Chapter 241: Epilepsy
Time flies, and a month has passed in the blink of an eye.
Renhe gradually recovered, and the work of the emergency department became more and more busy.
Because he was on several night shifts in a row, Li Xiyang slept directly into the evening that day.
After washing his face, Li Xiyang went out to find a restaurant to eat.
In front of a Lanzhou ramen restaurant, Li Xiyang, an uncle who was paying, fell to the ground in his pocket because he was in a hurry to pay the money.
Li Xiyang kindly reminded, "Uncle, your things have dropped!" ”
The man glanced down and hurriedly thanked him.
Li Xiyang waved his hand, "It's okay!" ”
Then I took a look inside the store, and business was good.
That's it!
However, Li Xiyang had just stepped in when he heard an anxious voice behind him.
"Peng Peng, what's wrong with you Peng Peng, don't scare your father!"
Li Xiyang looked back and saw that it was the uncle just now.
He stood at the back door of a sedan and shouted anxiously inside.
As a doctor's instinct, Li Xiyang walked quickly to the side of the car.
"What's wrong, uncle?"
The man looked anxious and panicked, and said tremblingly, "My son, my son he... He..."
The other person may be so nervous that he starts to stutter.
Li Xiyang tilted his head to look at the back seat, and saw a fifteen or sixteen-year-old boy lying on the back seat, convulsing all over.
Li Xiyang Tong shrank, "It's not good, it's an epileptic seizure!" ”
"Quick, put the person flat in their seat."
Hearing Li Xiyang's voice, the man didn't know what to do.
Li Xiyang hurriedly pulled him away, then leaned into the back door, and quickly checked the latter while correcting the boy's indiscriminate twitching posture.
By this time, the boy had lost consciousness, his eyes were rolling upwards vigorously, and his limbs were twitching.
When the boy's father saw this, he was very frightened.
I only knew that I was anxiously repeating over and over again, "Son, what's wrong with you..."
It seems that he wants to wake up the child by sound.
But this is obviously useless for people with seizures.
"Don't shout, he can't hear you."
Li Xiyang pointed to the rear door on the opposite side and said, "You go over there, open the car door, and hold down his two arms!" ”
Li Xiyang had already fixed the child's two legs, but the child's two arms were still waving wildly because of the convulsions, and now he had to be kept still.
Because when epilepsy patients are sick, in order to prevent the patient's excessive convulsions and cause limb fractures, the surrounding people must fix the patient's limbs as soon as possible.
However, at the same time, it should be noted that the immobilization should not be too rigid, and the patient's joint must be given a little moving position to prevent compression fractures.
Seeing the man look at him with a puzzled expression.
Li Xiyang said in a deep voice, "I'm a doctor, I don't want the child to have anything to do, just do what I say!" ”
As soon as he heard that it was the doctor, the man immediately ran to the position of the rear door on the other side, and pressed the child's hands firmly according to what Li Xiyang said.
The movement here also attracted the attention of people in the vicinity.
"What's wrong?"
"What's wrong?"
The people who eat melons form a circle, looking at each other curiously.
Li Xiyang hurriedly shouted, "It's all scattered, people will die if the air is not circulated!" ”
"Huh?"
As soon as they heard this, the crowd hurriedly retreated.
"That big brother, please go to the store and get a few quick ones, be quick!"
"Oh oh, good!"
The tall and thin young man didn't know what Li Xiyang wanted Kuaizi to do, but he guessed that it must have something to do with saving people, so he hurriedly ran into the ramen restaurant and took a few pairs of disposable Kuaizi out.
After taking the fast child, Li Xiyang stuffed it into the root of the child's teeth.
It is important to know that not only are the limbs easily damaged when the epilepsy patient has convulsions, but his teeth will also be closed with the tension of the nerve center.
Because people are unconscious during seizures, many patients are prone to bite or even break their tongues during the onset of the seizure.
A few tachyns are placed at the root of the tooth to allow a gap between the teeth and protect the tongue.
At the same time, tilt the boy's head to one side to ensure that he can breathe freely.
After doing all this, Li Xiyang looked at the man and asked, "Has this happened to the child before?" Or is there a genetic history? ”
The man shook his head again and again, "There is no genetic history, and it has never happened!" ”
Is it the first time...
Li Xiyang frowned slightly.
