Otaku Engineer in Great Tang Dynasty

Chapter 1863 Drug treatment, a dilemma!

In some TV series, such bridges often appear:

When the male protagonist (female protagonist) was seriously injured and comatose, it was difficult to feed the decoction, so the female protagonist (male protagonist) first wrapped the decoction in her mouth, and then gave it to the male protagonist (female protagonist) in a mouth-to-mouth manner. Feed the soup!

Leaving aside the need to talk about the plot for the time being, from a purely medical point of view, is there any scientific basis for this method?

Obviously not!

Not to mention that it is very easy for people to regurgitate and accidentally inhale the trachea when they are rashly poured into the trachea when they are lying down. Even mouth-to-mouth feeding of medicine cannot change this reality;

In addition, giving medicine to a comatose patient, regardless of the position (lying or sitting), is itself an extremely dangerous behavior!

In modern medicine, coma refers to the complete loss of consciousness. It is a serious vision of a person's complete loss of awareness of things. It is a high degree of schizophrenia manifested by severe inhibition of advanced nerves due to various reasons. It must be Find out the cause as soon as possible and take effective measures in time for rescue.

Coma is generally divided into two types: light coma and deep coma. Light coma refers to the patient's loss of consciousness, but the gag reflex, corneal reflex, and pupillary reflex still exist, and the patient still has a painful expression and a little movement to strong stimuli, such as pressing the orbital nerve to stimulate the orbital nerve.

In deep coma, the patient does not respond to various stimuli, and the clinical manifestations are muscle relaxation and incontinence.

It is impossible for a patient in such a severe coma to swallow spontaneously. Once the liquid is poured into the mouth, the liquid will not move along the esophagus to the stomach because the patient has no basic swallowing emission, but will instead accumulate in the throat. It is very easy to reflux and cough and aspiration, that is, these things stray into the trachea and reach the lungs, so aspiration pneumonia occurs, and in this case, lung infections are often life-threatening.

Therefore, in modern hospitals, as long as the patient has poor swallowing reflexes (such as bulbar palsy in the neurology department), the doctor will consider the gastric tube, nasogastric feeding diet and feeding medicine and water, and will not risk the patient's life!

Although Gongsunliang didn't know the professional terms such as "swallowing reflex" and "advanced nerve", and he didn't even know that there were other methods of feeding medicine such as nasogastric tube insertion, it was the same thing as the saying goes. , even if his cognition is limited by the times, it does not mean that his personal ability to solve problems will also be limited!

When he first inspected Duguxin's injuries, Gong Sunliang not only checked Duguxin's pulse, but also deliberately looked at Duguxin's eyelids, mouth and other parts, in order to confirm whether Duguxin was still conscious or not. Swallow medication autonomously.

It was precisely because it was confirmed that Duguxin in a coma still had a certain subconsciousness that Gongsunliang prescribed the medicine and dared to let the little medicine boy decoct and give medicine for Duguxin!

"Okay, Little Treasure~! Don't feed it for now, take the medicine bowl and wait by the side~!"

Under the service of the little medicine boy, Duguxin reluctantly drank half a bowl of soup medicine, and if he fed it into his mouth, all the soup medicine would flow out. Seeing this, Gongsunliang stopped him.

Because in his opinion, half a bowl of decoction is enough for the two poisons in Duguxin's body to play a role!

"Yes! Master~!"

The little medicine boy didn't hesitate, after wiping the medicine soup at the corner of Duguxin's mouth with a handkerchief, he took the medicine bowl decisively and stood aside.

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