The person that die already, but the lesson that he leaves us is worth while however record and narrate, should let more person know.
Sit when this article is written down before desk when me, this tragic hero is a male youth of 27 years old, just leave the world because of much viscera exhaustion, from be admitted to hospital to die only 7 days, hospital of two 3 armour, tens of renown cure protect personnel, employed the most advanced rescue measure and device, but the life that still fails to rescue him. The person that die already, but the lesson that he leaves us is worth while however record and narrate, should let more person know.
Xiaoliu is 27 years old, the graduate student that learns economic management, because " high fever 7 days, accompany diarrhoea 5 days " in mom accompany come down to breathe family outpatient service. Because hematic convention reports indication bead cell and plaque decrease, outpatient service doctor suggests Xiaoliu stands to be in hospital is checked further and be treated namely. But small Liu Benren and mom think: " not be a cold, it is not OK that outpatient service hangs water? As to want be in hospital? " outpatient service doctor is helpless, let Xiaoliu and mom find me as ranking doctor, ask me to persuade mother and daughter.
The first impression that Xiaoliu gives me is " Huang Ran of skin of exceeding and lofty, fat, whole body, acute is pyretic look, breath is hurried " , see sheet of hematic convention report go up again low cannot again small white blood cell and plaque, I realise this is not common cold absolutely clearly, and the because plaque decreases,brings about possibly internal haemorrhage when small Liu Sui endangers life. My dignified and the mom that serious tone and countenance let Xiaoliu also realizes " likelihood the weighing that the illness imagines than them really " , agree with be in hospital then. While mom of arrangement small Liu deals with formalities of be in hospital, I am taking junior doctor and nurse to arrange Xiaoliu to suck passageway of custody of report of oxygen, heart, enlightened deep vein instantly...
Xiaoliu's circumstance is far what expect than me is serious: The therometer shows 41 degrees, tutelar appearance shows small Liu Yi breathes exhaustion via appearing, high flow sucks oxygen to also cannot alleviate of Xiaoliu anoxic with breathing difficulty; Xiaoliu's heartbeat is splitting, and appear ceaselessly room sex early wrestle, clew cardiac muscle has been damaged; The blood pressure that drops ceaselessly shows occurrence shock of classics of small Liu Yi... it is dangerous that old practise medicine experience lets me realize Xiaoliu has life at any time, I am helpless talk with small Liu mom again, tell her Xiaoliu's current critical condition with the concise, vocabulary that can understand as far as possible, request her to agree with us to arrange Xiaoliu to enter serious illness to guard ward to accept deepness to guard cure instantly, at the same time the proposal informs Xiaoliu father and adviser come to a hospital instantly.
At this moment, small Liu Benren and mom still think I am exaggerated illness: Can the cold have so serious? But the farther judgement that examines a result to confirm me is right.
Blood checks clew, the muscle of small Liu whole body is dissolving, kidney function fails, liver function fails, obstacle of serious cruor function; Bedside is supersonic the fatty liver that the examination discovers to small Liu Youji is spent again, supersonic doctor asks small Liuyou is multiple, xiaoliu says " 250 jins, I have fatty liver early, every time check-up says liver function is bad, I should not return a responsibility " .
Human body is gross 8 viscera system, xiaoliu has had 5 systems function to fail at present! Small Liu mother agrees Xiaoliu to enter serious illness to guard ward rescue eventually. Very agile ground gives the nurse of ward of the custody that weigh disease Xiaoliu insert all over full all sorts of conduit that maintain life, blood is dialytic build very quickly also, glacial blanket drops in temperature, factor of a large number of plasma, cruor, plaque is entered by rapid fill in Xiaoliu's blood-vessel, I am defended in small Liu bedside, all sorts of life index that staring at tutelar appearance to go up to change at any time, the shock that expects Xiaoliu can be corrected as soon as possible, blood pressure can live firmly.
After 4 hours, blood pressure stopped eventually, I also have time to understand the illness of small Liu to pass in detail eventually. Xiaoliu's school work is very outstanding, have a place besides fat, fatty liver, liver function unusual outside, do not fall ill basically, smoking is very much, but do not drink. Before falling ill allegedly because drive a task special hardship, often stay up late. Original symptom is really " cold, calorific " , castration inn bought him Xiaoliu a lot of kinds of patulin, ate to be used without giving thought to, calorific still, come after diarrhoea, insisted a few days to be not boiled really come to a hospital see a doctor.
Because of function of so fulminic much viscera exhaustion cannot be used " cold " will explain, I fear small Liu Cuo ate what medicaments to bring about toxic sex very much muscle dissolves and much viscera function fails, the patulin that lets small Liu mom eat Xiaoliu then brings me to look. All sorts of common cold medicines that Xiaoliu bought drugstore to be able to be bought, ask him Xiaoliu again, he says: " because a kind of patulin is antifebrile the effect is not apparent, and because him weight is great, bought a few kinds more, double dose ate many " . After understanding a situation, my heart sinks, xiaoliu perhaps is " amino to acetyl phenolic excessive " flesh of the noxiousness in bringing about dissolves and liver kidney failure.
