A romantic encounter with a miraculous doctor
Chapter 027 Paralytic cranial nerve shock
Seeing Li Desheng walking out of the operating room with a bitter face, Tang Weiwen and his wife naturally knew the reason. They didn't add insult to injury to this incompetent doctor, they just took a look and ignored him.
Li Desheng knew that staying here would not bring any benefits, so he sighed and was about to leave, but after walking a few steps, he stopped again and thought to himself: "This little bastard is so arrogant, I want to see him." What can save that child." Thinking of this, he sat down on the chair by the corridor.
In the operating room, several nurses looked at Jiang Senhui and Ye Wutian with confused faces.
"Doctor Ye, I suspect that the patient's condition is an extremely rare paralytic cranial nerve shock. Now the patient's pupils have dilated, and his life may be in danger." Jiang Senhui briefly reported the situation he knew to Ye Wutian .
"Paralytic cranial nerve shock? Hehe, Dean Jiang, your wooden donkey brain is quite clever! You can even think of this little-known disease." Ye Wutian looked at Jiang Senhui and said with a smile , I don't know whether to praise him or hurt him.
The nurses were all silent. They had never seen anyone dare to talk to the dean like this. In the past, even if the superiors came down to investigate, they were polite to the dean. How could they be as big or small as the guy in front of them.
If this situation happened normally, the dean would definitely be furious, but in front of him, the dean was as obedient as a domesticated tiger.
"Hey, I'm so ignorant and knowledgeable, I made Doctor Ye laugh." Jiang Senhui said with a beaming smile when Ye Wutian was praising him.
Ye Wutian nodded immodestly, and said: "It's really rare for you to think of this, but the symptoms on this child are not the paralytic cranial nerve shock you mentioned."
"Oh? What kind of illness is that?" Jiang Senhui asked suspiciously.
"She is in partial paralytic cranial nerve shock." Ye Wutian replied indifferently.
"Partial paralytic cranial nerve shock?" Jiang Senhui was confused. Obviously, he had never heard of this disease, but as an experienced doctor, he had never eaten pork, and he had seen pigs running. Partial paralytic cranial nerve shock, as the name suggests, is a partial nerve paralysis, resulting in cerebral shock of the patient.
"If I'm not wrong, the patient's blood vessels dilated and his heartbeat accelerated, which in turn caused his blood pressure to drop." Ye Wutian said casually.
"That's right, the patient did have a similar situation just now. Director Li ordered us to give the patient an intravenous bolus of metaraminol." A nurse said.
"Actually, this situation occurred because of the paralysis of the vagus nerve in the patient's twelve pairs of cranial nerves; and the patient's current symptoms of respiratory failure are due to the paralysis of the descending pathway of the involuntary respiratory regulation system of the lower brainstem, which caused the patient to be in a coma. In this state, she cannot breathe at will, but the patient's cerebral cortex regulates breathing at will is still normal, and she will be able to breathe spontaneously when she wakes up." Ye Wutian analyzed carefully.
Jiang Senhui nodded in agreement, and then asked again: "Then what happened to the patient's dilated pupils?"
Ye Wutian smiled and said: "The nurse who checked the patient's pupil should only check the left pupil, right? If I'm not wrong, the patient's right pupil should be normal."
The nurse who had just checked the pupil heard this, and quickly opened Tang Miaoyu's right eyelid to look at it, with an embarrassing expression on her face: "Doctor Ye is right, the patient's right pupil does not show signs of dilation."
"Could it be caused by left oculomotor nerve paralysis?" Jiang Senhui asked Ye Wutian with his eyes brightened.
Ye Wutian replied: "That's right, oculomotor nerve palsy is divided into two types: nuclear palsy and fascicular palsy. Nuclear damage is mostly bilateral; while fascicular damage often causes oculomotor nerve palsy on one side, manifested as The ipsilateral pupil is dilated, accommodative and ptosis, and the eyeball is pulled laterally and slightly downward by the lateral rectus and superior oblique muscles."
After hearing Ye Wutian's words, the nurse opened the patient's left eyelid again, examined it carefully, and exclaimed: "That's right, the condition of the patient's left eye is exactly as described by Doctor Ye."
At this moment, the eyes of all the nurses looking at Ye Wutian completely changed, some were full of admiration, some were full of ambiguity, even Jiang Senhui, who had already learned Ye Wutian's medical skills, couldn't help but admire him.
"Master Ye, how should we proceed with the treatment?" Jiang Senhui asked in a more respectful tone.
"Dean Jiang, if you decide, how would you treat it?" Ye Wutian asked back.
Jiang Senhui thought for a while and said: "Generally, to treat nerve paralysis, you can use antiviral combined with glucocorticoid drugs, and at the same time use traditional Chinese medicine for promoting blood circulation and dredging collaterals and neurotrophic drugs, combined with acupuncture, massage and other treatments of traditional Chinese medicine, can achieve a significant effect. Effect."
"Do you know what is the biggest difference between Western medicine and Chinese medicine?" Ye Wutian asked again.
"There is a folk saying that Western medicine treats the symptoms and Chinese medicine treats the root cause. In fact, this statement is a bit extreme. I think it should be treated according to the disease." Jiang Senhui replied.
Ye Wutian shook his head, and said: "The biggest difference between Western medicine and Chinese medicine is: Western medicine is slow and not precise enough in treatment, but Chinese medicine can be fast and accurate! Of course, it requires a solid enough knowledge of Chinese medicine."
For Ye Wutian's comment, Jiang Senhui just chuckled dryly, no matter how much he had an opinion in his heart, he didn't dare to argue with Ye Wutian.
