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Herniation is a complication of increased intracranial pressure. Pen % fun % Pavilion www.biquge.info

Due to various reasons, such as trauma, craniocerebral infection, etc., the body continues to increase intracranial pressure, and the body's automatic regulation mechanism loses its ability to compensate, so that a part of the brain tissue is displaced from the place with high pressure to the place with low pressure, and bulges out through the normal physiological orifice, which is called "brain herniation".

Because of the bulging brain tissue, a series of clinical manifestations can be life-threatening due to compression of the brainstem and adjacent vital blood vessels and nerves.

When a patient has brain herniation, the displaced brain tissue squeezes the brainstem at the tentorial notch or the foramen magnum of the occipital bone, and the compression and displacement of the brainstem can cause the internal blood vessels to be stretched, and in severe cases, the central branch of the basilar artery into the brainstem can be pulled off and cause internal bleeding in the brainstem, which is often patchy, and sometimes the bleeding can reach the level of the internal capsule along the direction of the nerve fiber.

Hemiplegia on the opposite side of the lesion is caused by compression of the ipsilateral cerebral foot, and ipsilateral oculomotor nerve compression can produce oculomotor nerve palsy symptoms. The displaced hook gyrus and hippocampal gyrus can squeeze the posterior cerebral artery on the cerebellar tentorial notch margin, causing ischemia and necrosis of the occipital cortex. The tentorial notch of the cerebellar and the foramen magnum of the occipital bone are blocked by displaced brain tissue, which blocks the cerebrospinal fluid circulation pathway, which further aggravates the intracranial pressure and forms a vicious cycle, which makes the condition deteriorate rapidly.

Once a brain herniation occurs, it needs to be treated urgently, otherwise it will lead to life-threatening treatment!

Generally speaking, cerebral herniation is caused by a sharp increase in intracranial pressure, and at the same time as making a diagnosis of cerebral herniation, it should be quickly infused with intravenous drugs to reduce intracranial pressure according to the treatment principle of increased intracranial pressure, such as mannitol 250 ml, rapid intravenous drip, which must be fast, otherwise it will not be able to achieve the effect of reducing intracranial pressure, so as to alleviate the condition and gain time.

When the diagnosis is confirmed, the pre-craniotomy preparations should be completed quickly according to the condition, and the cause of the disease should be removed as soon as possible, such as removing the intracranial hematoma or removing the brain tumor.

In other words, as long as a brain herniation occurs, surgery needs to be performed in the first place, and only in this way can the patient's life be saved!

The reason why Lin Feng said that the injured person had brain herniation was because the injured person's bilateral pupils were unequal, which is one of the most common symptoms of brain herniation!

In addition, the injured person had a head injury and loss of consciousness, which better met the criteria for head injury, so Lin Feng concluded that the injured person had a brain herniation!

And the reason for brain herniation Lin Feng has also been affirmed, it is precisely because at the same time as the car accident, the injured person's head touched the car window, due to the huge impact force and habitual effect, the injured person developed an epidural hematoma, and it is precisely for this reason that brain herniation occurred!

Once brain herniation occurs, it needs to be treated immediately, otherwise the consequences are extremely serious!

However, here is the exit of the highway, the ambulance is on the road again, and it has not yet arrived!

It is obviously impossible to reduce intracranial pressure through the action of drugs.

Therefore, other methods can only be considered to reduce the patient's intracranial pressure, so as to alleviate the symptoms of brain herniation and avoid the patient's death due to respiratory failure!

The respiratory center that controls the human body is located in the brain, and when brain herniation occurs, it will easily compress the respiratory center, resulting in respiratory depression in the human body, until failure, and finally death!

If you want to perform cranial decompression through surgery, it is an easy thing to do in the hospital, and it is also a routine operation, which can be completed in a county-level hospital.

However, there are no suitable tools here, and it is obviously unrealistic to want to treat and decompress through surgery!

The above two methods are effective ways to reduce intracranial pressure, but there is no way to do it here, and when the ambulance arrives, I don't know if it is the Year of the Monkey, Lin Feng can wait, but the injured can't wait!

If this matter is encountered by another doctor, he will definitely be helpless, indeed, the two most effective methods cannot be done, what other method can be used?

However, the person standing here is Lin Feng, not an ordinary doctor!

No medicine, no surgery, but acupuncture!

Yes, the art of acupuncture has created countless miracles, and today, here, another miracle will be created again!

As long as the epidural hematoma is quickly removed, the internal pressure of the injured person's brain will be reduced, and the symptoms of brain herniation will be reduced!

And after this dangerous period, when you get to the ambulance of the hospital and send it to the hospital for further treatment, then the life of the injured person will be picked up!

Lin Feng didn't think about it anymore, picked up the silver needle in his hand, and quickly pierced it on several big points on the injured person's head!

These acupuncture points are the acupuncture points that can accelerate the blood flow velocity, and Lin Feng's purpose is also to make the hematoma quickly absorbed through acupuncture on these acupuncture points, so as to reduce the pressure in the skull.

Of course, although ordinary needles can have a little effect, the effect is limited, and no obvious results will be seen in a short time.

Therefore, in the process of applying the needle, Lin Feng added the spirit element, and with the effect of the spirit element, the absorption speed of the hematoma was naturally several times faster!

Lin Feng kept applying needles, and time passed little by little

At the same time, Lin Feng was also worried about the situation of the driver of the Xiali car, as well as the situation of the pregnant woman.

It's just that Lin Feng lacks skills, so he has no choice but to let Sally Li and Qin Suya look at these two people, as long as there is anything abnormal in these two people, tell Lin Feng immediately!

Although Sally Li and Qin Suya didn't study medicine and didn't know anything about these things, they could still do it by looking at one person, so the two nodded and took the order, and each looked at one person.

Onlookers watched what was happening here, whispering one by one, most of these people were drivers and passengers passing by, pointing at the scene of the car accident, and some people were holding mobile phones and DVDs to shoot, planning to go back and post these video images on the Internet.

In addition to the damaged vehicles at the scene of the car accident, Lin Feng was the one who attracted the most attention from onlookers!

It's no wonder that Lin Feng is alone, busy before and after, he is pricking people with needles, and smashing the car door with his fists, such a person appears at the scene of the car accident, which will naturally attract everyone's attention and attention!

"Who is this person? Is he holding a silver needle in his hand? A bystander asked his partner suspiciously.

"Seems to be, right?!" The partner also replied with confusion: "Could it be that this person is a Chinese medicine doctor?" Want to use the silver needle in your hand to heal these people's injuries? ”

"I guess so! Otherwise, what is this person doing? ”

The onlookers were talking, and at this moment, there was a rush of ambulance voices in the distance!

(To be continued)