The cause of the 7-day death of a cold
Four seas network: Recently, a 27 year old boy died of a cold in the circle of friends. There are only seven days between hospitalization and death. , and saving his life records the whole process, what kind of cold will have the risk of losing his life? Let's see why.
Doctor's notes:
When I sit at my desk and write this, the protagonist just died of multiple organ failure. Only seven days after his admission to the hospital and his death, two top three hospitals and dozens of medical staff used the most advanced rescue measures and equipment, but still failed to save his life. The dead are gone, but the lesson he left us is worth remembering and should be known to more people.
Xiao Zhang (pseudonym) is 27 years old. He is a graduate student of economics and management. Because of high fever for 7 days and diarrhea for 5 days, come to respiratory clinic & hellip;
My first impression of Xiao Zhang is that he is tall, extremely fat, with yellow skin all over the body, with acute heat, and shortness of breath & hellip; & hellip;
Can a cold be so serious? Further examination confirmed my judgment. Blood examination showed that the whole body muscle was dissolving, renal failure, liver failure and severe coagulation dysfunction;
Because this kind of explosive multiple organ failure cannot be explained only by a cold, I am very worried about what kind of medicine Xiaozhang took by mistake, leading to toxic muscle lysis and multiple organ failure;
Event reduction
Donate blood, donate money, even find a liver
The boy still can't get it back
On the day of the patient's death, Dr. Li Pei wrote down his notes. Dr. Li Pei told the modern express: how sad! The child was too young, and for a short time, and all of a sudden, the result might have been avoided.
It is reported that after getting sick, Xiao Zhang went to the drugstore to buy many kinds of cold medicines. Eat no matter use, or fever, and then diarrhea. I couldn't stand it for several days before I came to the hospital. I thought it was just hanging water, but I didn't expect to enter the intensive care unit for rescue.
At the beginning, Xiao Zhang didn't believe it. He thought I was exaggerating my illness and that the cold would not be so serious. Dr. Li Pei said: in fact, the test results are more serious than she expected. High fever of 41 ℃, dyspnea, blood pressure drop, renal failure, liver failure, severe coagulation dysfunction & hellip; & hellip; these symptoms are not only common cold, the human body has a total of eight organ systems, while Xiao Zhang had five system failure at that time.
During the examination, Xiao Zhang had shock symptoms and was sent to the intensive care unit for rescue.
After 48 hours of rescue at the Drum Tower Hospital in Xianlin, Taikang, Xiao Zhang was referred to the top intensive care team in China for further treatment due to his serious illness. It was confirmed that Xiao Zhang was infected with herpes simplex virus by blood pathogen detection.
What is herpes simplex virus infection? Dr. Li Pei told the modern express that herpes simplex virus is one of the many common viruses that usually cause our cold. The child's first symptom was a cold.
In addition to viral infection, Xiao Zhang's school launched blood donation and donation activities for him because his liver has lost function and he needs to supplement a large number of blood products due to septic shock. Due to the need for liver replacement due to liver failure, Dr. Li Pei said that the medical staff who took over the treatment of Xiao Zhang also found a donor liver for him within 4 days.
But in the end, everyone's efforts did not save Xiao Zhang's life. ? serious liver failure leads to severe hypoglycemia and coma. Before the liver can be replaced, the person leaves. It's only seven days since I was admitted to the hospital until I finally died.
Doctor:
Liver failure may be caused by taking cold medicine
Is cold really so terrible? Dr. Li Pei said that's why she wrote this handwritten note. Zhang is likely to mix cold medicine and lead to liver and kidney failure. I hope you don't take cold medicine indiscriminately.
Xiao Zhang is very good at his studies. Except for obesity, fatty liver and abnormal liver function, he is basically not ill. Although I smoke, I don't drink. It is said that I often stay up late before I get sick because I have to work hard. Dr. Li Pei told reporters that Xiao Zhang had been in a sub-health state. In the examination, Xiao Zhang once told the doctor that he weighed 250 Jin and had fatty liver. Every physical examination said that the liver function was not good, but he didn't take it seriously. Later, the roommate returned to the dormitory and showed me the cold medicine on the small table. There were a lot of names and purposes. Then he eats this, eats that, belongs to the mixed food.
