Chapter 402: Nervous deafness
"Dr. Chen, my child has neurological deafness and has lost all his hearing, can this disease be cured?" The little girl's mother asked with some eagerness.
"There are many causes of neural deafness, some are congenital heredity, some are poisoning by congenital drugs, some are acquired virus infections, or the influence of external noise, or neurological lesions, etc., have you checked specifically?" Chen Hao asked.
"Dr. Chen, the child's hearing was normal after birth, and it was normal to speak when she was a child, but a year ago she often experienced symptoms such as tinnitus, dizziness, and nausea, and she did not take any medication before the symptoms appeared, nor did she encounter loud noises."
Chen Hao asked again: "This shows that it is formed after tomorrow." What are the results of the hospital examination? Where exactly is the location of the lesion? Is it a lesion of the cochlea, or a lesion of the auditory nerve, or even some lesion of the center? ”
The girl's mother took out the girl's medical record, which contained a thick stack of examination reports.
Chen Hao took the report and looked at it one by one. The mother and daughter waited quietly on the side, not daring to make a sound, for fear of interfering with Chen Hao's judgment.
"X-ray tomography and CT examination both prove that the inner ear structure is normal, the cochlear electrogram responds, indicating that the cochlea is functioning normally, and the headland or round window is electrically stimulated but the brainstem is not responding, then it can be determined that the lesion must be in the nerve." Chen Hao pointed to a report card and explained to the girl's mother.
The girl's mother nodded, Chen Hao's analysis was exactly the same as that of the ENT expert.
"Look at this report," Chen Hao pointed to some graphics and values that ordinary people can't understand: "The medium latency response (MLR) can be elicited and the latency is normal, indicating that MLR does not rely on the synchronous discharge of auditory neurons, and the auditory path above the brainstem functions normally." Event-related potential (ERP) testing is normal, indicating normal auditory center processing function. ”
"Looking at this again, the ABR wave I and AP can be elicited normally, and the several waves after ABR are severely abnormal or disappear, especially the III.~V wave abnormality, and the wave interval is prolonged or disappeared. The ABR is severely abnormal from wave I., and there is likely to be a brainstem auditory pathway lesion. ”
The girl's mother said to Chen Hao with a convincing face: "Dr. Chen's analysis is more incisive than those experts in otolaryngology. The previous doctor said that it was neural deafness, and then prescribed some hormone drugs and a large number of vitamin tablets, but not only did the hearing not recover, but it was completely lost a month ago, and now I can't hear any sound at all. Dr. Chan, what do you think of this? ”
Chen Hao's face suddenly turned a little red. Chen Hao studied clinical medicine in college, and his learning content was mainly internal medicine and surgery, although he had some understanding of otolaryngology, but he was not professional.
Taking out these report sheets, Chen Hao found that he could only understand a few data, and he was completely blind to most of the measurement items and data.
So Chen Hao cheated secretly, he scanned the report and handed it to Xiaolong to analyze, Xiaolong analyzed a sentence, and Chen Hao followed suit.
However, since he is called a miracle doctor by others, he naturally has to pretend to be knowledgeable and unfathomable.
At this time, the little girl also spoke. "Uncle Doctor, do you think I can still save it?" Lesions in the auditory center of the brainstem do not affect your child's speech.
The little girl actually used the word "rescue" instead of "cure", and in her heart, losing her hearing was equivalent to losing her life.
Chen Hao didn't answer, but smiled like a sunny smile at her. In Chen Hao's eyes, the girl saw calmness, confidence and hope.
Looking at Chen Hao's smile, the girl seemed to feel that the fiery red sun rose in her life full of haze, and the brilliant and golden sunlight drove away the haze.
The girl also showed a very warm smile, even the curvature of the corners of her mouth was so perfect, and her originally pale face seemed to bloom with a white orchid, bringing Chen Hao into spring.
Chen Hao turned his head to the girl's mother and said, "The previous doctor's diagnosis and medication were not wrong, but your child's condition is developing too fast, I will check it first and then decide on the treatment plan." ”
Letting the girl turn around, Chen Hao turned on the perspective function of his glasses, and carefully observed the brainstem of the back of the girl's head.
Magnify! Chen Hao finally saw the true face of the gray spots - a blue round virus covered with thorns, they burrowed into the inside of brain cells, multiplying with the help of nutrients in the cells, and when the cells ruptured and died, the reproduced virus cells began to erode other normal brain cells.
The girl had taken antivirals, and apparently the virus had mutated and was very resistant.
Once you understand the cause, you can prescribe the right medicine.
Chen Hao said to the girl's mother: "The reason why your child causes deafness is because there are viruses that invade the brain stem, and they destroy the child's normal brain cells and cause lesions in the nerve center of the brain. This virus is a new type of virus, and the antiviral drugs commonly used on the earth are not effective against it, which is why your child is being treated, but it is ineffective. ”
As soon as she heard that it was a new type of virus, and that the antiviral drugs on the earth were ineffective against it, the girl's mother's face suddenly turned pale, which reminded her of the new SARS virus that swept through Huaxia at that time, which was also a new type of virus, and any antibiotics used to treat pneumonia had no effect.
Moreover, as one of the cities with the largest flow of people and the most densely populated city, Beijing has become the epicenter of the epidemic in the country.
In all shopping malls, there are more salespeople than customers; In the huge subway station, there are only a few passengers with masks; The streets are empty, and it is rare to see the leisurely traffic police bored basking in the sun; There are only two spectators seated in the screening hall of the cinema......
At that time, everyone talked about the color change of the virus.
Seeing the girl's mother's pale face, Chen Hao smiled and comforted: "But you don't have to be so nervous, antiviral drugs are ineffective against it, it doesn't mean that I can't do anything about it." You can rest assured that you and your daughter will go home happily today. ”
The girl's mother showed an expression of ecstasy and shock, and the girl seemed to have heard Chen Hao's words and smiled happily.
Piercing the back of the girl's neck with a silver needle, Chen Hao unleashed the nanobot.
The nanobot followed the blood circulation to the brain, raised two large knives and slashed and killed. Those viruses have no thoughts, and they will not escape, and as soon as the nanobots rush in, they are like tigers rushing into a flock of sleeping sheep, and the gathered virus group is suddenly cut to pieces.
After sweeping away the virus, Chen Hao carefully searched the entire brain of the girl. One thing about nanobots is that nanobots are not very good compared to drugs, and if a virus slips through the net, then it will make a comeback.