After watching the video, Zhao Sheng quickly clicked on the comment area.
After taking a closer look, Zhao Sheng realized that this young man was a host in a fitness area, and he usually didn't have much energy during live broadcasts.
Some time ago, a brand of fitness powder suddenly emerged in the fitness circle, which is a kind of fitness impact, and the merchants vigorously promoted that this kind of fitness powder, if eaten dry, can bypass water, which is more conducive to the body's absorption, resulting in Better fitness and muscle building effects.
Although the package of this kind of fitness powder states "no more than two spoons per day", in order to look good during the live broadcast, and to attract people's attention and attract attention, the young man directly chose. During the live broadcast, as long as someone buys a gift, he will Began to eat.
As a result, there was such a big brother on the list. He had a lot of money and had no benefits. He just bought eight super rockets in a row. This guy just ate eight spoons in a row.
“There’s definitely something wrong with this fitness powder.”
Li Mujia stood next to Zhao Sheng and said while watching.
"Um."
Zhao Sheng nodded, agreeing with Li Mujia's view, and then clicked on the fitness powder product link at the top of the comment area and found the ingredient description of this fitness powder.
After reading it, Zhao Sheng realized that this kind of fitness powder contained caffeine, creatine and many other unknown ingredients.
Especially caffeine. Zhao Sheng calculated based on the ingredient list that the boy’s spoonful of fitness powder contains 200 mg of caffeine. This content is about twice the amount of coffee he usually drinks. The human body recommends daily caffeine intake. The upper limit is 400mg.
In other words, this guy drank 16 cups of coffee at one time, which was four times the normal upper limit.
We all know that caffeine is actually a methylated xanthine derivative. Excessive intake will greatly affect vascular hemodynamics and the electrophysiological properties of the heart.
Caffeine can promote the release of norepinephrine from sympathetic nerve endings, and the increase in sympathetic nerve activity and circulating catecholamine concentration will increase the contraction of arterioles and cause an increase in blood pressure.
But then again, caffeine intake alone is certainly not enough to raise blood pressure to an unmonitorable level. Otherwise, there would be countless papers on how drinking coffee can cause hypertension.
Thinking of this, Zhao Sheng studied the ingredient list very carefully, and then, Zhao Sheng suddenly discovered that this fitness powder contained β-phenylethylamine.
Beta-phenylethylamine?
As soon as Zhao Sheng saw this term, he thought of a compound that is closely related to this chemical compound and is more well-known to the public, which is the famous methamphetamine, also commonly known as ice D. In jargon, it is also called rock sugar and Dali Pill. , ice, pork, rattles, toothpicks, diamonds, ivory sticks, etc.
Every emergency doctor knows that taking an overdose of methamphetamine can cause psychosis, rhabdomyolysis, systemic epilepsy and intracranial hemorrhage caused by central nervous system stimulation. More importantly, it can cause dopamine activation and secrete a large amount of dopamine.
If these substances exist in the body for a long time, they will continuously stimulate the central nervous system, increase cardiac contractility, excitability, accelerate conduction, increase cardiac output, accelerate heart rate, and at the same time strengthen the contraction of blood vessels and increase blood pressure.
Case solved!
Seeing this, Zhao Sheng finally understood the cause of the young man's extremely elevated blood pressure.
At this moment, nurse Yu Ning trotted in with the results of the emergency head CT.
"Teacher Zhao, the results are out!"
Little nurse Yu Ning said to Zhao Sheng.
"good."
Zhao Sheng nodded, took the inspection report from the young nurse Yu Ning, and read it.
Zhao Sheng was shocked when he saw this. The emergency head CT showed that there was very obvious large-scale cerebral hemorrhage and cerebral edema in the young man's skull. The normal brain tissue was already severely compressed.
This is cerebral hemorrhage, cerebral edema and cerebral herniation caused by extreme hypertension. Zhao Sheng immediately made a judgment.
At this time, Li Mujia naturally saw this result.
"Doctor, how's it going?"
When the eldest sister saw Zhao Sheng's solemn expression, her heart suddenly skipped a beat and she asked anxiously.
"The patient has severe cerebral hemorrhage and must be operated on immediately, otherwise his life will be in danger."
Zhao Sheng said to the eldest sister directly.
"Huh?! Cerebral hemorrhage?!"
Hearing Zhao Sheng's words, the eldest sister's vision went dark and she almost collapsed to the ground. However, Song Wei, who was standing next to her, had quick eyesight and quick hands to support her.
The eldest sister is no stranger to cerebral hemorrhage, because her uncle died of cerebral hemorrhage last year.
"Doctor, you must save my son, he is only twenty-five years old!"
The eldest sister implored Zhao Sheng with an excited expression.
"We will do our best. The current situation requires immediate surgery, otherwise the patient's life will be in danger."
Zhao Sheng nodded, and then said very seriously.
When the eldest sister heard this, she remembered that last year, her eighty-year-old uncle had a cerebral hemorrhage, and the doctor said the same thing at the time.
"With the patient's current condition, there is no possibility of conservative treatment. Such a severe cerebral hemorrhage cannot be absorbed by itself. Without surgery, he will be waiting to die."
Zhao Sheng added.
Seeing the eldest sister's expression, the experienced Zhao Sheng naturally understood the eldest sister's concerns.
It is always an intracranial surgery, and many people worry that they will not be able to get off the operating table.
Therefore, he had to tell the truth. Moreover, in this young man's current situation, if he did not undergo surgery, he would indeed be waiting to die. He was not exaggerating at all.
"Okay..Okay."
Hearing this, the eldest sister hesitated for a moment and then nodded slowly.
"Dr. Li, contact the neurosurgery department and prepare for surgery."
Zhao Sheng nodded and said to Li Mujia.
"good."
Li Mujia nodded.
Soon, Li Mujia contacted Song Sixian, the doctor on duty at the neurosurgery department, and asked her eldest sister to sign the consent form for the surgery. When the surgery was ready, Zhao Sheng and Song Sixian went for the surgery.
Four o'clock in the morning.
Observe the ward.
At this time, the operation was over and the young man's life was saved.
Although the situation was dangerous, this young man's intracranial surgery was not too difficult for Zhao Sheng and Song Sixian.
"Doctor, when will my son wake up?"
The eldest sister standing by the hospital bed looked at the young man who was still unconscious on the hospital bed and asked Zhao Sheng very worriedly.
"The operation went well, but if you wake up, it will take at least 48 hours until the edema in the skull is absorbed and there is no pressure on the brain tissue before you can regain consciousness."
Zhao Sheng said very rigorously.
"Doctor, will there be any accident? I'll be able to wake up, right?"
The eldest sister asked a little worriedly.
"He can wake up. He is so young and his recovery ability is much stronger than that of middle-aged and elderly people. As long as the edema is absorbed, he can wake up."
Zhao Sheng nodded and said.
"Okay, okay, thank you doctor."
The eldest sister said quickly.
After hearing Zhao Sheng's words, she was completely relieved.
(End of chapter)
