City Express News Uncle Wang drank "wine" at home, and as a result, his eyes suddenly went blind. The doctor took the bottle of "wine" and helped find the police to check it, and it turned out to be "poisonous wine" that drank 30ml and was going to die! Uncle drank for four or five days in a row, counting about 300-400ml, why did he still have a chance to be rescued by the doctor? It was because I attended the wedding feast one day in the middle and drank half a kilogram of real liquor! What is going on in this twisty and bizarre story?
Drink the "disinfectant" as white wine
Wang Dabo, a native of Zhejiang, is more than 60 years old this year, and his wife has been contracting projects in Guangxi for many years, and this year near the end of the year, the two returned to their hometown to live. Because the juniors all moved to the county town to live, the old houses in the countryside have been empty, Lao Wang and his wife took this opportunity to seriously carry out a major cleaning, and swept out a pot of "good wine" in the corner.
White plastic barrel, there is no picture logo on it, Lao Wang opened the bottle cap and smelled, well, there is a faint aroma of wine, which is simply a "pie in the sky" for Lao Wang, who has thirty years of wine age.
At noon that day, Lao Wang poured a cup and cooked a beautiful meal with his wife, happy!
"At that time, I thought this wine was really strong!" The throat is hot and hard to swallow. At that time, Lao Wang thought that he had heard people say earlier that the better the wine, the better the wine became, the stronger the wine.
After drinking for four or five days in a row, Lao Wang felt that something was wrong, and his good eyes began to blur and could not see clearly, "To the local hospital for examination, the eyes are slightly edematous, the brain ct examination is no problem, everyone feels strange, this time the little son said, will there be a problem with this wine!" Lao Wang said that at this time, the whole family mobilized and asked where the wine came from.
Three years ago, Lao Wang's eldest son's family was still living in his old house, when the diligent eldest daughter-in-law bought Sanwu product disinfectant from the Internet in order to clean and disinfect — it was this white plastic bottle that opened something that smelled of alcohol.
"But what kind of disinfectant this is, I don't know, I just bought it online at the time." When the eldest daughter-in-law learned that her father drank the bottle of "disinfectant" as liquor, she was instantly frightened.
The family sent Lao Wang to the hospital again, at this time Lao Wang's vision further declined, leaving only the sense of light, and the doctor considered suspected methanol poisoning from the clinical symptoms.
The "disinfectant" turned out to be a high concentration of methanol
Is this bottle of disinfectant methanol? The local hospital could not identify, and Lao Wang's condition progressed rapidly, and the intake of "disinfectant" was extremely large, so the local hospital recommended that Lao Wang be referred to a higher hospital for further treatment.
"When I was transferred to Shulan Hospital, it was my wife and relatives who helped me in, and I felt as if I was blind and very desperate." Lao Wang said that experts said that even if he could save his life in the end, his eyes would certainly not be saved.
At that time, after the emergency department of Shulan (Hangzhou) Hospital admitted patients, they were immediately transferred to the Nephrology Department for treatment, "The clinical symptoms of the patient are very similar to methanol poisoning, there is severe metabolic acidosis, retinal edema, vision loss, we rescue treatment, while trying to find a way to determine the real body of this bottle of disinfectant, so as to really treat the symptoms." ”
Professor Shou Zhangfei, vice president of Shulan Hospital and director of the Department of Nephrology, urgently contacted the Zhejiang Provincial and Municipal Food Testing, Cdronic Center, Drug Testing Center, etc., hoping to help identify what is the ingredient in the bottle of "disinfectant" brought by Lao Wang, after several twists and turns, and finally the hospital found out with the assistance of the Public Security Department - this bottle of "disinfectant" is a high concentration of methanol at 85 degrees!
"Ethyl caproate, an artificial flavor that can be used to blend koji, was also detected, so the liquid smelled of wine." Professor Shou Zhangfei introduced that in fact, methanol is relatively non-toxic, mainly causing sedation of the central nervous system.
However, methanol is oxidized and metabolized in the body to produce formic acid, which is strongly toxic.
The lethal amount of 200 pounds of adults = 30g ~ 100gm, while the intake of Lao Wang = 237g ~ 316g!
How can this be done? Professor Shou Zhangfei said that it is crucial to make decisions quickly, and rescue treatment should be carried out at the first time, and treatment must not be delayed by waiting for the nature of the poison and the test results of the blood poison concentration.
On the day of admission, Lao Wang was subjected to hemodialysis, while the drug corrected systemic acidosis, supplemented with folic acid, vitamin b1 and vitamin B6, and optimized the non-toxic metabolic pathway for the elimination of methanol or formic acid. After perfecting the gastroscopy, stool obsection, and assessing the mucous membrane of the upper gastrointestinal tract, the doctor immediately activated hormone shock therapy, and after three days, Lao Wang's condition finally improved.
That morning, Lao Wang was sitting on the hospital bed when he suddenly felt a black shadow flash in front of his eyes. Lao Wang, who had been in the darkness, suddenly reacted, "I seem to be able to see!" Lao Wang had faith. Another day later, he could see the big letters on the wall.
With the joint efforts of experts in nephrology, ophthalmology and neurology, after more than ten days of treatment, Lao Wang's indicators returned to normal, and his vision basically returned to the pre-illness level.
The lethal amount of methanol is only 30 ml
Why drink more than 200ml can still be saved?
"This is really a miracle, a medical miracle!" But according to the literature, the lethal amount of methanol is only 30ml, and the amount that Lao Wang drank has far exceeded the standard, and finally can be safe, why is this?
Lao Wang went to drink two happy wines one day, and drank about half a kilogram of liquor at the wedding banquet, and the real liquor ethanol is the drug for treating methanol!
"However, ethanol therapy had great side effects, and he was admitted to the hospital at the time to test positive for occult blood, worried about peptic ulcers, so in clinical treatment, we chose other options." Professor Shou Zhangfei introduced.
In addition, Lao Wang has been drinking for thirty years, drinking about 50ml of liquor at 50 degrees Celsius every day at noon and at night, and it is estimated that the amount of ethanol in the body is also relatively high. Therefore, the dose against methanol poisoning is higher than the usual.
Afterwards, when the doctor asked the "old wine king" who had drunk so many years of wine, how could he not drink the difference between real wine and methanol?
Lao Wang said happily, yes, it is a pity, probably because what I have drunk for so many years is not good wine, and I think that good wine is like this. Although the real liquor "saved" Lao Wang's life, if Lao Wang had not been greedy, there would be no incident of mistaking methanol.