These two days have been swept away by this news, which is indeed a tragedy.
The general process is like this: the junior girl is going to quit the rent, but for a variety of reasons, the landlord does not refund the full deposit (the specific facts I did not seriously verify). The two had an argument on WeChat, the landlord spoke badly, and the girl also had angry words. The girl was angry, but said that she had to die before she could apologize. So the girl bought herbicides online, took them on December 12, and sent them to the hospital on the 13th, and died that night.
It's really tragic, the girl is pitiful, her parents are even more pitiful, the white-haired people send the black-haired people.
Here I did not comment on who is right and who is wrong, just talk to you about the 2 medical and health issues in this case, these 2 questions are also the most commented on in my background, I believe that everyone is most concerned.
1. What herbicide is so toxic? Killed in about 24 hours!
The patient (girl) waited for the courier to arrive on the afternoon of December 12, it was a bottle of herbicide called "Enemy Grass Fast", I also searched online, and indeed I could buy online. It is a relatively regular herbicide. On the afternoon of the 12th, I took a bottle, the news said that I drank all the bottles, and then someone called the police that night and was sent to the hospital.
On the night of the 13th, the patient died of ineffective rescue.
I took the time, starting with drinking the herbicide, and it took about 24 hours until the patient died. Progress is really fast. Moreover, the patient had been sent to the hospital that night he drank the herbicide, and rescue measures should have been taken in the hospital, but the situation could not be reversed, resulting in tragedy.
What herbicide is so ferocious?
As soon as I heard about herbicides, I thought of paraquat. After all, in the field of emergency departments and intensive care medicine, the loudest herbicide is paraquat, because paraquat is really too toxic, it is weeding fierce, it is fierce, not to mention drinking a bottle, even if you drink a little, drink a small sip, it may have reached a fatal amount, the guide says that paraquat poisoning mortality rate is 50%-70%, and a small part of the survival is likely to drink very little, timely gastric lavage, blood perfusion and other treatment, and may have drunk fake drugs (I myself blind).
Paraquat poisoning, will lead to the failure of the organs of the whole body, especially lung failure, there will be severe pulmonary fibrosis, patients will be because the lungs can not carry out oxygen exchange and live suffocation, ventilators can not solve this problem, ECMO (artificial lungs) can not help a lot, because the patient is not simply lungs, other organs can not do, unless the lung transplant, even if the lungs are transplanted, other organs are also a mess, may not be able to pass, so paraquat is really stronger than the tiger. So much so that experts have suggested that the sale of paraquat should be banned, in fact, in 2016, China began to ban paraquat water agent, it is really terrible.
But this bitter girl, she drank not paraquat, but another herbicide, called enemy grass fast.
That's right, enemy grass is fast.
Seeing that this girl was not wearing paraquat, I thought there was hope.
Didn't expect it or not.
This is also my lonely and unheard of, Guangzhou rarely pesticide poisoning patients, have not seen it is not surprising. Check the data, learned that China's current more common poisoning of herbicides include paraquat, dichlorvos fast, glufosinate, glyphosate, acetoxachlor, etc., of which paraquat, dichlorvos fast toxicity is the highest, belongs to who II toxic poisons (moderate dangerous poisons), but in fact paraquat, dichotomy fast is not the same grade, why? Take a look at the mortality rate:
The mortality rate of paraquat poisoning is 50%-70%, and there are also higher data, the lethal amount of oral poisoning is >1 g (20% stock solution 5-15 ml), what is the concept of 5 ml? Just a normal mineral water bottle cap that is lost. Because paraquat is highly toxic and has no specific effects, although it is graded AS II, it has been restricted in many countries to produce and use.
The mortality rate of dichox poisoning is lower, and the case fatality rate is almost 16.7%-28.6%. But in fact, this mortality rate is already terrible, almost 10 patients will die 2-3. The more you drink and the later you treat, the higher the mortality rate. The girl in this case, drank a bottle of enemy grass fast, this amount must be very large, and it is not the first time to go to the hospital for rescue, delayed treatment, and when it comes to the hospital for rescue, the best time has been missed.
Since paraquat water agents were banned, there has been a marked increase in cases of rapid poisoning of the dichlorvos. It's like the champion's foot sprained, and the runner-up starts to win all the major awards.
This is a very interesting and helpless fact.
