Chapter 475: If the neurosurgery can't solve it, come to me
"Ruan Bin, give him a closer look!" Liu Junchi said.
"Good. Ruan Bin immediately scraped the sides of his body with his hands and asked, "Do you feel it?"
"I only felt a little pain on the right side of my body, and the left side was like a piece of wood, and I didn't feel it. Liao Jie said in a panic. Anyway, he felt that his left body weighed like a thousand pounds, and he couldn't move no matter how hard he tried.
"Where's your feet?" asked Ruan Bin, scraping his legs with his hands again.
"Sentient!"
"What are the main numbness and unconsciousness areas on the left side of the body?" Ruan Bin scraped him again.
"I still have numb sensation in my waist, but I don't feel it at all in my left shoulder and left arm!" Liao Jie said.
"It looks like the entire left arm is paralyzed. Ruan Bin said.
"His examination report shows that there is an ischemic stroke in the brain that controls the neurovascularity of the left arm, and there is also a left parietal lobe malacia, and it is not surprising that there is a problem with this left arm now!" Liu Junchi sighed.
"Ahh
"It's not just your left arm, it's your left shoulder, it's probably your left lower back. In the future, it is estimated that walking will have a small impact, let alone strenuous exercise!"
"How so? I, I'm just in a coma, how can I be paralyzed?"
"You're not in a coma, you're having a stroke, you're suffering from cardiovascular and cerebrovascular diseases. The brain is very rich in blood vessels, large and small blood vessels are intertwined into a network of blood vessels that supply our body's headquarters, that is, our brain, and these blood vessels are responsible for providing nutrients to our brain and taking away waste products produced by brain metabolism. Each of the large blood vessels that supply the brain is relatively independent and is responsible for the nutrition and metabolism of an area of our brain. We have four relatively large arteries in our body that go directly to the brain and provide special nutrients to the brain. ”
"In addition to blood vessels and water, most of the rest of the brain is nerves. Each part of the brain controls an organ in our body, and most of them are cross-controlled, some control the movement of the left hand, some control the movement of the right hand, some control the movement of the left hand, some control the movement of the left foot, some control the right foot, some control the right foot, and the left part of the brain is dedicated to controlling our speech. If the blood vessels in the brain area that control the strength of our arm are blocked, infarcted and necrotic (i.e., stroked), then the arm under his control will have no innervation and then weakness and hemiplegia. ”
"Unfortunately, your case is that the blood vessel that directs your arm has infarcted, so ......"
"Doctor, please save me! I'm only 30 years old, and if I can't move my left hand, my job will be lost, and my life will be over!" Liao Jie said with a handful of snot and tears.
"Doctor, please save my boyfriend, he, he can't lose this job!" Liang Xiaoying also asked for help. After all, this kind of 'honest and high-quality' boyfriend is not easy to find.
"To tell you the truth, it's almost impossible to recover from a stroke, especially a neurovascular infarction. For specific treatment, we need to ask people from the neurosurgery and brain surgery departments to come and see if they are treated. Liu Junchi said in a deep voice.
At present, there are about 2.7 million new cerebrovascular patients in China every year, and one person has a stroke every 12 seconds, and stroke has become the first cause of death among Chinese residents.
As we all know, for stroke patients, the most painful thing is that the person is still there, and one limb is hemiplegic. Moreover, patients with hemiplegia after stroke are in the plateau period of recovery after a certain period of rehabilitation, and it is difficult to make a qualitative leap, and they cannot take care of themselves. It's hard for the elderly to accept, and for the young, it's like being cut off from the world......
At present, drug treatment and rehabilitation treatment are mainly used in the early stage of stroke paralysis, and the early drug treatment includes drugs such as nutrition and nerve, blood circulation and blood stasis, and rehabilitation measures include active rehabilitation training and passive exercise given by patients' families. Other therapies can also include acupuncture, physiotherapy, dialysis therapy, acupoint injection, electric steaming, traditional Chinese medicine foot bath, etc., and the current effective methods can also include hyperbaric oxygen therapy, as well as a few surgical treatments.
But the effect is not too ideal!
"Ding-dong...... Temporary Mission: Save Liao Jie!Complete the task and reward 10 lucky draw chances!
"Huh, such a rich reward?" Ruan Bin was overjoyed.
However, according to the urine nature of the system, the greater the reward, it seems that the difficulty of treatment is not small!
"Doctor, can you tell me now what are my chances of recovery?" asked Liao Jie impatiently.
"We are emergency doctors, and it is best to have a brain and neurosurgeon do a thorough examination and evaluation of your condition. So you better wait a minute, it's past five o'clock in the morning, and I'll ask the director of the neurosurgery department and the director of the brain surgery department to come and show you at half past eight!"
"Okay......" Liao Jie's face was decadent.
"Don't worry, the certainty of cure is still great, if the people from the psychiatric surgery and brain surgery side say that they are not sure, you can come to me!" Ruan Bin whispered to Liao Jie after seeing Liu Junchi and the others walk out.
I'll get off work later, so let the neurosurgeon take a look at it first, and I'll wait until he goes to work tomorrow.
"Are you okay?" Liao Jie looked at the young doctor in front of him, a little surprised.
Isn't he an emergency doctor?
"Hmm. Ruan Bin nodded, didn't explain much, and left the ward.
............
Soon, the night shift ended, and the shift was handed over.
Qiao Yejian, the director of the Department of Neurosurgery, and the director of the Department of Brain Surgery also came.
They looked at Liao Jie's situation, and they all shook their heads and sighed.
"The situation is very bad! If you use medication, rehabilitation and hyperbaric oxygen therapy, the effect of this situation will not be very good. Your left parietal lobe malacia is severe, including left parietal cerebral infarction, left lower limb muscle strength grade IV, left upper limb Fugl-Mryer score of 7! But with surgery, there is no good surgical plan for this condition, so you have to be mentally prepared......" Qiao Yejian said solemnly.
There are currently few surgeries for the treatment of central upper limb spasmodic paralysis, with FSPR being the most common (i.e., functionally selective posterior root dissection).
However, the patient's condition is treated with this surgery, and it seems that the problem cannot be solved!
That is, this kind of surgery cannot solve the problem of this part!
"What do you mean, Director?"
"I would recommend conservative treatment first, or go to another hospital. Qiao Yejian said euphemistically.
“???”
"No, you must have a way, right?" Liao Jie's eyes turned red.