標題: Re: [新聞] 四川地震「別鋸我的腿 我寧願自殺」
時間: Fri May 16 11:31:40 2008
※ 引述《makihara (maki)》之銘言：
: 看新聞很多截肢的人...而且很多是學生
: 一個被壓了70小時...腿從很痛到沒知覺...只能現場手術
: 沒有打麻醉...所以她是很清醒地看自己的雙腿被鋸掉...
: 還有一個自己鋸掉右腿...因為空間不夠...
: 還有3個北川中學的,一個在截肢手術中死亡,一個手術之後死亡,
: 負責操刀的醫師一邊手術一邊哭,
: 醫療器械不足還動用到斧頭,菜刀,消防剪...
: 手術環境惡劣+患者被困時間太長,
我自己是醫師, 所以我說的話應該會有一點道理.
人類是有機體, 壞死的組織一般最後都會代謝成有機酸,
此外, 你的細胞缺氧一陣子之後, 會行無氧呼吸, 產生乳酸,
這也是酸. 而人體血液的酸鹼值在正常之下維持在 7.35~7.45 左右.
酸對人體的影響很大, 一但你的血液 pH 低到 7.15 以下,
會對心臟造成抑制, 心臟抑制就字面上後果會怎樣大家自己去想.
當然不是這麼簡單而已, pH 變酸還有的就是電解質的變化,
前一陣子鄉民們在討論如何殺人就有提到氯化鉀, KCl,
太快速打一隻 KCl 會死人, 我執業的醫院標準藥品含量是一隻含 40meq 鉀離子.
可是鄉民們不知道的是, 標準體重的人體全身的鉀離子含量接近 4000 meq,
相當於 100 隻 KCl, 平常這些鉀離子沒事不會亂跑,
都是乖乖地待在我們人體的細胞內, 一但 pH 變酸, 或是細胞死掉,
鉀離子就會到處亂跑, 比例不多, 只要 5~10% 鉀離子的變化就是一下子打 5~10 隻,
一但高血鉀, 又是對心臟造成抑制, 一樣,
心臟抑制就字面上後果會怎樣大家自己去想.
當你的腳被壓迫之後, 如果運氣好, 時間不長, 只是缺氧, 那只是產生乳酸,
運氣不好, 壓迫的時間太長了, 整隻腳死掉了 (你的身體還活著, 但是你的腳死了),
一隻腳裡面的一堆代謝酸因為壓迫而和你的身體其他部分隔開,
當你在受到壓迫的時候, 某程度上對你影響不大.
現在救援人員來到現場, 如果一下子幫你減壓, 立刻打通你的任督二脈,
讓你那隻死掉的腳一下子放出大量的代謝酸和鉀離子到你的全身其他
你覺得你是會活還是會死?
這種的叫作 crush syndrome, 這種現象叫做 reperfusion injury.
報導很感人沒錯, 但是請永遠記著,
閃開! 讓專業的來!
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[1;37m推 [33milsummerya [m [33m:推 [m 05/16 14:09
[1;37m推 [33mfreakclaw [m [33m:推你的專業, 不過我寧可要腳不要命, 我相信自己的體質. [m 05/16 14:15
[1;37m推 [33mLeika [m [33m:這不推還算是人嗎 [m 05/16 14:16
[1;37m推 [33mwaimcat [m [33m:= ="好像在漫畫看過 主角背後有手印那本 [m 05/16 14:21
[1;37m推 [33mwu41289 [m [33m:好一個 閃開! 讓專業的來 XD [m 05/16 14:31
[1;37m推 [33mFaberge [m [33m:推一個 閃開 讓專業的來 敬禮!! [m 05/16 14:42
[1;37m推 [33mapapa [m [33m:酷爆了！！！ [m 05/16 14:48
[1;37m推 [33mbolue [m [33m:一樓怎麼有空推文 [m 05/16 14:52
[1;37m推 [33mNaibseL [m [33m:醫生也宅 [m 05/16 14:53
[1;31m→ [33mpase139 [m [33m:怎麼? 宅男不能填醫學系嗎? [m 05/16 14:58
[1;37m推 [33mjelly63 [m [33m:所以難是難在如何判斷腳死了沒是吧??? [m 05/16 15:02
[1;37m推 [33mjjc59 [m [33m:閃開! 讓專業的來! [m 05/16 15:05
[1;37m推 [33mayumitotoro [m [33m:難怪數字搜查線有提到打KCl殺人 [m 05/16 15:08
[1;37m推 [33mtrivialchild [m [33m:推 [m 05/16 15:12
[1;37m推 [33mangel0214 [m [33m:PUSH [m 05/16 15:26
[1;37m推 [33msshwann [m [33m:專業推 [m 05/16 15:27
[1;37m推 [33msea4504 [m [33m:推，一樓怎有空想戰 [m 05/16 15:38
※ [1;32msea4504 [0;32m:轉錄至看板 NCU_CME96_B [m 05/16 15:41
[1;37m推 [33mbking [m [33m:清新 健康 專業 [m 05/16 16:00
[1;37m推 [33mpiggyhead [m [33m:最後一句好好笑XDDDDD 前面鋪成的氣勢都不見了啦~~ [m 05/16 16:05
[1;37m推 [33mswpoker [m [33m:閃開! 讓專業的來! [m 05/16 16:35