The man asked, "Doctor, what's wrong with my son!" ”
Li Xiyang told the truth, "It's epilepsy!" ”
It's just that there are many factors that cause epilepsy, and the specific cause has to go to the hospital for a check-up.
"Then I'll take my son to the hospital now!"
The man hurriedly opened the door to the cab.
Li Xiyang shook his head, "Wait a minute!" ”
The child is still having convulsions and is not easily moved or jolted at this time.
Soon, though, the child stopped convulsing.
Li Xiyang glanced at the time, two minutes.
"It's a grand mal seizure, let's go, go to the hospital now!"
Grand mal seizures, also known as generalized tonic-clonic seizures, are manifested by convulsions of the limbs, foaming at the mouth, bluish face, incontinence symptoms, and abnormal discharges of bilateral synchronous origin on electroencephalogram;
Minor mal seizures can be absence seizures and partial seizures, such as absence and partial limb convulsions, sensory disturbances, psychiatric symptoms, and autonomic symptoms.
Minor seizures usually do not last more than 1 minute.
But if you have a big seizure, you must go to the hospital for treatment as soon as possible.
"Go to Renhe, I'll be with you!"
"Okay, thank you, little brother!"
The man nodded to Li Xiyang, very grateful.
In the car, although the boy did not twitch again, his consciousness was still confused, his eyes were half-open, and his whole face was extremely pale.
At this moment, the light screen in front of him flickered.
[Brain: Hey, how is this thing getting bigger and bigger, it's killing me]
[Heart: Brother Brain hold on, otherwise we'll all be finished]
Seeing the dialogue of the organs, Li Xiyang's face changed completely.
It turned out that it wasn't a simple seizure, it was something growing in the brain.
And most of them are tumors.
Such a young child had a tumor in his head, Li Xiyang sighed lightly, and couldn't help but feel a little distressed.
Soon Renhe arrived, and Li Xiyang ran to the emergency room with the child in his arms.
Zheng Xiaoyu happened to be at the triage desk, saw this scene, and hurriedly greeted him.
"Dr. Li, what's the situation?"
Li Xiyang did not stop, but motioned for the other party to follow him to the rescue room.
The two said as they ran, "The child had an epilepsy about 10 minutes ago, and he had a seizure for almost two minutes, = there were no more seizures on the road, but the person has not been awake, so I recommend doing an electroencephalogram." ”
When he arrived at the rescue room, Li Xiyang quickly put the boy on the bed.
Zheng Xiaoyu stepped forward and shone the child's hole with a flashlight, "The child's hole is scattered, it is indeed not a simple epilepsy." ”
Normally, bilateral pavenile foramen enlargement generally corresponds to the clinical manifestations of increased intracranial pressure.
A few minutes after a simple epilepsy stops convulsing, the patient regains consciousness.
The little boy hadn't woken up for more than ten minutes, and there was obviously something wrong.
Zheng Xiaoyu hurriedly arranged for Lin Yue to push the boy for an examination.
At this time, the man parked the car in the back and hurried to the ward.
Seeing that the child was gone, he immediately became anxious.
Li Xiyang had to explain to him patiently, and seeing that he was still not at ease, he had to take him to the examination room with him.
Because it was an emergency, the results came out quickly.
Li Xiyang and Zheng Xiaoyu glanced at the report sheet, and their faces changed at that time.
The man next to him saw the clue and snatched the report card.
After looking at it carefully for a while, he said, "Glioblastoma." ”
It's the first time I've seen this name, but 'tumor'!
Rumble~
The man was unsteady on his feet, and he stumbled and almost fell.
"Family!"
Zheng Xiaoyu and Li Xiyang hurriedly supported him left and right.
The man paused for a moment, and asked in a trembling voice, "Doctor, my son's... This disease..."
Li Xiyang was silent, not knowing how to explain.
Zheng Xiaoyu sighed and said, "It's just that your child now has a tumor in his head, and... This disease is quite serious. ”
Quite serious?
Li Xiyang knew that Zheng Xiaoyu was still too tactful.
Gliocytoma is currently difficult to explain in the entire medical community, not only because the cause of the disease is not clear, but even the treatment method is not very clear.
"Woo woo, my son is only fifteen years old, how can he have a brain tumor!
”
"Doctor, is there a mistake?"
Li Xiyang and Zheng Xiaoyu glanced at each other, and both of them could understand the man's mood.
It's just that...
Ay!
"Ahh
"Don't worry, no matter how much money it costs, I am willing, you must cure him!"
