A man drank "fake wine" by mistake and became poisoned and critically ill. The doctor actually used "real wine" to save his life?

Everyone has heard of this

Have you ever heard of “using truth to defeat falsehood”?

I accidentally drank fake wine.

Methanol poisoning

The doctor's "prescription" turned out to be

Drink some real wine ...

What is going on?

A while ago

A man in Chengdu, Sichuan

I experienced this kind of thing

↓↓↓

Mr. Zhang is 45 years old

That noon

He suddenly felt abdominal and chest pain worsening

Repeated vomiting and blurred vision

Sent to hospital by 120

According to Mr. Zhang's family

That morning

Mr. Zhang feels a little uncomfortable

I called my daughter.

But he didn't go to the hospital in time.

Until after lunch

Mr. Zhang, who works in a restaurant

Feeling that the pain is getting worse and unbearable

The boss lady called 120 emergency number

This was sent to the hospital

"When we first arrived at the hospital, the patient was still conscious.

Can clearly describe their discomfort and symptoms.

The main manifestations are severe gastrointestinal symptoms.

Abdominal pain, repeated vomiting of watery material."

Doctor explains

Patients with severe vomiting

Easy to aspirate, leading to suffocation

The emergency doctor quickly placed a gastric tube in him.

Gastrointestinal decompression

Drain about 1000 ml of gastric contents from the gastrointestinal tract

But they were all normal food, nothing abnormal was found

"The patient also said that the meals he ate that day were the same as usual.

I didn’t eat anything special.”

The patient's vital signs were stable

And clear consciousness

According to the emergency department admission process

Mr. Zhang was transferred to the general ward of the gastroenterology department.

Get further treatment

But abnormal blood test results

Make your doctor aware

The patient may not have a common digestive tract disease

So simple

Blood test results

Patients with liver and kidney damage

Especially judging patients

Is there any electrolyte imbalance or acid-base imbalance?

Blood gas analysis results suggest

The patient is in marked metabolic acidosis

Is it diabetes?

What are the acute complications of ketoacidosis?

Check result tips

The patient's blood sugar is indeed a little high

Doctor's symptomatic treatment

Provide fluid and alkali therapy to patients

Unexpectedly, just a few hours later

Mr. Zhang's condition took a turn for the worse

Shortness of breath, difficulty breathing

That night, Mr. Zhang was transferred to the ICU

"Metabolic acidosis,

Generally considered to be a severe infection,

Or it could be a complication of diabetes.”

Doctors say

The emergency CT results did not

In the patient's lungs, chest and other important parts

Find the infection site

in addition

The patient is usually in good health and has no underlying diseases

What is the cause?

Leading to severe metabolic acidosis?

Doctors even suspected

Is the patient suicidal?

Taking pesticides or other overdoses

For a time, the condition was confusing.

After transfer to ICU

The doctor asked the family again

What did the patient eat before he became ill?

Special items or medicines

Is there any unusual behavior?

Family members said

There is indeed no abnormality

The patient is the same as usual

“I like to have a little wine with every meal.”

"drink wine?"

These two words made the doctor alert

"What kind of wine did you drink? How much did you drink?"

Consider the patient's symptoms

When the patient is still conscious

He said he felt dizzy and couldn't see clearly.

The doctor recalled two years ago

A migrant worker accidentally drank medicinal wine soaked in industrial alcohol

Causes methanol poisoning

His symptoms are very similar to Mr. Zhang's.

One of the specific symptoms of methanol poisoning is

The retina and optic nerve

Cause damage

The doctor asked the family to go home

Check whether there are pesticides or special medicines

Especially whether there is bulk liquor, blended liquor, etc.

At the same time, patients

Blood purification and other treatment measures were carried out

really

The family will be home soon

Found a white plastic bucket

There was about three liters of liquid suspected to be liquor.

Afterwards

The relevant departments investigated the suspected liquor liquid in the plastic barrel

Alcohol content testing and analysis

the next day

The results of the analysis of the components of the suspected liquor liquid are released

In plastic bucket

It is indeed 98% methanol.

Fortunately

Critical Care Medicine Physician

Mr. Zhang was given blood purification in time.

Treatment

Able to remove in a timely and effective manner

Toxins in patients: methanol and formic acid

Correction of metabolic acidosis and electrolyte disturbances

at the same time

The ICU director said

Ethanol can be used to rescue patients with methanol poisoning

So the doctor asked the family

I bought a bottle of real liquor.

Doctor explains

Ethanol is the traditional antidote for methanol poisoning

By competing with methanol in the patient's body

Alcohol dehydrogenase

This prevents methanol from being metabolized to formic acid by alcohol dehydrogenase

This achieves the purpose of "detoxification"

The doctor will drink moderate amounts of liquor

Pour into the enteral nutrition bag

Slowly pumped into the patient through a nasogastric tube

"That's about 12 milliliters per hour."

Doctor explains

Using "real wine" to cure the poison of "fake wine"

It's not just feeding it all at once.

Instead, strict dynamic monitoring is required

Methanol concentration in patients

Ensure safety and effectiveness

About a day later

No methanol is detected in Mr. Zhang's body

Medical staff stopped the ethanol pump in time.

"About less than 300ml of ethanol was used."

after

Mr. Zhang stopped taking sedatives and analgesics

Wake up from a coma

"Ask him if he knows why he was in the hospital.

He said he guessed it might be due to drinking.

Because problems arise half an hour after drinking it."

According to the patient's recollection

October 29 morning

He drank some of the "white wine" in the plastic bucket

I drank more at noon, about 700 grams in total.

“Our team has also improved some inspections.

It was found that the patient may have suffered from methanol-induced central nervous system damage.

Toxic encephalopathy occurred.

Language thinking will be affected to some extent.”

The doctor suggested that Mr.

After discharge

It is best to continue to the neurology department or rehabilitation department.

Further diagnosis and treatment

Alleviate the sequelae of methanol poisoning

What is methanol poisoning?

Symptoms of methanol poisoning

Methanol enters the human body

Metabolized into formaldehyde and formic acid, with large amounts of formic acid accumulating

This leads to metabolic acidosis

at the same time

Accumulated formic acid has an adverse effect on the central nervous system

Has an anesthetic effect

Circulates specifically through the blood

Damage to the optic nerve, retina, and optic disc

Can cause blindness

Serious words

It will affect the blood system, respiratory system, and digestive system

Serious damage to the cardiovascular system

Even life-threatening

Mr. Zhang accidentally took pure industrial alcohol

Although similar to white wine in color and smell

But you can still distinguish

In clinical practice

You may also encounter taking industrial alcohol and liquor

Blended "fake wine"

This kind of mixture of true and false is not only more difficult to distinguish

In addition, ethanol is

Has a certain anti-knot effect

Therefore, it will delay the poisoning reaction, which is not conducive to the doctor's judgment of the cause of the disease.

It is also important to note that

The "detoxification with ethanol" method needs to be performed by a doctor

Don't try this on your own

Source: Guangdong Public DV Site Comprehensive Red Star News, Sichuan Provincial People's Hospital Jinniu Hospital, etc.