Vol 2 Chapter 1843:


In some TV dramas, such bridge segments often appear:
When the male protagonist (female protagonist) is seriously injured and unconscious, it is difficult to feed the decoction, so the female protagonist (male protagonist) first packs the decoction into her mouth, and then gives the male protagonist (female protagonist) mouth to mouth. Feed the decoction!
Leaving aside the need for the plot, is there any scientific basis for this method from a purely medical point of view?
Obviously not!
Not to mention that when a person is lying down, it is very easy to regurgitate and inhale the trachea by accidentally being infused with liquid. Even mouth-to-mouth medicine cannot change this reality;
In addition, it is an extremely dangerous behavior to give medicine to a patient in a coma, regardless of the posture (lying down or sitting down)!
In modern medicine, coma refers to the complete loss of consciousness. It is a serious vision of a person's complete loss of awakening to things. It is due to various reasons that the high-level nerves are severely inhibited and the high degree of consciousness is shown. Find out the cause as soon as possible and take effective measures in time to rescue.
Generally, coma is divided into two types: light coma and deep coma. Superficial coma refers to the patient's loss of consciousness, but the pharyngeal reflex, corneal reflex, and pupil reflex still exist, and the patient still has painful expressions and slight movements to strong stimuli such as oppressing the orbit and irritating the nerve of the orbit;
In a deep coma, the patient does not respond to various stimuli, and the clinical manifestations are muscle relaxation, incontinence, etc.
This kind of severely comatose patient cannot swallow spontaneously. Once someone is infused with liquid from the mouth, since the patient does not have basic swallowing emission, the liquid will not move along the esophagus to reach the stomach, but will gather a large amount 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 will occur. 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 neurology), doctors will consider nasogastric tube feeding and feeding, medicine and water, and will not take the patient's life at this risk!
Although Gongsunliang didn’t know the technical terms such as
swallowing reflex
and
advanced nerves
, and even more ignorant of alternative feeding methods such as the insertion of a nasogastric tube, it is the so-called same result when a person’s attainments in a certain aspect reach the limit. Even if his cognition has received the limitations of the times, it does not mean that his personal ability to solve problems will also be limited!
At the very beginning when Duguxin was inspected for his injuries, in addition to giving Duguxin pulse, Gongsunliang also looked at Duguxin’s eyelids, mouth and other parts, in order to confirm whether Duguxin was still conscious and able to do so. Swallow medicine autonomously.
It was determined that Duguxin in a coma still had a certain subconsciousness, and Gongsunliang prescribed a prescription and dared to let the little medicine boy decoct and feed the medicine for Duguxin!
"Okay, Little Treasure! Don't feed it now, you carry the medicine bowl and go to the side to wait!"
Under the service of the young medicine boy, Duguxin reluctantly drank half a bowl of soup medicine, and then fed it into his mouth, all the soup medicine flowed out. Seeing this, Gongsun Liang opened his mouth to stop him.
Because in his opinion, half a bowl of soup medicine is enough for the two poisons in Duguxin's body to exert some effect!
"Yes! Master!"
Little Yaotong didn't hesitate, and after wiping the medicinal soup at the corner of Duguxin's mouth with a kerchief, he held the medicine bowl decisively and stood aside.
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