"Of course it's serious. His limb numbness and epilepsy are all caused by demyelination." Sun Lien poured a glass of water for Chen Xi, and then sat down again and sighed, "Otherwise, why do you think I'm so anxious? Demyelination is not easy to treat. Even if he is given neurotrophic drugs and supplemented with a hyperbaric oxygen chamber, how much he can recover depends on God's will." He thought about it and still cheered Chen Xi, "I used to take a patient with demyelination - the boss of Zhanjun BBQ in our school, right? It was his brother who came to us for treatment due to lead poisoning. The situation was very bad when he was admitted to the hospital, but after the diagnosis, he insisted on rehabilitation treatment. Now, except for the weaker muscle tone on his arms, it basically does not affect his daily life."

The prognosis of demyelination lesions really depends on luck. Zhan Hao belongs to the category of very good luck, but it is hard to say what Chen Qiushi's luck is. What's more, he is actually a recurrence of MOG antibody disease, and the range and degree of damage must be more serious than the patients with the first MOG antibody disease. The last time he started the disease, he was very lucky. But this time... it's really hard to say.

It is difficult to repair the damaged nerve cells, and before suppressing the immune system and allowing the inflammatory response in the brain to disappear, it is difficult for doctors to determine how many damaged nerve cells are. Immune shock treatment itself also has risks. In addition to relatively common endocrine disorders, injecting large amounts of intake and maintaining glucocorticoids may also lead to a large number of side effects, including cardiovascular risk. Isotonic Cushing syndrome and even serious consequences such as femoral head necrosis.

This is a treatment with huge side effects, but it is also the most effective at present.

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After receiving detailed explanation from Sun Lien and Shen Xi's recognition, Chen Qiushi's parents wiped their tears and signed the treatment consent form. The only thing they are grateful for now was that they listened to Chen Xi's advice three years ago and sent Chen Qiushi to the capital for treatment. Although the hospital in the capital did not clearly diagnose MOG antibody disease, their treatment methods were similar to hormone impact treatment. Under the inhibition of a larger dose of hormone, Chen Qiushi's optic neuritis was quickly improved.

"I'll ask the pharmacy to send medicine to start treatment now." Sun Lien glanced at his watch. It was 6:30 in the evening, and it was still time. "Do you want to go to the ward to accompany him?"

Generally speaking, the treatment of the inpatient department will be concentrated during the day. However, in special circumstances, Chen Qiushi is obviously not the kind of patient who can afford it. Before the shock treatment of glucocorticoids, his autoimmune system attacked the myelinated oligodendrocytes in his brain almost every minute. Waiting for one more minute, more myelinated oligodendrocytes may be killed by CD4T cells, thus disintegrating the cellular structure in Chen Qiushi's brain.

If the human brain is compared to a computer with a sophisticated structure, the current situation is that a group of mice are biting the insulation layer of the wires in the computer around. As the insulation layers become fewer and fewer, the short circuit and abnormal discharge will increase rapidly. At that time, Chen Qiushi's condition will only become worse and worse.

The antibiotics were directly prepared by the pharmacy and sent to the diagnosis center. But the nurse who received the injection... There is really no one at all. The head nurse Zhong Yu is busy changing the medicine for Qian Aiwu, while Xiao Guo is responsible for checking the emergency medicines in the inpatient department - he will be responsible for disinfecting the corridors and wards later.

In desperation, Sun Lien decided to give Chen Qiu practical medicine by himself. Fortunately, intravenous injection is an important part of the practical examination of practicing medicine - at least in theory he has full infusion ability. However, in practice he has never done this job... After all, when he was in the rescue room before, he had never lacked any powerful nurses who could successfully open venous channels under chest massage.

"Or...you'll try it?" Sun Lien pinched the injection needle in his hand and deliberately said to Chen Xi, who looked a little nervous, "Anyway, you have to practice if you want to take the practice doctor in the future."

Chen Xi turned his head into a rattle, "Brother, we won't make this joke... It's okay to slap people I don't know, but I can't do anything about my cousin."

"Oh..." Sun Lien nodded suddenly, "I'm too familiar with you, right?"

Chen Xi browsed when he heard the sudden joke, "Brother Sun, your current joking posture really tastes like our boss."

The surgical operating room is usually a real F1 racing stadium. There are all kinds of jokes and jokes. In order to relieve the boring life, this group of department directors often tend to tease young doctors and nurses. Especially when teasing their students, they are so cruel.

Especially in departments like urology, where various "sewer" accidents are common, driving faster. In the hospital, there are generally two statements to evaluate a doctor's seriousness. One is "You have more knowledge than dermatology", and the other is "You are more powerful than urinary jokes."

Proficient but somewhat unsure, he completed the pre-injection preparations. Sun Lien steadily stabbed the indwelling needle into the superficial vein in the dorsal skin of Chen Qiushi's hand. The indwelling needle is much thicker than the ordinary adult intravenous infusion needle. It is more painful than the ordinary intravenous infusion when it is first inserted. But the advantage is that it only needs to be punctured once or twice during the entire hospitalization treatment process. If the care is done properly, and there is no infection or the needle is blocked, the indwelling needle can be used for more than ten days.

For the comfort of the patient and for the convenience of infusion in the future, it is very necessary to use an indwelling needle from the beginning.

The principles of the deep-stacked cervical vein puncture of the cervical vein that has been seen between the superficial vein and Sun Lien are basically the same. However, this operation is much simpler than the deep-stacked cervical vein puncture. Like ordinary infusion, after disinfection, you can see the position of the vein and stop the puncture after recovery, and then use a transparent film dressing to fix the pipe and leave an injection port. Since the Fourth Hospital widely uses heparin cap indwelling needles instead of the traditional heparin sodium hose indwelling needles, it is also exempted from the operation of using normal saline to flush the pipe every day and seal the heparin sodium after treatment.

In actual operation, Sun Lien performed quite well. After completing the catheterization incisively, Sun Lien hung up the configured glucocorticoids for him. After pulling the infusion pump and adjusting the infusion speed, he nodded to Chen Xi and Shen Qiushi's parents, "You can continue to accompany him here for a while. But it's better not to exceed an hour - it's better to let him have a little more rest."
Chapter completed!