"Drip", the drug directly enters the blood circulation of human body, with quick effect and obvious effect. It is suitable for some critically ill patients or patients with difficulty in eating, especially in emergency, and has the function of bringing back the dead. However, "drip" not only requires high technology, equipment and environment, but also requires appropriate drug cooperation, otherwise it will reduce the efficacy or increase the toxicity of drugs. At the same time, in the whole infusion process, due to the influence of various environmental factors, the number of insoluble particles (particles below 50 microns, invisible to the naked eye) in the solution will increase. Insoluble particles can be brought in from the liquid medicine itself (such as raw materials, auxiliary materials, operation technology, packaging materials, etc.). ), it may also be brought in by infusion instruments (such as infusion tubes) or in the process of liquid medicine production (insoluble crystals or degradable drugs are produced due to the interaction of drugs and the changes of physical and chemical properties, etc.). ) Yes, drug infusion can quickly exert its efficacy, but medical staff often tend to overlook insoluble particles and their potential harm to patients.
Pharmacopoeia at home and abroad require that the limit of insoluble particles for intravenous injection is 100 ml. China Pharmacopoeia stipulates that there should be no more than 20 particles with a particle size of 10 micron and no more than 2 particles with a particle size of 25 microns per milliliter of infusion, and there is no restriction on particles with a particle size of 10 micron. Guo, deputy director of the Pharmacy Department of Nantong Cancer Hospital, Jiangsu Province, examined the particles in the infusion of anti-tumor drugs and antibiotics. The results show that the operation process of drug infusion leads to a sharp increase in insoluble particles in drug infusion, far exceeding the provisions of pharmacopoeia standards, and the situation is worrying.
"Drip" makes the liquid medicine directly enter the blood circulation of human body. Because the diameter of human capillaries is generally 4-7 microns, if a large number of drugs are often infused into the blood vessels, insoluble particles will accumulate in important organs such as heart, lung and kidney with rich microvessels. Over time, it will cause microvascular thrombosis, pulmonary granuloma, pulmonary fibrosis, pulmonary vein pressure and pulmonary artery pressure, as well as local tissue edema, inflammation, necrosis and even cancer. There are many such reports, such as a patient who received 40 liters of drug infusion before his death and found more than 5000 granulomas in his lungs after his death.
As a doctor, we should resolutely oppose the one-sided pursuit of quick-acting and economic benefits and the abuse of drug infusion. As patients, we should fully understand the harm of "intravenous drip" and try to avoid its adverse consequences.
There is a popular saying in the medical field that it is easy to buy guns in the United States, but difficult to buy antibiotics. But in China, on the contrary, many doctors are driven by interests and prescribe large doses of the latest and most expensive antibiotics. The utilization rate of antibacterial drugs in hospitalized patients in China is as high as 80%. No country in the world uses antibiotics on such a large scale. If this situation is not changed in time, the Chinese nation may collectively become a "drug-resistant family", that is, return to the dark ages before the discovery of antibacterial drugs, which is definitely a catastrophe.
Antibiotics are used for colds, and some patients, especially the elderly and children, are advised to minimize infusion for the following reasons:-
1, the elderly and children are physically immature or physically aging, and most of the functions such as heart, lung, liver, spleen and kidney are poor, which is easily influenced by many external factors; -
2. Infusion directly involves blood vessels and affects blood and cardiopulmonary circulation. Chinese medicine believes that the liquid is yin water, which is prone to "cold (cold) drinking evil attacking the lungs". If it is caused by a cold, such as a cold, cough, pneumonia, cardiovascular insufficiency, etc. A large amount of infusion can easily lead to cold drinks, cough, chest pain and even heart failure, and it is generally not appropriate to inject in large quantities; Liquid cold, easy to hurt yang, accumulate over a long period, hurt children's kidney yang, low immunity, easy to catch a cold, rhinitis, allergies; -
3, colds are mostly caused by feelings, wind and cold. And most of them are cold, so it is advisable to warm the exterior. At present, most hospitals give antibiotics and drugs for clearing away heat and toxic materials which belong to "bitter cold", which is not conducive to the outward penetration and diffusion of mild cold pathogens on the muscle surface, and it is easier to inhibit pathogens, damage Yang Qi, and even stop phlegm drinking and condense in the throat and nasal cavity, leading to chronic pharyngitis and children. -
4, infusion is cold, easy to hurt the lungs. Traditional Chinese medicine believes that lung is connected with stomach meridian, and lung injury is easy to hurt the stomach, so it is easy to cause nausea and vomiting, insufficient stomach qi, malnutrition in diet and further decline in resistance in children; -
5. When a large number of drugs such as antibiotics are injected during infusion, many side effects may not appear in a short period of time, and even drug research has failed to find out that the infusion person has become the "subject" of drug clinical trials; -
6, weak body, poor cardiopulmonary function, excessive, too urgent, too fast, a lot of infusion, easy to cause cardiopulmonary failure; -
7. The infusion dosage is large. Under normal circumstances, it can be taken orally without intramuscular injection, and intramuscular injection does not require infusion. The infusion is mostly designed for first aid and rehydration, not only for the infusion of antibiotics; -
8. Infusion often leads to transfusion reaction due to hospital environment, incomplete disinfection, accidental contact, liquid quality or impurities. , serious or not timely or incorrect rescue may be life-threatening; -
Generally speaking, a slight cold or fever is the normal, stress and immune response of the body. This is exercise for the body. Temperature rises, white blood cells rise, people are uncomfortable, and bacteria and viruses are also uncomfortable. It is also a blow to some bacteria and viruses in the body; -
10, a large amount of infusion and antibiotics is also a cruel and inhuman "slaughter" for normal beneficial bacteria in the body. Strictly speaking, it is a voluntary "suicide" behavior; -
1 1, infusion pain, child suffering; Infusion is expensive and parents pay for it; Transfusion is time-consuming and troublesome, and the whole family suffers; Blood transfusion is "toxic" (medicine is poison, which goes straight into hard work), blood is "polluted" and liver and kidney are "poisoned"; -
12. At present, many provincial and municipal hospitals gradually upgrade the antibiotic level for economic benefit and short-term curative effect, and even directly give higher-level and top-level new antibiotics. There will be more serious bacterial infections in the future, and there will be no medicine available, blocking your own way! -
13, who knows how many antibiotics, fluids, anticancer drugs and "new drugs" are imported from abroad, and who knows how many foreigners' "junk drugs" (which become blood waste after being imported into the body) earn how much hard-earned money of China people? -
14, the great treasure house of Chinese medicine in the motherland is waiting for us to excavate, utilize, cherish and revitalize.