on the other side of the phone was in a mess, it sounded like someone was fighting, and there was the sound of 120 ambulance in the distance.

"I've got a man here who's passed out again."

"Again?" Zhou Congwen grasped the word keenly.

"Well, wait a minute, I'll find a quiet place." Boss Chunxiao's side was full of noise, after a while.

After nearly a minute, the noise became quieter, and Boss Chun Xiao said, "Someone fainted again."

"How many times have you fainted?" Zhou Congwen asked.

"That's right, Doctor Xiao Zhou." Boss Chunxiao began to say, "This year there is a buddy, 50 years old, who is obsessed with buying sports lottery. More than three months ago, he won the lottery for the first time, and he passed out after a click. Fortunately, he was around Someone helped it, so it didn't break."

Zhou Congwen put the phone on the table, opened it, and took out a white ganoderma lucidum from his pocket.

Xiao Kai immediately opened the window, the speed was natural.

"I went to the hospital for an examination. It was said that there was nothing wrong. The other buddies who bought lottery tickets laughed at him and said he was ignorant. He passed out happily after winning only a few thousand dollars."

While Zhou Congwen was listening to Boss Chunxiao's words, a ball of flames appeared in his hand like magic.

"Later, he won another lottery, only a few tens of dollars, and this guy passed out again. But this time his luck was not so good, he fell directly on the corner of the table. I am also worried, Doctor Xiao Zhou, what do you think of him? If such a person falls to my death, it is one thing whether the family comes to make trouble, but the Feng Shui here is not good."

"Let me tell you, my Feng Shui of Chunxiao Sports Lottery is the only one in Jianghai City!"

As Boss Chunxiao spoke, the topic deviated, but Zhou Congwen didn't stop him.

"You won [-] million, and then other people won other prizes one after another. Now many people come to my place to buy lottery tickets, and the buddy I just mentioned is also here."

"Hahaha." Zhou Congwen said with a smile, "Boss Chunxiao, you are a wealthy man, and we all borrowed your light."

Xiao Kai was startled when he heard what Zhou Congwen said.

From what he said, it seemed that Professor Zhou Congwen Zhou was extraordinarily polite to this boss, Chunxiao, and had a good impression of him.

If I go to Jianghai City next time, I have a chance to have a good chat with this boss Chunxiao.

"Doctor Xiao Zhou, look at what you said, it made my old face blush." ​​Boss Chun Xiao was also very proud, and said politely, "I have talked to that buddy several times and advised him to buy it elsewhere. Guess what? How did he tell me? He said he will die here."

"Is your feng shui good? You have good fortune. People who buy lottery tickets believe in it." Zhou Congwen said.

"Yes!" There was a crisp sound from Boss Chunxiao's side, presumably he slapped his thigh, "That buddy said, he bought lottery tickets at another house for more than a year, and he didn't even win the smallest prize. When I came here, I won a grand prize of several thousand yuan within a week."

"I'm telling you, thousands of dollars is a big prize. Let me tell you, Dr. Zhou, you won't come. After you, tens of thousands, 10,000+ prizes have been given out more than ten times!"

"Boss Chunxiao is mighty." Zhou Congwen said with a smile.

"hey-hey."

Boss Chun Xiao's triumphant laughter came from the other side of the phone.

But he quickly said, "Doctor Xiao Zhou, that's what you said, but it's not working. That buddy didn't win the lottery today, and he passed out. I'm thinking about asking you what's going on with him."

"Others advised me to drive him away, or find someone to fix it. I... occasionally believe in this stuff, but after chatting with you for a long time, I think it's better to see a doctor first."

"Others can't do it, and you have to do it, Doctor Xiao Zhou. By the way, the guy I met last time who ground up compound licorice tablets and sold them as ancestral prescriptions has long since run away. My buddy's father is also healed, and never Have been sick."

Boss Chunxiao babbled.

"Which hospital did you go to see it? Did you only see it in the third hospital?" Zhou Congwen asked.

"It's near here." Boss Chunxiao said, "Every time I go to spend a lot of money to see a doctor, I still can't see Zi Chou Yinmao. The money earned from winning the lottery is spent on it. Tell me, what kind of thing is this?"

"Any other reports?"

"I'll ask." Boss Chunxiao said, "It's a mess, wait for me to quiet down here."

"No, you tell me his last name and name, I'll find someone to ask." Zhou Congwen took a puff of cigarette and looked at Shen Lang.

Shen Lang was already eager to try.

Zhou Congwen chatted with Boss Chunxiao again, then hung up the phone.

"Congwen, I met an old lady in the emergency department." Shen Lang immediately began to gossip, "She just played hygienic mahjong, hugged the treasure clip, or Bao Zhongbao, and immediately had a heart attack due to excitement, and passed out. If it weren't for the proximity to the second year of the Medical University, I'm afraid there would be no time for rescue."

"Hehe." Zhou Congwen looked at Shen Lang with a smile.