there is a news report that a teenager is in & ldquo; Throw a bowl of wine & rdquo; After the booths, 9 bowls of Baijiu were drunk and died, which made many people exclaim: can drinking be directly fatal? yes. The reason for the death of the teenager in the news remains to be found out, but it has become a well-known fact that big wine hurts the body. Most people only know that big wine hurts the liver, and the harm is far more than that. The following situations are as follows: big wine kills! Let’s follow and learn about it!
First, suffocating
from slightly drunk to drunk may be only a few cups of Baijiu distance, but may be separated from Yin and Yang. If we are drunk unconscious, our protective effect on airway instinct will weaken or even disappear. If we vomit at this time, vomit is very easy to enter the trachea, blocking the trachea and causing asphyxia, it is life-threatening. Therefore, when drunk people vomit, they must turn their head to one side to reduce the occurrence of accidental inhalation.
in addition, if the amount of vomiting is large and the frequency is large, it is necessary to guard against hypokalemia. Severe hypokalemia can also induce malignant arrhythmia and respiratory muscle weakness, which is life-threatening. Because the symptoms of hypokalemia are difficult to identify under the cover of drunkenness, when your friend is unconscious, take him to a doctor as soon as possible.
II. Disulfiram like reaction
disulfiram is an alcohol abstinence drug. Some people drink after taking drugs or take drugs after drinking, which is similar to taking anti alcohol drugs. It is called disulfiram like reaction. It often occurs within half an hour after drinking, mainly manifested in facial flushing, headache, chest tightness, shortness of breath, rapid heart rate, limb fatigue, sweating, nausea Vomiting, blurred vision, severe blood pressure drop, dyspnea, loss of consciousness, and very few deaths.
the drugs that cause disulfide like reactions are antibiotics, including cephalosporins and nitrazoles, such as metronidazole or ornidazole. It should be noted that during the 14 days after the use of the above antibiotics and after stopping the drug, alcohol or food products including beverages, food, drugs, such as liquor, yellow wine, beer, wine core chocolate, and Herba Xiang Qi Qi, should be avoided. Hydrocortisone injection, especially the elderly and patients with cardiovascular diseases. Don’t drink, don’t take medicine.
3、 Hypoglycemia
alcohol will induce hypoglycemia in the process of metabolism in the body. Blood glucose is the energy basis of body operation and is particularly important for maintaining brain function. The early stage of hypoglycemia can be manifested as palpitation, sweating and irritability. With the aggravation of hypoglycemia, drowsiness, confusion and even coma can occur. Most of hypoglycemia can recover quickly after timely treatment without permanent sequelae. If it lasts for more than 6 hours, there can be varying degrees of neurological damage or even death. When drinking, you must eat some staple foods appropriately to avoid hypoglycemia. If the above symptoms occur, you can eat some sugar first, but you should still see a doctor in time.
IV. cardiovascular and cerebrovascular emergency
heavy drinking itself can cause myocardial injury. For sober people, it can be manifested as panic, chest tightness and other discomfort, but for drunken people, they may not have any feeling. Heart injury just appears quietly and steals people’s lives. In addition, drinking can induce a variety of cardiovascular accidents, the most common of which are myocardial infarction, stroke and cerebral hemorrhage. Similarly, it is difficult for bystanders or even themselves to notice because the drunk is sleeping. Therefore, drinkers should strengthen self-control, bystanders should be vigilant, and doctors should check carefully. Don’t let a wine ruin health and life.
5、 Acute pancreatitis and gastrointestinal bleeding
alcohol can induce pancreatitis. Under normal circumstances, the pancreas delivers trypsin to the intestine, which is responsible for digesting all kinds of food. After drinking, the pancreas works overtime. However, there are a lot of food and liquid in the intestine, and the product delivery caused by the overtime of the pancreas is blocked. Therefore, a large amount of inventory remains in the pancreas and begins to digest the pancreas itself, which seems to open Pandora’s magic box and induce systemic reactions, In severe cases, multiple organ failure of the whole body occurs, and even attack the heart, causing cardiac arrest. Once the process of pancreatitis begins, put yourself at risk, and the only way to prevent it is not to drink alcohol. In addition, patients with liver disease are advised that alcohol is metabolized through the liver, and alcohol itself promotes the occurrence and development of liver disease, so people with poor liver should refrain from drinking. Patients with liver cirrhosis especially need to quit drinking.
drinking can also lead to gastrointestinal bleeding or even massive bleeding. On the one hand, drinking will stimulate gastric acid secretion, which may erode blood vessels and cause bleeding, especially in patients with liver cirrhosis complicated with esophageal and gastric varices. On the other hand, alcohol can make the gastric mucosal layer and mucus layer thin, mucosal epithelial cells necrosis and induce bleeding.
6、 Fake wine
if the accident is a natural disaster, fake wine is a man-made disaster. The most common formula of fake wine is mixed with industrial alcohol. Although they are all alcohol, industrial use is called methanol. 5-10ml can cause poisoning and 30ml can cause death. Methanol itself mainly plays a sedative role, but the metabolism of maternal methanol in human body produces formate, which can cause retinal damage and permanent blindness. There are also some fake wines containing polyols, which can cause serious metabolic acidosis and lead to serious consequences. The amount of alcohol per person varies, but regardless of the so-called amount of alcohol, the intake of 250-500ml alcohol (ethanol) can cause death.
as an emergency doctor, the biggest headache is to receive & ldquo; Drink too much & rdquo; There are patients who are drunk: some of them hit a telegraph pole after being drunk to induce intracranial aneurysm bleeding, others fell on their way home to frostbite their limbs in ice and snow, resulting in amputation, and even acute renal failure due to muscle dissolution caused by lying drunk for too long. They have poor control after drinking, and even self injury, self mutilation, injury and innocence.
generally speaking, emergency physicians will give appropriate rehydration and treatment to protect gastric mucosa to accelerate alcohol metabolism and prevent gastrointestinal bleeding in the face of drunken patients; In the face of drunken and disorderly patients or patients with respiratory depression, corresponding drugs will be given to alleviate symptoms; On the other hand, emergency physicians will conduct detailed physical examination, blood drawing, examination and evaluation for the above problems, actively correct hypoglycemia, low potassium and other problems, timely find pancreatitis, intracerebral hemorrhage and myocardial infarction, and carry out treatment as soon as possible. Patients are usually advised to stay in the emergency hospital for observation until they are conscious.