The man can't accept this fact, his son is so sunny, how can he suddenly get this disease!
Li Xiyang is also helpless, "Like other tumors, gliomas are also caused by the interaction of congenital genetic risk factors and environmental carcinogenic factors.
Some known genetic disorders, such as neurofibromatosis (type I) and tuberculous sclerosis, are genetic predisposing factors for glioma.
Patients with these diseases have a much higher chance of developing glioma than the general population.
In addition, some environmental carcinogenic factors may also be associated with the development of glioma.
Studies have shown that electromagnetic radiation, such as the use of mobile phones, may be associated with the development of glioma. However, there is currently no evidence that there is a necessary causal relationship between the two.
Although the majority of patients with glioblastoma have prior macrophage virus infection, and evidence of macrophage virus infection is found in the vast majority of glioblastoma pathological specimens,
However, it is not very clear whether there is a causal relationship between the two.
The biggest problem is that the treatment of this disease is limited, and a large number of patients are not suitable for surgical treatment, so they can only do radiotherapy and chemotherapy to try to prolong their lives.
To put it more simply, there is no cure for this disease. ”
The man fell to the ground, "What... What does it mean that there is no cure? ”
Is his son going to die?
The man couldn't control his emotions and just cried.
Li Xiyang was in a heavy mood, and there was no cure for this disease.
Even if he has the system, he is helpless.
Because even though he operated on the child and removed the tumor, the terrible thing about this is that the recurrence rate is 100% after surgery.
Tumors that have been cut off will grow back and spread faster.
Ay!
Li Xiyang sighed lightly.
"Uncle, this disease is due to the high intracranial pressure caused by intracranial space, the first thing we need to do is to lower blood pressure, lower the intracranial pressure, so that the child can return to a conscious state.
As for the subsequent treatment, it is necessary to further screen for the type of glioblastoma, because the treatment method is different for each type of tumor.
In this way, let Dr. Zheng take you to pay the fee first,
Let's find a way to stabilize the child's condition first, and then talk about the rest! ”
After speaking, he gave Zheng Xiaoyu a look, and Zheng Xiaoyu immediately understood.
Helped the man out of the emergency room.
After all, if you comfort people, Li Xiyang is really not very good, let Zheng Xiaoyu do the mental work of the family, I hope it can be of some use.
Seeing off the two, Li Xiyang came to the hospital bed.
Suddenly, the boy's eyelids moved a few times, and then he slowly opened his eyes.
Li Xiyang knew that at this time, the cranial blood pressure medication had an effect.
After the boy opened his eyes, he looked at Li Xiyang, and then looked around, "I'm in the hospital?" ”
Li Xiyang nodded, "You suddenly fell ill, and your father sent you here." ”
"Where's my dad?"
The boy watched for a week, but his father was nowhere to be seen.
Li Xiyang said, "He went to pay the fee." ”
The boy nodded, then looked at Li Xiyang, "Doctor, am I dying?" ”
Li Xiyang squatted down and said, "Is it because of a headache?" ”
"Don't worry, I've already given you another infusion, you hold on a little longer, and when this bottle of medicine is infusioned, your head won't hurt!"
However, the boy's eyes suddenly glistened with tears, and he choked up, "I... I know what disease I have, and I can't cure it! ”
Li Xiyang was stunned, could it be that the child woke up just now and has been pretending to be asleep?
That's not right,
Judging by his previous reaction, it's not like ah.
Just when Li Xiyang couldn't make up his mind, he only heard the boy say sadly, "My mother left when I was very young, and I have been living with my father, but my father is too busy and often travels, sometimes not at home for a month or two,
That day I had a headache, it hurt badly, so I called my dad, but my dad said that he was busy and couldn't come back.
I had to take the money myself and go to the hospital.
It turned out that I had a brain tumor, a brain tumor that could not be cured.
The doctor told me to inform my family, but my dad didn't know when he would be back.
I didn't say anything, bought some painkillers and went home. ”
Li Xiyang looked at the boy in a daze, he was only 15 years old.
Faced with this kind of bad news alone.
"Doctor, I hate my dad, really, I hate him so much, he makes so much money, why doesn't he want to spend more time with me?
Why never cared about me!
”
"Bang!"
The sound of something falling on the ground sounded in front of the door of the rescue room.
Li Xiyang looked up and saw that it was the uncle who had returned.
His phone fell to the ground, and the whole person froze in place......