medical road high rise

Chapter 326 Asperger Syndrome

Chapter 327 Aspen Syndrome

Although the times are advancing, technology is also advancing.

But the war epidemic on the spot was only known to medical staff who had experienced it.

At that time, there were no medical masks, surgical masks, N95, etc. Most doctors wore cotton masks that could be washed repeatedly.

That kind of mask has no preventive effect at all.

Although Qin Feng has not experienced the war epidemic, he can understand the danger from the one-sided reports and the narration of the participants.

Continuing to return to the outpatient clinic, when Qin Feng saw patients today, he still felt a little uncomfortable, as if a stone was pressed in his heart.

While seeing the patient, Qin Feng received an emergency call. He was a welder who fell from a height of about one meter during the welding operation.

The construction site boss was worried about an accident and sent him to the hospital.

Qin Feng went to the observation room and saw the patient. He was a man in his 40s. His face was covered with wind and frost, and he was still very resistant to the hospital.

If the boss hadn't said that he was responsible for the expenses, he would definitely not have come to the hospital.

"Did you feel uncomfortable during the welding operation?" Qin Feng asked.

"It's just that my right hand and foot suddenly cramp, and I fell down when I became unstable. The doctor is fine, I don't need to do any examinations." The worker said.

Qin Feng shook his head and said: "Although you just fell from a position of more than one meter, you should also pay attention to whether there may be potential internal organ injuries, and what does it feel like when your hands and feet are cramping?"

"It was like getting an electric shock, and then I lost my balance and fell down," said the worker.

"Could it be an electric leakage?" Qin Feng couldn't help worrying when he heard the word electric shock.

After all, workers are doing electric welding, so the chance of electric shock is still possible.

"No, we do electric welding, and the protection is very good, and the handle of the electric welding is made of plastic, and the ladder is also a wooden ladder, so it is impossible to get an electric shock." The worker said.

"When you fell down, did you have chest tightness, chest pain, difficulty breathing, dizziness, or headache?" Qin Feng then asked.

"No."

Qin Feng asked about the patient's past medical history. The patient's health was quite good, which may be related to his frequent work. He had no hypertension or diabetes.

This is a bit strange, and when the hands and feet twitched, the workers slowed down when they landed, which proved that the twitching time was very short.

It's kind of like a sudden nervous disorder, like something went wrong with the brain.

Falling down for no reason, and twitching on one side of the limb may be epilepsy, cerebral hemorrhage, or a tumor or neurological disease.

Qin Feng suggested that the workers get a full-body CT, and the boss took the workers to do it directly.

The boss is also quite panicked. If something really happens, he will be blamed.

Two or 10 minutes later, the CT results came out, and it was confirmed that it was not a cerebral hemorrhage or a brain tumor, but it was hard to say whether it was an epileptic seizure.

Epilepsy can only be detected by EEG or brain MRI.

Qin Feng called the neurology department, and the neurosurgeon came down to check again.

"I think the possibility of the patient having epilepsy is relatively high. After all, there are many kinds of epilepsy, and the classification is very complicated. Some are very serious and have generalized seizures, while some are just simple limb twitches. The seizure time is relatively short, a few seconds, 1 minute. It's more common, just like this patient's." The neurologist said.

"Then is the root cause of the disease related to work? Is it possible that it is caused by work?" asked the construction site boss.

"It's hard to say." The neurologist shook his head and said, "But you can consider hospitalization first, and further improve the epilepsy inspection. At the same time, a brain MRI is being done."

Some of these things involve work-related injuries, and doctors should be very careful. If they accidentally say something wrong, the construction site boss will not be able to compensate.

The construction site boss agreed to the request of the neurologist to be hospitalized, and completed the hospitalization procedures for the workers.

After saving a sum of money and going in, the construction site boss left first.

The workers were also brought to the Department of Neurology, and Qin Feng didn't care that much.

In the evening, Qin Feng received a call from the Department of Neurology, saying that the patient in the morning had been treated with antiepileptic drugs, and his condition had worsened, with more frequent seizures.

Qin Feng rushed to the Department of Neurology, and the Department of Neurology just held a consultation for this patient.

The deputy director of the Department of Neurology made an opinion, "I think the patient's epilepsy is so difficult to control, is it possible that there may be other primary diseases? Such as encephalitis, bacterial encephalitis..."

Someone quickly retorted: "Encephalitis usually has a fever, and the neurological symptoms will be more obvious."

"What if it's immune encephalitis? Isn't it caused by pathogenic microorganisms?"

This kind of encephalitis does not necessarily have fever, but only inflammation in the brain without mass, so it is normal that MRI cannot see it.

The director of neurology nodded, "Let's do a lumbar puncture for the patient first. Meanwhile, Doctor Qin, what do you think?"

"Is it possible that the patient has arrhythmia?" Qin Feng asked.

"Impossible, there is nothing wrong with the patient's electrocardiogram!" said the doctor in charge of the neurology department.

Qin Feng fell silent, followed them to see the test results, it was not immune encephalitis.

The color of the patient's cerebrospinal fluid was relatively clear, and no obvious abnormalities were found in the laboratory tests, and the condition fell into entanglement again.

When I went back to the ward to see the patient, the patient actually started to foam at the mouth, and the electrocardiogram became a straight line.

This frightened all the doctors. The straight line of the electrocardiogram meant that the patient's heart had stopped, and he was infinitely close to death.

Qin Feng hurried up to give the patient cardiopulmonary resuscitation, and soon the patient's heartbeat returned, but the body began to twitch again, but fortunately it only lasted about ten seconds.

"Have you recorded the ECG monitoring just now?" Qin Feng asked.

"It's recorded." The bed doctor said.

"The cause of the patient has been found, it should be Aspen syndrome!" Qin Feng said.

The doctor in charge of the bed also nodded in agreement.

Asperger's syndrome refers to a disease that causes fainting and convulsions caused by cerebral ischemia and hypoxia due to sudden insufficient or no blood pumping of the heart for some reason.

The director of the Department of Neurology began to look through the ECG monitoring records of the patient just now, and found that there was a long RR interval, lasting nearly 7 seconds.

The existing cardiac arrest and subsequent convulsions are convulsions caused by cardiology diseases, not epilepsy as they think, and the treatment was wrong from the beginning.

Qin Feng's arrhythmia is actually correct.

But for neurologists, this is also a deeply hidden disease, because during the examination, the patient did not have convulsions, and naturally there was no cardiac arrest. The electrocardiogram taken at this time did not find any cause at all.

(End of this chapter)