I can see the status bar

Chapter 762 Reflection (updated on January 1)
Sun Li'en used to ponder over and over in less than a week, rehearsing in his mind how he should deal with various accidents.But he never expected that the treatment process would be so...smooth.

The treatment has been carried out for more than three hours, and the low signal area in Tang Min's brain has shrunk significantly.Although it is still impossible to completely reverse the situation and completely reach the point of low signal area.However, according to Luo Ge's comparative estimation, the low signal area has shrunk by at least 40% compared with before treatment.

At this point in the treatment, it can be said that the treatment plan proposed by Sun Lien and others not only encountered no problems, but achieved great success.None of the expected increase in intracranial pressure and adverse reactions occurred. On the contrary, the treatment effect was far more gratifying than their expected best results—according to the estimates of Sun Lien and others, the most optimistic result is that the hypointensity area shrinks by 20% after treatment. %.

It's not that Sun Li'en and others estimated too conservatively. In fact, this number should be relatively safe-the degree of edema in the low signal area is not too deep, but the volume is too large after all.Shrinking too much in one breath may lead to some unexpected negative effects.

Symptoms of intracranial hypotension and intracranial hypertension, at least somatic symptoms, are almost identical.Especially weak pulse, low blood pressure, dehydration and electrolyte imbalance, etc., may pose a huge threat to Tang Min during treatment.

However, when Sun Li'en and others estimated, they only calculated the impact of hypertonic glucose on Tang Min.However, the antidiuretic properties of vasopressin are ignored.As a result, the status bar and other vital signs monitoring systems still didn't give any warning when the low signal area was reduced to 38%.

Of course, if Sun Lien hadn't been supported by the status bar, he wouldn't have dared to advance the treatment progress to 40%.

"Okay, let's stop here." Seeing that the treatment effect was so remarkable, Sun Lien finally called to stop the treatment process. "Enter the withdrawal procedure." After giving the order, Sun Li'en said with a smile, "This time the effect is pretty good...The next step is to see how far the treatment effect can restore her nerve function, and how long it can last." gone."

This whole set of experimental treatments is still essentially a palliative solution.Doctors still have no solution for genetic problems.But... If the treatment lasts for more than half a year to a year, Tang Min's life will be very different in the future.

At least, compared with before, she already has "the future".Although the process may be cumbersome and complicated, I have to come to the hospital to undergo a general anesthesia every once in a while... But at least she can feel the trouble during puberty, and won't be put into a small box after a few months inside.

Worrying...for many people, it is a luxury that is longed for but out of reach.

Yuan Ping'an started feeding tube infusion, and Professor Zhang Zhifu began to adjust the maintenance dose of anesthesia.The next step is very simple - continue to maintain relatively high blood sugar levels, but stop using arginine vasopressin.Until the last critical step of the whole treatment, trifluoperazine takes effect and inhibits the effect of AQP4.

"It looks like she's lucky." The atmosphere in the operating room eased a lot.Xu Yourong smiled at Sun Lien from the side, "I really didn't expect that the effect of the treatment would be so good."

"This child has a big fate." Sun Li'en also nodded, his frown just relaxed a little, and then wrinkled again.

This time, it wasn't because there was something noticeable on the status bar, but simply because I stared at the status bar for too long, so I had some headaches.

"The feeding tube is ready, let's take medicine now." Yuan Ping'an didn't need to wait for Sun Lien's order to operate. According to the predetermined plan, as long as the feeding tube was placed in the duodenum, the medicine needed to be administered immediately.

Although arginine vasopressin is a hormone with antidiuretic properties, it also has a "pressor" effect like its name.Under the action of arginine vasopressin, Tang Min's blood pressure reached the level of 110/150mmHg.Although this pressure is a bit high for children, it is still at an "acceptable" level.

Fortunately, arginine vasopressin itself is a hormone, and its metabolism rate is relatively fast.The half-clearing rate is about 3 hours.According to calculations, Tang Min should be able to be sent to the ward with a "slightly high" blood pressure level after the treatment.

After giving trifluoperazine, Yuan Pingan quickly withdrew the feeding tube.Meanwhile, Imaging Keluo and Sun Lien performed three MRI examinations on Tang Min.The time points of the three inspections were 30 minutes, 60 minutes and 120 minutes after administration, respectively.At the 120th minute, the MRI examination showed that Tang Min's intracranial low signal area rebounded slightly, but the degree of rebound was completely acceptable-they were about 1% larger than before using trifluoperazine.

After 150 minutes, the edema rebound in the low signal area basically stopped.Compared with the results before treatment, Tang Min's intracranial low signal area has shrunk by more than 38%.

"Monitor for another hour. If there is no further change, it's over." On the operating table, Tang Min was already able to move a little.Sun Li'en walked to Tang Min's side, ready to observe whether there was any change in Tang Min's status bar.But before the status bar was called out, he saw Tang Min's eyes first.

The eyelids were slightly opened, but Tang Min's eyes could move slightly from side to side.What was even more gratifying was that Sun Li'en saw that Tang Min's pupils were much smaller than before.

He gently opened Tang Min's eyelids with his hands, while shaking them with his hands.When covered by the hand, Tang Min's pupils will dilate slightly, but after removing the palm, her pupils will shrink rapidly.

"Is there a reflex in her pupils?" Sun Lien's actions attracted the collective attention of the surrounding doctors.Everyone is very excited.

When Tang Min was first admitted to the hospital, he was blind in both eyes, and his pupils on both sides did not reflect light.For this kind of patients, it is not easy to restore the light perception in both eyes, and it needs luck.That's why Xu Yourong and Rachel came up with the suggestion of "biopsy the optic nerve".

Although it is not certain whether Tang Min has recovered her eyesight before Tang Min fully wakes up, but at least having a light reflex means that she has the possibility of recovering her vision.This progress is enough to make everyone excited.

"After seeing her parents now, at least we can relax a little bit." Yuan Pingan sat on the ground next to him and said with a smile, "I don't want to go out and say to her parents, 'I'm sorry, we did our best'... It’s an uncomfortable feeling to think about.”

　At least one more today

　　
　
(End of this chapter)