Amino to acetyl phenol also calls paracetamol, it is at present clinical and commonly used solution heats up demulcent medicine. Because its can alleviate effectively,ache and antifebrile, excitant to gastric bowel path small, be applied extensively at the auxiliary cure of the cold, it is the most commonly used composition in treating patulin matter, of about 80 ％ fight patulin to contain amino to acetyl phenol.
In recent years, the story that involves amino to acetyl phenolic undesirable reaction is increasing, cause the wide attention of people. If exceed a quantity to take the patulin that contains amino to acetyl phenol, existence liver is damaged, the risk that fails even. American food and medicaments management board (FDA) ever issued announcement 2014, limitative doctor is right the clinical application that contains patulin of amino to acetyl phenolic composition. FDA thinks excessive takes amino to acetyl phenol to will bring about serious liver to damage likely, cause liver function exhaustion and even death even. Be in Euramerican area, amino to acetyl phenol is first selection medicaments of the suicide.
The liver of amino to acetyl phenol is damaged happen, take dosage to concern with the patient. The adult takes amino to acetyl phenolic 10~15g (150~250mg/kg) hind can cause liver virulence; 20~25g or higher dose may be deadly. Amino to acetyl phenolic virulent poisoning is original symptom of two days can not react toxic seriousness, disgusting, vomiting, Wei is fed reach abdominal ache to happen in 24 original hours, can last a few Zhou Huo is longer, what liver injures is clinical point to day of the 2~4 after asking for the toxic in be being taken more to measure to become apparent. Serous and amino move is enzymatic elevatory (what lift sometimes is very apparent) , the chroma of serous bilirubin also can lift; Additional, cruor zymogen time is lengthened. In the toxic patient without special treatment, 10% the likelihood develops to be damaged for serious liver; In this part patient about 10%~20% fails finally at liver to death. Appear possibly also on certain patient body acute kidney failure. Xiaoliu's tragedy originates allay a fever is impatient, all sorts of patulin lump chaos eat, additionally he becomes aware pass from personal weight is big, exceed a stupid person 10 jins, took times doubler amount. Have fatty liver plus itself, liver function is weak at the ordinary person, bring about acute finally then fulminic liver injury.
Xiaoliu is here rescue after 48 hours, turn examine weighs disease top classly to guard a group to continue to home cure, detect through haemal cause of disease diagnose small Liu is pure herpes virus to affect.
Had lost a function in view of liver, return shock of amalgamative infection sex, xiaoliu needs products of compensatory and much blood, I suggest Xiaoliu's classmate and adviser arouse entire school teachers and students donates blood to Xiaoliu. Cure charge of Xiaoliu is as high as more than yuan 50 thousand everyday, small Liu Fu's mother is assumed feebly, I sent the photograph of small Liu cure and video, ask Xiaoliu's classmate to start raise the wind on the net. The liver that the cure that takes over job of small Liu cure protects personnel to be him to fail inside 4 days even was found for liver. But the effort of final everybody or the life that can not save Xiaoliu.
This thing rings alarm bell noisy to us, even if is to look be like prevailing patulin, imply the risk that expect is less than possibly also.
To ordinary common people, small cold also should go to normal hospital see a doctor, do not disrelish a trouble to take medicine in disorder with respect to oneself, when seeing a doctor, want to be communicated with the doctor more, make clear Hunan uses medical dosage, time and method, tell him doctor the medicaments that has taken, lest medicaments is jumbly,use generation poisonous side effect.
So, common how should we take patulin correctly?
Generally speaking, the adult absorbs amino to acetyl phenol to should not exceed 500 milligram, with medicine twice time interval shoulds not be under 6 hours, daily absorb maximum to should not exceed 2000 milligram, period of treatment should not exceed 3 days. Children is pressed every time, milligram of 10~15 of every kilograms of weight, or the surface that press body is accumulated everyday square metre of 1.5 grams ／ , cent second take, every 4~6 hour 1; 12 years old of the following children do not exceed an amount 24 hours every 4 times, period of treatment does not exceed 5 days. Also the report thinks, amino to acetyl phenol is in new student excrete inside body slow, noxiousness increases relatively, 3 years old of the following children should avoid to use. When the patient takes medicaments, can contrast the content that medicaments manual examines among them amino to acetyl phenol, when a few kinds of medicaments are taken at the same time, the summation of amino to acetyl phenol ought to be less than 500 milligram, have stone of liver cirrhosis, fatty liver, hepatitis, bile duct and cystic stone and hidebound patient in addition ought to careful with amino to acetyl phenol kind medicaments.
The common remedy that contains amino to acetyl phenol is listed below, consult for everybody:
Ke Ganmin (150 milligram / piece)
Peaceful Nuo (325 milligram / piece)
Tai Nuolin (650 milligram / piece)
Medicinal powder benefit is painful (250 milligram / piece)
Need manage is connected (500 milligram / piece)
Fast gram (250 milligram / piece)
Feeling connect piece (125 milligram / piece)
Dimension C Yin Qiao piece (105 milligram / piece)
999 colds clever grain (200 milligram / bag)
Day and night 100 take to instruct (day a 500 milligram / piece, night piece 500 milligram / piece)
Bai Jia is black (day a 325 milligram / piece, night piece 325 milligram / piece)
Of course, the most important still is to go to a hospital to consult a doctor personally! Comply with doctor's advice takes medicaments!