[1;37m推 [33mfiaoms [m [33m:====================閃開! 讓專業的來=================== [m 05/16 16:44
[1;37m推 [33mlungerX [m [33m:推!! [m 05/16 16:48
[1;37m推 [33mnight0204 [m [33m:醫生不能上ptt作為休閒活動嗎? 閃開 讓專業的來 [m 05/16 16:53
[1;37m推 [33mHXZ [m [33m:推 [m 05/16 17:07
[1;31m→ [33mjameshcm [m [33m:前陣子Discovery有播過類似劇情,
[1;31m→ [33mjameshcm [m [33m:直接把他救出,而是先打點滴..好像是要減緩這種傷害 [m 05/16 17:16
[1;37m推 [33mlaliga [m [33m:專業 [m 05/16 17:39
[1;37m推 [33mHuskyrabbit [m [33m:閃開! 讓專業的來! [m 05/16 17:57
[1;37m推 [33mmayloveonly [m [33m:推專業文 [m 05/16 18:11
[1;37m推 [33mww12575 [m [33m:絲毫不留情面 [m 05/16 19:56
[1;37m推 [33mZodiac10 [m [33m:帥喔XD 八卦版長知識又一篇 [m 05/16 20:09
[1;37m推 [33mnjph93m4 [m [33m:我也有看到探索的那一集！ [m 05/16 20:25
[1;37m推 [33mPW315 [m [33m:真的不得不推!!!!!!專業!!! [m 05/16 20:36
[1;37m推 [33mcashko [m [33m:推專業 [m 05/16 22:00
[1;37m推 [33mshitboy [m [33m:推…專業人士 [m 05/16 22:03
[1;37m推 [33mpuko [m [33m:閃開! 讓專業的來! [m 05/16 22:11
[1;37m推 [33mhibbb [m [33m:上了一課 [m 05/16 22:16
[1;37m推 [33mAHMD [m [33m:推專業 [m 05/16 22:19
[1;37m推 [33mkikini916 [m [33m:閃開! 讓專業的來! [m 05/16 23:31
[1;37m推 [33mtsaofan [m [33m:閃開! 讓專業的來! 大推阿!!! [m 05/16 23:55
[1;37m推 [33mfukobe [m [33m:推專業文!!!!!!!!! [m 05/17 00:07
[1;37m推 [33mimsandy [m [33m:這位醫師 今天不值班嗎~真好~~ [m 05/17 00:19
[1;37m推 [33mrealitysida [m [33m:推 [m 05/17 00:30
[1;37m推 [33malima [m [33m:受教了 !!!!!! [m 05/17 00:35
[1;37m推 [33mshinrei [m [33m:專業文，推專業。 [m 05/17 00:48
[1;37m推 [33mTunaP [m [33m:這個道理 discovery有一集絕地逃生的影片裡也講過 [m 05/17 01:00
[1;37m推 [33mMarsZ [m [33m:推 [m 05/17 02:23
[1;37m推 [33mJiuliano1412 [m [33m: [m 05/17 08:40
[1;37m推 [33makanokuruma [m [33m:這詞讓我覺得好好笑XDDDDDDDDDD專業文一推 [m 05/17 20:32
[1;37m推 [33msmile829 [m [33m:閃開! 讓專業的來! 真的是優質.... [m 05/18 02:18
[1;37m推 [33myung80111 [m [33m:閃開! 讓專業的來! [m 05/18 03:19
[1;37m推 [33mgalewind [m [33m:推~~~ [m 05/18 19:55
[1;37m推 [33mringfan [m [33m:推 [m 05/18 21:10
[1;37m推 [33mlivtyler0828 [m [33m:閃開! 讓專業的來! 推！！ [m 05/18 21:37
[1;37m推 [33mDrizztMon [m [33m:閃開! 讓專業的來! [m 05/19 15:30
[1;37m推 [33mspooky221 [m [33m:專業啊！！ [m 05/21 14:39
[1;37m推 [33mslashliu [m [33m:閃開! 讓專業的來! 搞得我都想重念國高中了... [m 07/20 06:44
[1;37m推 [33mlilypopoa [m [33m:w推薦這篇文章 [m 09/06 17:34
[1;37m推 [33milovegenjay [m [33m:不過 叫大家想 這句話幹麻重複兩次 [m 03/08 18:39
[1;37m推 [33mdear0804 [m [33m:朝聖 [m 05/19 16:35
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