Dr. Li Pei said that Xiao Zhang once told her: because a cold medicine has no obvious antipyretic effect, he bought several more, and because he is heavy, he took many double doses. This may be the cause of liver failure, which may be toxic myolysis and hepatorenal failure caused by acetaminophen overdose.
The traditional Chinese medicine for cold contains paracetamol, which is easily poisoned in excess
Modern Express reporter learned that acetaminophen is the most commonly used component in the treatment of cold drugs, about 80% of anti cold drugs contain this component. Acetaminophen 10 to 15 g (150-250 mg / kg) can cause hepatotoxicity in adults; 20 to 25 g or higher may cause death. According to Dr. Li Pei, the tolerance dose of paracetamol is lower in patients with poor basic liver function, while paracetamol is contained in many cold medicines Xiaozhang takes. He bought all the traditional Chinese medicine for colds and thought it was safe. However, it is likely to lead to acetaminophen overdose.
I don't have enough evidence to prove that it must be the cold medicine that causes the deterioration of liver function, but the many cold medicines he takes must be the last straw to crush his liver function. Dr. Li Pei explained that Xiao Zhang had abnormal liver function, and his body was not hit at ordinary times, and his liver function could be maintained. But once hit, it may not work. Cold virus infection itself will hurt the liver, drug injury liver, layer upon layer accumulation, beat.
If you take cold medicine, you may induce leukemia
Is it really so harmful to mix cold medicine? Jiang Yuli, pharmacist in charge of Jiangsu Provincial People's Hospital, told the modern express that in very rare cases, there will indeed be death. I've been a doctor for so many years, and I've encountered similar situations. He said that in the 1980s, many patients were uneasy with doctors and went to multiple hospitals. The drugs prescribed by each doctor are mixed and taken together, resulting in an overdose of paracetamol.
Jiang Yuli explained that liver metabolism is necessary for any drug. If there is only one drug, the liver can deal with it. If you take other drugs, it may be damaged. Nowadays, Chinese patent medicines generally have paracetamol. Many patients feel that the name of the medicine is different and can take it together. But with this ingredient alone, there are more than 20 aliases for drugs on the market. And taking cold medicine together will not only cause liver and kidney damage, but also cause hematopoiesis problems. It may also induce leukemia. Jiang said that although each kind of event is a very small probability event, it has occurred before.
There are risks in mixing Chinese and Western medicine. It's better to follow the doctor's advice when taking medicine
Dr. Li Pei said that in daily life, many patients are mixed with Chinese and Western medicine. Because I think Chinese medicine is gentle and safe, so many people like to take Chinese and Western medicine together, but acetaminophen is probably too much. She said that a slight liver injury can't be found by human beings. It can only be found by a blood test. If the liver function is normal, the liver function will self repair after the drug is stopped. But the liver function has the basic disease, may have the question. She pointed out that for example, chronic hepatitis, liver cirrhosis and drug-induced liver damage, if the dose control is not good, there may be problems.
Cold take medicine risk is so big, how should we protect ourselves? Dr. Li Pei said that health management should be done well first. For example: super important weight loss. The liver function is abnormal, so we should keep away from tobacco and alcohol. If you have a cold, take the medicine according to the instructions. The most important thing is, don't take cold medicine. Generally speaking, the intake of paracetamol for adults should not exceed 500 mg at a time, the interval between two doses should not be less than 6 hours, the maximum daily intake should not exceed 2000 mg, and the course of treatment should not exceed 3 days. When several drugs are taken at the same time, the sum of paracetamol should be less than 500 mg. In addition, paracetamol should be used with caution in patients with liver cirrhosis, fatty liver, hepatitis, cholelithiasis, gallstone and malnutrition.
If it's not good to take medicine for a cold for two or three days, you should go to the hospital. To see a doctor, you must trust the doctor and tell the doctor frankly what medicine you took and what medicine you bought before, so as to avoid the problem of repeated prescription. Jiang said.