411 Vegetative people
"Child, are you still alive?" Wu Mian asked.
In the old society, many people couldn't afford to feed their children, so they put their children at the door of large families or places with a lot of people, hoping that some well-wishers would pick them up.
In Farewell My Concubine, Cheng Dieyi, played by Leslie Cheung, adopted an apprentice, and that's how she came.
Living conditions are better, and this kind of thing is happening less and less. If you can't afford to eat, who wants to throw out the flesh and blood of your own child who was conceived in October and gave birth once and left it to fate.
This kind of thing is not uncommon in hospitals, and in general, children have congenital diseases and are abandoned by their families. At least the doctors and nurses in the hospital are in the heart of treating the sick and saving people, and the child may be more likely to survive.
Wu Mian asked this with its internal logic, and he had also seen several similar abandoned children in the imperial capital.
"I'm angry, but I don't cry or make trouble, and I don't open my eyes. Daoist Lin said sadly, "Uncle Xiao, I suspect that it is a vegetative person. ”
“......”
Wu Mian sighed, no wonder.
It may be that there was an accident during childbirth, resulting in cerebral hypoxia or other accidents, and the child became a vegetative state.
He put on his clothes and said, "Take a look." ”
Chu Zhixi nestled in the quilt and said sleepily, "Brother, why are you going?"
"Sleep. Wu Mian touched Chu Zhixi's fluffy long hair, Chu Zhixi was instantly "unconscious", and fell asleep again.
The girl sleeps so well, Wu Mian is particularly envious.
When I went out, I saw that Daoist Lin was not wearing a robe, but wearing a sweatshirt and shorts, and he was a little thin, looking like an old farmer.
"Uncle Junior, I think it's Lin Yun's business. Lin Daoshi said, "After adopting Lin Yun, I knew that something similar would happen sooner or later." ”
Wu Mian nodded, this is all inevitable, sooner or later.
In the dark night, driving the battery car to the front mountain, the wind was a little cold. Daoist Lin was trembling, and Wu Mian had no choice but to ask him to stop and drive it by himself. Otherwise, Wu Mian was afraid that Daoist Lin's hand would slip and drive the car into the bottom of the mountain.
"Lao Lin, you're wearing too little. Wu Mian said.
"Hurry. "Daoist Lin completely lost the appearance of the fairy wind Dao bones, "I thought early on that someone would send the child, in fact, it is nothing to feed a few children, but Uncle Xiao, you said that a vegetative person, can this child live." ”
"Don't diagnose it yet, I'll take a look. Wu Mian said, "It's okay to say that it's a vegetative person, don't be brain dead." ”
"Uh, isn't it different?" Daoist Lin was stunned for a moment, and then said, "Uncle Junior, you drive slowly, it's windy." ”
"Lao Lin, you really should go back and learn again. ”
"Uncle Xiao, I'm at this age, just study. Daoist Lin hugged Wu Mian's waist and pressed it hard. Although it is awkward, Uncle Xiao is really warm.
"A vegetative person is a person who retains some instinctive nerve reflexes and the ability to metabolize matter and energy, but whose cognitive abilities, including the ability to recognize their own existence, have been completely lost and have no active activity. It is also known as phytoplasmic state, irreversible coma. Wu Mian explained while driving the battery car.
"Isn't this brain death? ”
"It's not. The brainstem of a vegetative person still has a function, and when it delivers nutrients to its body, it can also digest and absorb it, and can use this energy to maintain the body's metabolism, including respiration, heartbeat, blood pressure, etc. Wu Mian continued, "Vegetative people can also have some instinctive reflexes to external stimuli, such as coughing, sneezing, yawning, etc. However, the body no longer has consciousness, perception, thinking, and other high-level neural activities unique to human beings. The EEG appears as a stray waveform. ”
Brain-dead patients are defined as whole brain death, including the brainstem. Brain-dead, no spontaneous breathing, EEG in a straight line. ”
"It's so complicated, we people think it's the same thing. Daoist Lin snorted, and confirmed that he was a common person's business, saving Wu Mian from urging him to read.
"But you can't treat you as a common person. Wu Mian said with a smile.
When I passed by the gazebo, I could see the light in the cellar, and there was a hint of warmth in the darkness.
"Uncle Junior, can I keep that black bear?" Daoist Lin suddenly asked.
"Lao Lin, you can't do this when you die. Wu Mian said without hesitation, "Wild and untamable, you are indeed majestic with a black bear, but what if you hurt someone?"
"I'm just asking. Daoist Lin laughed twice.
"Don't think that guy is honest, if it weren't for the gravel, I think the operation would have to be made honest with a tranquilizer gun first. ”
"I know, I know, Uncle Xiao, slow down, I'm frozen. ”
"It's only the end of August. ”
"It had just rained and it was cold. Fortunately, it was only the end of August, and the child was almost freezing. One month later, it is estimated that the child will be dead by the time it is found. ”
When she came to the house of the Taoist priest in the former mountain, Mingyue was at a loss to hold a month-old child, a little confused. Lin Yun was more interested in the child, and gathered around Mingyue to watch.
"I'll take a look. Wu Mian stretched out his hand, took the child from Mingyue's arms, and looked at it carefully.
1 second ......
5 seconds......
10 seconds......
30 seconds......
Daoist Lin felt that Uncle Xiao was holding the child in his arms, not checking the body. How can there be such an examination, isn't the neurology examination always with a percussion hammer to knock left and right?
"Uncle Xiao, what are you doing here, is the child hopeless? Daoist Lin asked.
"Physical examination. ”
"Do you use your eyes to inspect it?" Daoist Lin was a little scared in his heart, afraid that the child would die, and he was afraid that the family would make trouble after the child died, saying that the Taoist temple had killed him. Although this is unlikely, Lin Daoshi still thinks of a doctor in his bones, and he can't help but think so.
"Periodic Cheyne-Stokes respiration is seen in bilateral cerebral hemisphere disease or diencephaly lesions. ”
"Irregular breathing patterns, prolonged or ataxia inspiration, are seen in lesions in the lower pontine or upper medulla oblongata. ”
"Hyperventilation usually reflects metabolic or pulmonary disease, but sometimes it also reflects damage to the upper pontine or midbrain. ”
"It's part of the physical examination, don't talk nonsense if you don't understand. Wu Mian hugged the child and sighed after carefully observing it for nearly 3 minutes.
"Is it a vegetative person?" asked Daoist Lin, holding his arms.
Wu Mian ignored Daoist Lin, and then put the child on the bed and glanced at the pupils on both sides.
In hypothalamic disease, pontine disease, and intoxication with narcotic drugs, the pupils are confined but the light reflex is preserved.
In midbrain damage, or severe overdose of hypnoconic toxicity, the pupils are medium-sized, reflexes are absent, and the pupils dilate in the presence of hypoxia or oculomotor compression.
Pupillary response is normal in most cases of metabolic disease, hemispheric disease, or loss of psychogenic consciousness response.
"Lao Lin...... Mingyue, do you have a syringe? Wu Mian asked.
"Nope. Mingyue didn't know what to do, and shook her head in a trance.