981 Extrapyramidal reactions
The two live broadcast operations were over soon.
Mu Tao was very sorry that he had been back too short, and the number of patients he received was much less than that of the Imperial Capital. He originally thought that there were already a lot of patients with 6 patients, but now he really wanted to have 60 patients to practice their hands and mature as soon as possible.
What a pity, I have to go long.
Zheng Ren took off his lead clothes, changed his clothes, looked at the time and said, "Lao Mu, go down to see the patient, and I will leave. Just get the information about the patient in this surgery, just send me the email address."
"It's really in a hurry. I was going to treat you to a very authentic Cantonese cuisine." Mu Tao said.
He knew that Boss Zheng didn't like eating very much, and this was the case in Pengxi Township. Su Yun was picky and told Director Jiang what he wanted to eat. However, Zheng Ren seemed to have only eaten one meal, and Su Yun said that he was licking a plate like a dog.
Because of this, this boss Zheng feels that it is difficult to deal with. He taught tips surgery so much that he didn't even have the chance to express his gratitude.
Moreover, Mr. Zou from the Zou family in Xiangjiang was waiting for him, but he didn't even show his face.
Mu Tao looked at Zheng Ren's somewhat honest face and was slightly stunned.
"It's okay, just buy a few hamburgers on the way." Zheng Ren said casually: "Go down to see the patient and I'll leave. For you, you have another second phase surgery, and I probably won't have to come again."
"Don't!" Mu Tao quickly stopped Zheng Ren's words, "Just once, I'm still vague about some questions. After a while, I'll make a few myself and save more than a dozen patients. Please come once."
"Think more about the key points of the second phase surgery." Zheng Ren reminded, "You can't be rough, you must be clever. The main skills have been mentioned, and the rest is surgical practice."
"Okay." Mu Tao responded.
After changing his clothes, Zheng Ren, Mu Tao and Professor returned to the ward and prepared to check the patient.
As soon as I entered the ward gate, a nurse was driving a rescue vehicle and running.
Zheng Ren's heart suddenly became tight. Is there any rescue?!
In the interventional department, emergency departments are generally not admitted. If it is rescued, it is also a patient who vomits hemorrhage due to portal hypertension after hospitalization.
He forgot to see the patient's intention to go back to the imperial capital after seeing the patient's arrival at the airport, and habitually followed the nurse to the ward.
Mr. Wu was instructing rescue in the ward. A doctor was checking his body, and the nurse was busy pressing the ECG monitoring. Zheng Ren had no angle and did not see the system panel for the time being.
This patient was not one of the patients after the tips surgery. Mu Tao then came in, was stunned for a moment, and communicated with Mr. Wu.
Zheng Ren heard about the patient's condition on the side. Two days after liver cancer intervention, he developed tremors on the right upper limb on the first day. He underwent relevant examinations, but no problems were found. Today, the condition worsened and acute dystonia appeared.
Zheng Ren found an angle and saw the patient's system panel.
In red, there are a bunch of diagnoses written on it. Zheng Ren looked over one by one, deleted the unimportant ones, and saw a rare diagnostic extrapyramidal reaction.
This is……
The extrapyramidal system is an integral part of the human body's motor system. Its main function is to regulate muscle tone and coordinate muscle movement and balance.
This regulatory function depends on its dynamic balance of the central neurotransmitters dopamine and acetylcholine. When dopamine decreases or acetylcholine increases relatively, symptoms of cholinergic hyperneurosis may occur.
There are many symptoms of extrapyramidal reaction. Zheng Ren did not consider this for the time being, but was quickly looking for related diseases and drugs that can cause extrapyramidal reactions in his mind.
In general, neurologic drugs can cause this reaction, but it is not common.
"Lao Mu, did the patient take anti-anxiety drugs or hibernating spirits before the operation?" Zheng Ren asked.
"No." Mu Tao frowned and looked at the doctor who was consulting for a physical examination. "The patient took oral entecavir and antihypertensive drugs before the operation, and there was nothing special. After the operation, a group of isoglycidyl isoglycidate injections were given to protect the liver, and nothing else was left."
"I'll go and see the doctor's orders." Zheng Ren said.
Mu Tao did not dare to leave, so he asked a doctor to take Zheng Ren to see the doctor's advice, while he stayed in the ward to participate in emergency emergency aid.
When he came to the office and opened the workstation, Zheng Ren began to look for drugs that might cause extrapyramidal reactions.
The medical orders are very clean. Magnesium isoligeric acid injection is also a commonly used liver-protecting drug in clinical practice. It is cheap and easy to use. Zheng Ren also often uses this drug.
As for other medications...
After the operation, sugar saline + vc was used, which was used to replenish fluids, urinate, and allow the contrast agent to metabolize as soon as possible.
Gastric rehabilitation?
Zheng Ren saw that on the first day after the operation, the patient used Gastrofuan and finally felt relieved. He looked at the course of the patient and had a clear record of the patient's nausea after the operation.
Weifuan, the drug called metoclopramide, costs a few cents per dose, also has a good therapeutic effect on gastric indigestion, loss of appetite, belching, nausea, and vomiting.
After liver cancer intervention, most patients will experience similar symptoms, so gastrofuan is particularly commonly used.
However, Zheng Ren searched for several related reports, which were all cases of gastrofuan triggering extrapyramidal reactions.
The drug power process is caused by blocking the dopamine receptor and causing the cholinergic receptor to be relatively hyperactive, which leads to extrapyramidal reactions. This complication is not common, so the head scratching on the other side is a bit scared and he dare not diagnose it immediately.
Zheng Ren closed the workstation and stood up and walked out.
"Boss Zheng, have you finished reading it? There are other information about the patient on this page." The young doctor who accompanied Zheng Ren asked.
"Yes." Zheng Ren said, "The reason has been found."
"..." The little doctor was stunned for a moment, so fast? He didn't even need to check other tests?
It seems that Boss Zheng is not very old and seems to be younger than him. Is it nonsense?
But he didn't say anything, but just followed Zheng Ren's footsteps and began to introduce the condition.
"The patient had no problems before the operation. I checked a head ct yesterday and found no cavity infarction."
"It's not a cavity stalk, it's an extrapyramidal reaction."
"What?" the little doctor looked confused.
Interventional departments rarely encounter such rare nervous system reactions, and it is normal not to know that. The entire medical system is so knowledgeable, otherwise the division of subjects will become more and more detailed, because it is difficult for normal people to fully grasp them, so they can only move towards the direction of detailed classification.
Zheng Ren did not explain too much to him. He found the reason and treated him normally. He just told Mu Tao.
I quickly arrived at the ward, and the doctor from the neurology department was also asking about the medication.
"Lao Mu, stop the stomach from restoring the condition, the condition can be relieved." Zheng Ren said.
"Consider it is the extrapyramidal reaction caused by gastrofuan?" The doctor in the neurology department seemed to make such a judgment and asked immediately.
"Yes." Zheng Ren nodded.
"I'll go and take a look at the doctor's instructions." The neurologist ran to the office. Zheng Ren smiled slightly when he saw her hurried.
"Boss Zheng, do you judge that it was caused by gastric rehabilitation?" Mu Tao was still a little uncertain.
Chapter completed!