This is called pressing the gourd floating scoop, are herbicides, if we disable one of them, naturally the other can be on the position, this time the upper position is the enemy grass fast, which also refreshed my understanding. Dichotomy and paraquat are similar in structure, both belong to the organic cyclic herbicide, and the poisoning mechanism is similar to paraquat. Experts have also formulated expert consensus on the poisoning of these two herbicides, which can also be regarded as painstaking.
Rapid poisoning of the enemy grass can also damage the liver, kidneys, nervous system, etc., and whether it will cause severe pulmonary fibrosis like paraquat is still unknown, it may be, but it is not as serious as paraquat. What's even more fatal is that the merchant said that the enemy grass was fast, in fact, paraquat may have been added, which is really the big Luo Immortal can't do it.
Everyone knows that paraquat is a powerful weeding, and in order to pursue the weeding effect, it is also possible for merchants to add paraquat in violation of the law. Just like the clinic doctor likes to use dexamethasone to cold patients to reduce fever, no matter what side effects he has, can reduce fever is king, if you use ordinary fever reducer drugs in a disciplined manner, the patient returns home and the fever has not subsided, the next time will not patronize you.
Profit kills people.
No matter when, mistakenly taking pesticides, herbicides and other pesticides, you must be the first time to induce vomiting, try to spit out the poison you drink, and then go to the hospital for gastric lavage at the first time, so that there is a possibility of successful treatment.
Tragedy has already been written, and only in the hope that her parents will mourn and change. At the same time, I am also wary of everyone, although it is convenient to buy herbicides online, but that thing is really untouchable. In addition, whether it is debatable to buy herbicides at will, such a highly toxic thing? Could this thing be managed more strictly? Even if it is a relatively safe but risky prescription drug, it must rely on the doctor's prescription to prescribe the drug. But then again, if the patient is bent on death, it cannot be stopped no matter what, you do not sell her herbicide, she may buy a knife, just as can kill people.
So, this stuff is too complicated. It can only be said that any behavior is risky, and we are responsible for our own behavior.
This brings us to point 2 today.
It was the words of the girl's parents, before that, the girl was diagnosed with bi-directional disorder.
2. Bi-directional impairment
Bi-directional disorder is a mental disorder, in other words, girls actually suffer from mental disorders before the tragedy occurs. The so-called bipolar disorder refers to the alternating and repeated episodes of emotional ups and downs in stages. The main clinical feature is an acute episode of manic, depressive, or manic-depressive mixed phases followed by recurrent episodes and remissions, or partial remissions.
This part of the patient is suddenly manic, suddenly depressed, elusive, in fact, it is a pathological manifestation, they do not want this, they themselves are also suffering.
The core symptoms of manic episodes are high mood, such as very energetic, full of joy, laughter, high-pitched, full of breath, very conceited, reckless and willful in doing things, blindly optimistic and reckless to participate in various high-risk activities (such as gambling, extreme sports, etc.) and difficult to extricate themselves. Some patients will present with easy emotional agitation, emotional instability, and moodiness. Interpersonal friction may make them feel unfair treatment or even feel persecuted, and patients may be in danger of causing harm to themselves or others.
When a depressive episode occurs, it can be typical of depression, including low mood, decreased ability, lack of interest, mental and motor retardation, self-blame, suicidal ideas and behaviors, severe cases will have self-guilt delusions, and some patients will have hallucinations.
Mixed seizures, on the other hand, are characterized by depression and mania, the most typical example of which is the sudden bursting of tears during mania or the sudden rush of thought during depression, and the mood transition is irregular and difficult to predict.
This is a disease, be sure to seek the help of a psychiatrist, use medication if necessary, and do not simply think that it is a problem of personality.
The tragedy of the girl in this case is that she was stimulated by the landlord's speech during her bi-directional disorder (I don't know if there is treatment), which is very easy to have an accident. Therefore, psychiatrists will do health behavior guidance with patients, including telling patients to avoid irritating drugs and alcohol intake as much as possible, avoid excessive consumption, make friends carefully, and so on.
If the girl had been promptly enlightened or visited the hospital during the crucial few days, she might have saved a life. But at this time, it is too late to say this, and Zhuge Liang is not glorious in hindsight, but I hope that there will be a wake-up call.
I wish everyone physical and mental health.