"Doctor, you want to save him! His parents have passed away. They are the only seedlings in the family. As long as they can be saved, I am willing to borrow any amount of money."
The middle-aged man fell to the ground and held the doctor's hand and cried. However, the doctor is not unfamiliar with the scene in front of him. He knew in his heart that the patient's condition was more and more unlucky...
1. A 27-year-old man was poisoned by paraquat and died of "suffocation" for 10 days of rescue. He died of "suffocation"
1. Both parents died since childhood. After he had no hope of paying off his debts, he took poison
Wang Cong (pseudonym), 27 years old, both parents died since childhood. He was raised by his grandparents. After his grandparents passed away three years ago, he lived with his uncle's family. Due to his lack of care since childhood, he is very withdrawn and has no education, so he always encounters walls when he goes out to work.
Later, he planned to raise pigs in his hometown and borrowed 50,000 yuan from his relatives and friends as capital. But when he went to the town to buy piglet , all his money was stolen. was penniless and he felt that the world had collapsed. Why did even God fool him ? In despair, he returned to the old house where his grandparents lived before their death and drank half a bottle of "Dicao Kuai".
Soon the medicine began to attack, and Wang Cong rolled on the ground with pain in his stomach and couldn't help but shout. When my uncle heard the sound, he rushed over and saw the pesticide bottle beside him. He quickly sent him to the county health station. After emergency treatment, he was transferred to a large hospital in the city.
2. Paraquat poisoning was confirmed. The doctor tried his best to rescue
. When he arrived at the hospital, Wang Cong's abdominal pain had been relieved. He did not show any symptoms such as nausea and vomiting, chest tightness and palpitations. He was awake and had no obvious positive signs in the heart, lungs and abdomen. He was extremely uncooperative for physical examination.
Then the doctor conducted a urine paraquat concentration test on him, and the results showed that it was greater than 100ug/ml. was diagnosed with "parqua poisoning (severe)" and had a high risk of death . The situation was urgent. After the family signed the informed consent form, the doctor immediately launched rescue of Wang Cong and raced against the god of death.
First, the doctor gave Wang Cong a blood perfusion treatment, but after 40 minutes of on-boarding, Wang Cong became irritable and excited, refused all treatments , and verbally and behavioral attacks on medical staff. Helplessly, the doctor had to suspend treatment.
There is still hope in life, but he chose to give up, so the doctor had to ask his family to persuade him.
That afternoon, my uncle found the doctor to apologize and asked the doctor to save his nephew, so what scene at the beginning of the article appeared. The doctor then tested Wang Cong for urine paraquat concentration again, and the results showed 20ug/ml. Then he performed many treatments such as diarrhea, hypotension and support, blood purification, immunosuppression, antioxidant, and antifibrosis .
3. After 10 days of rescue, the man died of "suffocation"
However, Wang Cong drank too much paraquat , half a bottle. The lethal amount of paraquat is about 5 to 10 ml. Judging from the subsequent medical records, we can find out how painful Wang Cong's death was.
Day 1~2, the mouth is ulcerated, the mouth appears with a significant burning sensation, and severe bleeding, so you cannot open your mouth to speak.
Day 3 to 4, the upper gastrointestinal tract ulceration, the esophageal mucosa falls off, and vomits out along with the blood, bile, and mucosa.
Day 5 to 6, respiratory symptoms worsen, and discomfort such as chest pain , cough, sputum, and difficulty breathing appear.
Day 6~8, Lung damage accelerated, slowly fibrosis , "parqua lung" appears, impaired respiratory function, and failure of multiple organs such as liver, kidney and lung is intensified.
Days 9-10, the patient is awake, but pulmonary fibrosis is irreversible, and breathing becomes more and more difficult, until he dies due to hypoxia.
The doctor said helplessly that this is the most terrible thing about paraquat poisoning: it will not cause death immediately, but will devour the fresh life bit by bit, and the poisoned person can only watch as he stops breathing.
2. The poison of paraquat, you may be hard to imagine
"Give you time to regret, not a chance to live"
"Paraquat is the water of death"
"Paraquat comes out, no grass grows"
From these rumors, people's highly toxic impression of paraquat. In 2014, my country revoked its registration and production license for paraquat water agents; in 2016, water agents from the parent drug manufacturer were banned from selling and using them in China. At present, paraquat has been strictly restricted or banned by more than 20 countries.
Why is paraquat so poisonous? It is mainly related to the following factors.
. The poisoning effect is slow and easy to be ignored
Paraquat has a slow poisoning effect and will not cause serious discomfort in a short period of time. Poisoned people can even talk and laugh. But as time goes by, its toxicity will gradually occur, corroding the oral, respiratory and digestive tract, and spreading to organs in various parts of the body as the blood flows, eventually leading to failure and death.
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. The toxic mechanism has not been clarified yet, and there is no special antidote
At present, the poisoning mechanism of paraquat has not been thoroughly studied, and there is no special antidote in clinical practice, so it can only be treated symptomatically. In addition to basic treatment, blood perfusion is an important and effective method, but it can only achieve 70% clearance rate , which can improve organ damage and extend survival time, but it is difficult to reduce the mortality rate.
, systemic multi-system failure
The most serious thing is that paraquat will cause to irreversibly damage to the whole body tissue, including nervous system , respiratory system, circulatory system, digestive system, urinary system, etc., causing multi-system failure. Clinically, acute lung injury is more common, which can cause pulmonary fibrosis , and eventually the patient dies from respiratory failure or multi-organ failure.
3. Drink paraquat, can’t you really save it?
The mortality rate of paraquat poisoning is high, not equal to 100% death. There have been many medical reports on successful rescue cases. Whether the poisoned person can be rescued successfully is mostly related to the following points:
First, the intake is , and the fatal amount of paraquat is about 5 to 10 ml. Once it exceeds 10 ml, the fatal rate will greatly increase.
The second is the medical treatment time . Paraquat poisoning will not occur immediately, which can easily make people relax their vigilance and delay rescue. Therefore, you must seize the 1 hour golden treatment time. The earlier you seek medical treatment, the greater your chances of survival.
The third is treatment measures . Scientific treatment measures also play a decisive role, including active early blood perfusion, the use of glucocorticoid , anticoagulation and antioxidant treatment, control of toxic pulmonary edema, prevention and treatment of advanced pulmonary fibrosis, rational oxygen therapy and mechanical ventilation treatment, treatment of liver and kidney damage, and correction of electrolyte disorders.
If the lung injury continues to worsen and cannot be treated, then Lung transplant will be the final treatment method.
As an ordinary person, if you find someone around you is poisoned by paraquat, you should call 120 immediately and then perform emergency treatment on site.
. Take the poisoned person away from the scene immediately to avoid continuing to inhale and contact with paraquat.
. Take off the contaminated clothes and rinse the body parts that touch paraquat with soapy water. If the eyes are in contact, rinse with running water or saline.
In fact, there are eight out of ten things that are not satisfactory in life. Everything cannot go smoothly. Don’t drink paraquat impulsively if you can’t think about it, otherwise you may not even have the chance to regret it.When you encounter difficulties, you might as well adjust your mentality and never joke about your life.
[3] How terrible is paraquat that has been drunk and banned for sale? .China Medical Tribune. 2022-01-09
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