At this moment, a nurse exclaimed in surprise: "Dean, the patient has woken up."
★Next update: Tomorrow at 12:00★
Li Desheng knew that staying here would not bring any benefits, so he sighed and was about to leave, but after walking a few steps, he stopped again and thought to himself: "This little bastard is so arrogant, I want to see him." What can save that child." Thinking of this, he sat down on the chair by the corridor.
In the operating room, several nurses looked at Jiang Senhui and Ye Wutian with confused faces.
"Doctor Ye, I suspect that the patient's condition is an extremely rare paralytic cranial nerve shock. Now the patient's pupils have dilated, and his life may be in danger." Jiang Senhui briefly reported the situation he knew to Ye Wutian .
"Paralytic cranial nerve shock? Hehe, Dean Jiang, your wooden donkey brain is quite clever! You can even think of this little-known disease." Ye Wutian looked at Jiang Senhui and said with a smile , I don't know whether to praise him or hurt him.
The nurses were all silent. They had never seen anyone dare to talk to the dean like this. In the past, even if the superiors came down to investigate, they were polite to the dean. How could they be as big or small as the guy in front of them.
If this situation happened normally, the dean would definitely be furious, but in front of him, the dean was as obedient as a domesticated tiger.
"Hey, I'm so ignorant and knowledgeable, I made Doctor Ye laugh." Jiang Senhui said with a beaming smile when Ye Wutian was praising him.
Ye Wutian nodded immodestly, and said: "It's really rare for you to think of this, but the symptoms on this child are not the paralytic cranial nerve shock you mentioned."
"Oh? What kind of illness is that?" Jiang Senhui asked suspiciously.
"She is in partial paralytic cranial nerve shock." Ye Wutian replied indifferently.
"Partial paralytic cranial nerve shock?" Jiang Senhui was confused. Obviously, he had never heard of this disease, but as an experienced doctor, he had never eaten pork, and he had seen pigs running. Partial paralytic cranial nerve shock, as the name suggests, is a partial nerve paralysis, resulting in cerebral shock of the patient.
"If I'm not wrong, the patient's blood vessels dilated and his heartbeat accelerated, which in turn caused his blood pressure to drop." Ye Wutian said casually.
"That's right, the patient did have a similar situation just now. Director Li ordered us to give the patient an intravenous bolus of metaraminol." A nurse said.
"Actually, this situation occurred because of the paralysis of the vagus nerve in the patient's twelve pairs of cranial nerves; and the patient's current symptoms of respiratory failure are due to the paralysis of the descending pathway of the involuntary respiratory regulation system of the lower brainstem, which caused the patient to be in a coma. In this state, she cannot breathe at will, but the patient's cerebral cortex regulates breathing at will is still normal, and she will be able to breathe spontaneously when she wakes up." Ye Wutian analyzed carefully.
Jiang Senhui nodded in agreement, and then asked again: "Then what happened to the patient's dilated pupils?"
Ye Wutian smiled and said: "The nurse who checked the patient's pupil should only check the left pupil, right? If I'm not wrong, the patient's right pupil should be normal."
The nurse who had just checked the pupil heard this, and quickly opened Tang Miaoyu's right eyelid to look at it, with an embarrassing expression on her face: "Doctor Ye is right, the patient's right pupil does not show signs of dilation."
"Could it be caused by left oculomotor nerve paralysis?" Jiang Senhui asked Ye Wutian with his eyes brightened.
Ye Wutian replied: "That's right, oculomotor nerve palsy is divided into two types: nuclear palsy and fascicular palsy. Nuclear damage is mostly bilateral; while fascicular damage often causes oculomotor nerve palsy on one side, manifested as The ipsilateral pupil is dilated, accommodative and ptosis, and the eyeball is pulled laterally and slightly downward by the lateral rectus and superior oblique muscles."
After hearing Ye Wutian's words, the nurse opened the patient's left eyelid again, examined it carefully, and exclaimed: "That's right, the condition of the patient's left eye is exactly as described by Doctor Ye."
At this moment, the eyes of all the nurses looking at Ye Wutian completely changed, some were full of admiration, some were full of ambiguity, even Jiang Senhui, who had already learned Ye Wutian's medical skills, couldn't help but admire him.
"Master Ye, how should we proceed with the treatment?" Jiang Senhui asked in a more respectful tone.
"Dean Jiang, if you decide, how would you treat it?" Ye Wutian asked back.
Jiang Senhui thought for a while and said: "Generally, to treat nerve paralysis, you can use antiviral combined with glucocorticoid drugs, and at the same time use traditional Chinese medicine for promoting blood circulation and dredging collaterals and neurotrophic drugs, combined with acupuncture, massage and other treatments of traditional Chinese medicine, can achieve a significant effect. Effect."
"Do you know what is the biggest difference between Western medicine and Chinese medicine?" Ye Wutian asked again.
"There is a folk saying that Western medicine treats the symptoms and Chinese medicine treats the root cause. In fact, this statement is a bit extreme. I think it should be treated according to the disease." Jiang Senhui replied.
Ye Wutian shook his head, and said: "The biggest difference between Western medicine and Chinese medicine is: Western medicine is slow and not precise enough in treatment, but Chinese medicine can be fast and accurate! Of course, it requires a solid enough knowledge of Chinese medicine."
For Ye Wutian's comment, Jiang Senhui just chuckled dryly, no matter how much he had an opinion in his heart, he didn't dare to argue with Ye Wutian.
At this moment, a nurse exclaimed in surprise: "Dean, the patient has woken up."
★Next update: Tomorrow at 12:00★
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