Chapter 276: Rare Brainstem Infarction

After chatting with Song Wei for a few words, Zhao Sheng returned to the director's office, but he didn't even sit on the skin drum, so the head nurse Zhou Hong trotted in and said to him: "The pediatric department transferred a child with hemiplegia after pneumonia, and Dr. Li asked you to go over and have a look." ”

"Post-pneumonia hemiplegia?"

Zhao Sheng was a little surprised when he heard this, this pneumonia and hemiplegia, under normal circumstances, are not linked.

In the case of hemiplegia, in general, it is caused by a blood clot blocking a blood vessel in a certain area of the brain, resulting in paralysis of one limb.

In general, pneumonia does not form a blood clot.

"Okay, I got it."

Zhao Sheng stood up and said.

Soon, Zhao Sheng and the head nurse Zhou Hong came to the ward, only to see a little boy about eight years old lying on the hospital bed, with a breathing mask on his face, his eyes closed, and it was obvious that he had fallen into a coma.

At the bedside, there was Zhang Ying, deputy director of pediatrics, looking at Zhang Ying's already boiled red eyes and a tired face, Zhao Sheng knew that the pediatric department had entered an emergency combat state during this time.

"Director Zhang, it's hard work."

Seeing Zhang Ying, deputy director of pediatrics, Zhao Sheng said to Zhang Ying very respectfully, in the current situation, if the emergency doctor gets a difficult copy, then the pediatrician gets a hellish copy.

Zhang Ying, the deputy director of pediatrics, is even more stressed than Zhao Sheng, the deputy director of the emergency center.

"It's not hard, it's hard."

Zhang Ying grabbed the hair in front of her forehead and said half-jokingly.

Hearing Zhang Ying's words, everyone at the scene was infected by Zhang Ying's optimism of making fun in the midst of suffering.

"Director Zhao, the child was admitted to the hospital three days ago, and was diagnosed with mycoplasma pneumonia when he was admitted to the hospital, and the corresponding symptomatic supportive treatment was given by the department, but just yesterday afternoon, the child suddenly appeared unable to move his right limb."

Zhang Ying briefly introduced the situation of this child.

"Director Zhang, what are the results of the brain examination?"

Zhao Sheng nodded and continued to ask.

Hemiplegia of one limb is easily associated with cerebral infarction or cerebral hemorrhage, so the pediatric department will definitely do brain CT or MRI examination for the child.

"Unfortunately, it's a brainstem infarction."

Zhang Ying said with a solemn face.

As soon as she said this, everyone present gasped.

Brainstem infarction, also known as brainstem infarction, is a type of cerebral infarction and the most serious one. Brainstem infarction refers to the ischemia of the midbrain, pons, and medulla caused by arteriosclerosis, embolism, spasm, and inflammation of the vertebrobasilar arteries and their branch vessels, resulting in narrowing or occlusion of the above arteries, resulting in corresponding neurological symptoms and signs.

The brainstem is the life center of the human body, and its main function is to maintain the life of an individual, including a series of important physiological functions such as breathing, heartbeat, digestion, body temperature and sleep.

If Zhang Ying, who is well-informed and experienced, can say such words as regret, it shows that brainstem infarction is indeed a very serious situation.

"The child is only eight years old, where did the blood clot come from?"

Li Mujia asked very suspiciously.

Generally speaking, cerebral infarction will only appear in older people, especially middle-aged and elderly people over 50 years old, these people have cardiovascular lesions, which are more likely to lead to lesions in the intima of blood vessels, embolus falling off, and cerebral infarction occurs with blood circulation into the blood, blocking cerebral blood vessels.

But the little boy in front of him is only 8 years old, and at his age, there shouldn't be much problem with blood vessels.

"That's what we don't understand."

Zhang Ying also shook her head slightly and said that after staying in pediatrics for so many years, it was the first time she had encountered a brainstem infarction in an 8-year-old child.

"This is the sequelae, I have read a literature that says that after being infected with a certain respiratory virus, it is very easy to have thrombotic complications, but the specific cause has not been identified."

Zhao Sheng thought for a while and said.

As soon as he said some kind of respiratory virus, everyone knew what it was.

"The storm is over, but the impact of the storm has only just begun."

Zhang Ying nodded and said something meaningful.

"The head nurse, contact Shenwai for consultation, the child is only 8 years old, if the embolus can be surgically removed, then the possibility of recovery is still very high."

Zhao Sheng said to Zhou Hong, the head nurse.

"Okay."

Nurse Zhou Hong nodded, then turned around and went to contact the neurosurgeon for a consultation.

"Director Zhang, leave it to me here."

Zhao Sheng looked at the exhausted Zhang Ying and said.

Nowadays, to be a good pediatrician, you may need more than just professional qualities, and you need to be a person with boundless love to be competent for this job.

"Okay, I'm sorry for you, Director Zhao."

Zhang Ying nodded, dragged her tired body and continued to return to the pediatric department to fight.

"It's not easy for this director, I heard that she has been spinning for two days in a row."

After Zhang Ying left, Li Mujia said with a sigh.

For two days in a row, that is a full 48 hours, this kind of ultra-high-intensity, ultra-long workload, is simply more bitter and tiring than going down to the coal kiln.

"This is just the beginning, get ready for it."

Zhao Sheng said to Li Mujia.

After a while, Song Sixian, the attending doctor on duty in the Department of Neurosurgery, arrived.

Song Sixian held the film of brain examination in his hand, and while watching it, he said to Zhao Sheng with a great sigh: "Old Zhao, I have been doing it for so many years, and I have seen a lot of cerebral infarctions, but it is the first time I have seen cerebral infarctions at the age of 8." ”

"Then you'll see you today."

Zhao Sheng replied leisurely.

"The location of this infarction is a bit tricky, if it is an adult, the embolus can be removed through arterial vascular intervention, but this child is only 8 years old, and if you do intervention, the risk is too high and the difficulty is too great."

Song Sixian glanced at Zhao Sheng and said again.

"I'll give you a hand this time."

"If it's not too difficult, what are you asked to do?"

Zhao Sheng said slowly.

"Okay, you can give me a hand, that's okay."

Song Sixian agreed as soon as he heard Zhao Sheng's words.

Now Zhao Sheng's reputation, no one in the whole hospital knows, no one knows, not only can the face not change for two days in a row, but also in terms of cooperating with other people's surgery, it is also a must, but the director who has operated with him, that Zhao Sheng is praised, and he can't wait to pull Zhao Sheng over immediately.

"But the emergency center is such a big stall, can you walk away?"

After a pause, Song Sixian asked again.

"It's okay, Dr. Li and Dr. Gao are still very good."

Zhao Sheng said.

Next, Zhao Sheng and Song Sixian explained the situation to the patient's family, and the child's family also agreed to the operation and signed the operation consent form.

(End of chapter)