Doctor Zhao, help!

Chapter 277 Rare brainstem infarction

After chatting with Song Wei for a few words, Zhao Sheng returned to the director's office. However, he didn't even sit down to warm up. Zhou Hong, the head nurse, trotted in and said to him: "A patient with hemiplegia after pneumonia was transferred from the pediatric department. Son, Doctor Li asked you to go over and have a look."

"Post-pneumonia hemiplegia?"

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

In the case of hemiplegia, it is usually caused by a blood clot blocking a blood vessel in a certain area of ​​the brain, causing the patient to be paralyzed on one side of the limb.

Under normal circumstances, pneumonia does not form thrombosis.

"okay, I get it."

Zhao Sheng stood up and said.

Soon, Zhao Sheng and head nurse Zhou Hong came to the ward and saw a little boy of about eight years old lying on the bed. He had a breathing mask on his face and his eyes were closed. He was obviously in a coma.

Beside the hospital bed was Zhang Ying, the deputy director of pediatrics. Looking at Zhang Ying's red eyes and tired face, Zhao Sheng knew that the pediatric department had entered an emergency battle state during this period.

"Director Zhang, thank you for your hard work."

Meeting Zhang Ying, the deputy director of pediatrics, Zhao Sheng said to Zhang Ying with great respect that under the current situation, if the emergency doctor got a difficult copy, then the pediatrician got a hell 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 work, life is hard."

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

After hearing Zhang Ying's words, everyone present was infected by Zhang Ying's optimistic attitude of enjoying hardships.

"Director Zhao, the child was admitted to the hospital three days ago. When he was admitted, he was diagnosed with mycoplasma pneumonia. Corey also provided corresponding symptomatic and supportive treatment. But just yesterday afternoon, the child suddenly became 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 on one side of the limb can easily be thought to be caused by cerebral infarction or cerebral hemorrhage, so the pediatrician will definitely perform a brain CT or MRI examination on the child.

"Unfortunately, it's a brain stem infarction."

Zhang Ying said with a solemn expression.

As soon as she said these words, everyone present took a breath.

Brainstem infarction, also known as brainstem infarction, is a type of cerebral infarction and the most serious one.Brainstem infarction refers to ischemia in the midbrain, pons, and medulla oblongata caused by arteriosclerosis, embolism, spasm, and inflammation of the vertebral-basilar artery and its branch vessels, resulting in stenosis or occlusion of the above-mentioned arteries, resulting in corresponding neurological symptoms and signs. .

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

The fact that Zhang Ying, who is well-informed and experienced, can even say the words "sorry" shows that brainstem infarction is indeed a very serious situation.

"The patient is only eight years old. Where did the blood clot come from?"

Li Mujia asked very puzzledly.

This point is also the common confusion of everyone present. Generally speaking, cerebral infarction only occurs in older people, especially middle-aged and elderly people over 50 years old. These people have cardiovascular disease and are more likely to cause When lesions are found in the intima of blood vessels, the emboli fall off and enter the bloodstream as the blood circulates, blocking the cerebral blood vessels and causing cerebral infarction.

But the little boy in front of me is only 8 years old. At his age, his blood vessels should not have major problems.

"This is something we don't understand."

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

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

Zhao Sheng thought for a while and said.

As soon as he mentioned a respiratory virus, everyone knew what it was. "The storm has passed, but the impact of the storm has just begun."

Zhang Ying nodded and said something meaningful.

"Head nurse, please contact the neurologist for consultation. The child is only 8 years old. If the embolus can be surgically removed, the possibility of recovery is still very high."

Zhao Sheng said to the head nurse Zhou Hong.

"Ok."

Nurse Zhou Hong nodded, then turned to contact the neurosurgery doctor for consultation.

"Director Zhang, leave this to me."

Zhao Sheng looked at the exhausted Zhang Ying and said.

In this day and age, to be a good pediatrician may require not only professional qualities, but also a person with boundless love to be qualified for this job.

"Okay, I'm sorry to trouble you, Director Zhao."

Zhang Ying nodded and dragged her tired body back to the pediatric department to fight.

"It's really not easy for me as a director. I heard that she has been spinning for two days straight."

After Zhang Ying left, Li Mujia sighed.

Working for two consecutive days is a full 48 hours. This kind of ultra-high-intensity and ultra-long workload is simply more difficult and tiring than working in a coal mine.

"This is just the beginning, so keep your spirits up and get ready."

Zhao Sheng said to Li Mujia.

After a while, Song Sixian, the attending physician on duty at the neurosurgery department, arrived.

Song Sixian held the film of the brain examination in his hand. While watching it, he sighed and said to Zhao Sheng: "Old Zhao, I have been working as a psychiatrist for so many years. I have seen a lot of cerebral infarctions, but at the age of 8, This is really the first time I’ve seen someone with a cerebral infarction.”

"Then you saw it today, didn't you?"

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. The risk is too high and the difficulty is too high for intervention."

Song Sixian glanced at Zhao Sheng and said again.

"I'm going to help you this time."

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

Zhao Sheng said slowly.

"Okay, it's okay if you do it for me."

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

Now Zhao Sheng's reputation is unknown to everyone in the hospital. Not only can he go on for two consecutive days without changing his face, but he is also excellent at cooperating with other people's surgeries. Any director who has performed surgeries with him will not be able to care about Zhao Sheng. They were all compliments, as if they wanted 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. The patient's family also agreed to the operation and signed the operation consent form.

(End of this chapter)