Chapter 309

"Help me, it's itchy A lot of bugs crawl in my face

In the isolation room, Xie Yiman walked around painfully, and from time to time hit the bed pillow with his head, or pinched his arm hard, but still couldn't stop. He still had to catch his face, even if the face was already scratched with scars.

She suddenly hit a wall with her head and was immediately stopped by the nurse who ran in. After all, she was only 18 years old, and she sobbed helplessly.

There is a surveillance camera in the corner of the ward, where what happens is being played in a medical conference room immediately.

Gu Jun, uncle egg, Zhang Haidong and other white coats looked at the meeting screen, and they all saw that Xie Yiman's mental state was getting worse and worse.

"The patient's self handicapping behavior is aggravating, and more protection measures are needed." Zhang Haidong said, frowning at his old eyebrow.

"Professor Zhang, if the patient is physically fixed," Gu Jun asked, "would it stimulate her mental state more?"

What is the cause of the disease? They are not sure, they can only do some exclusion.

If it is a skin disease, it is not viral, bacterial, fungal, parasitic, allergic, autoimmune, skin tumor, etc. - the patient's physical indicators and results of the film are not significantly abnormal, and even local anesthesia can not stop itching.

In the face of this situation, doctors in all countries have focused on the type of neuropsychosis.

Gu Jun had been worried about this type, because it was also a psychiatry category, and the way treatment became uncertain.

If it is caused by microorganisms, kill the microorganism, and skin disease will probably be OK. There is a way to treat it.

But neuropsychosis is different.

There is no need for abnormal forces to blame, and humans have a lot of these diseases. The patient had no primary skin damage, but suddenly felt that there was paroxysmal itching in which part of the body appeared, and then they scratched, but the more itching, and appeared rash, edema, scales and other symptoms.

There is also a "parasite delusion", which clearly shows that there is no parasites in the skin, but the patient is stubborn that they are infected with parasites. Even if they do not believe in the clear inspection results, they think that there are a large number of worms in their skin crawling.

And hair pulling, nail biting, head impact and other abnormal behaviors are not uncommon in such diseases.

So if it's not for the shape of those erythema to be like a brand, and the occupational identity of these patients, it can be a common disease.

"It must be a thrill to the patient's spirit." Zhang Haidong said, "ah Jun, you still need to tell the patient that you have more trust from her."

"If not, we'll have an artificial coma?" Uncle egg put forward an idea, everyone thought about it.

Artificial coma is mainly used for the treatment of brain trauma patients, but sometimes in order to keep some patients from moving, it can also be used for this deep anesthesia.

"I'll try to convince her to hold on first." Gu Junsi said.

"Neuropsychosis" refers to the dysfunction of nervous system or mental disorder, which is more inclined to the latter, and it is useless without local anesthesia.

The key is how to correct the mental state of the patient.

"To treat such skin diseases, you usually have to find a way to stop itching." Zhang said that he was in his fifties and as an expert in dermatology, he has rich experience in common, abnormal, large and small skin diseases. "The psychology of such patients is very strange. They seem to have a switch in their hearts. If they turn on, they will get sick. If they turn it off, there will be nothing. It needs to be true to them that they don't itch, and if they're cured, that switch will be turned off. "

How to stop itching is the problem.

General neuro mental disorders of skin disease, drugs can still cause physiological effects, more or less.

Patients with mild illness, even if they are to take dexamethasone ointment to apply a coating of the affected area, it also has the effect of relieving itching.

Antiphlogistic and itch drugs, no matter what use, it can also be given tranquilizers, and local anesthesia is not effective. For example, they have given sheyiman procaine closed therapy, through local anesthesia to reduce itch, pain and other different feelings, combined with psychological treatment, so that can recover.

Now, it is probably because of the influence of abnormal forces, and these methods are useless.

Shea Yiman should not feel the presence of the face, but she still felt itchy, still there are many insects crawling.

Gujun used the external application of gold aloe raw materials, which still did not work. Maybe the live aloe was useful. Maybe the related drugs developed later were useful. But now the laboratory is still the stage of analyzing ingredients and extracting materials.

He had asked in his dream that Zuge Geely reported that there was no situation in the worm house and no relevant physical channel was found for the time being.

"I'll talk to her."

After the meeting, Gu Jun came to the isolation room again.

Now that patients are still isolated from local hospitals, the agency will transfer and centralize as appropriate. All aspects of the work will take more time to determine and carry out, but if there is no way to stop itching, patients will not be able to endure this."Captain Gu, help As soon as Xie Yiman saw him, he immediately rushed up and hugged his air tight protective clothing, imploring: "help me..."

Gu Jun silently took a deep breath, every time facing the patient's call for help, his heart was like being torn.

Among the patients, the most serious one is Xie Yiman. The erythema on her face did not spread and expand, but she itched to the point of mental breakdown.

"Yiman, in fact, the situation has been basically ascertained. I wear protective clothing is just a procedure. Your disease is not infectious. It's not caused by bacteria, viruses, insects or anything. It's something supernatural that affects your perception. "

Gu Jun patted Xie Yiman on the shoulder, gently and patiently explained to her what is neuropsychiatric dermatosis, very careful not to provoke her.

Professor Zhang has already mentioned him. This kind of patients have great mental fluctuation and are prone to irritability. They especially don't like to hear people say that "you are not sick at all. You just have a mental problem.". After a long time in clinical practice, we know that patients are in a state of hesitation. The first thing for doctor-patient communication is to respect and empathize with patients.

So when Gu Jun said it, he always used a kind of saying that "I know you are the victim".

"That kind of power has some kind of spiritual connection with you, so that this idea can be continuously transmitted in your mind like now, making your face itchy and itchy. But if we cut off this connection, we might be better off. "

Gu Jun's inference is not nonsense, just like nightmares have that kind of spiritual connection.

"Then What am I going to do? " Xie Yiman asked both blankly and anxiously. He trusted Gu Jun very much.

"We will increase the dosage of tranquilizer and fix you on the hospital bed with your hands and feet tied. You are responsible for taking out your will and bearing it!" Gu Jun excitedly said, "no matter how itchy it is, don't worry about it. Just bear it and live through today! See what happens. "

Let the patient face that kind of connection, if can endure, may be able to reverse the abnormal force.

No, No When Xie Yiman heard this, he was in a hurry. He almost screamed and cried: "no, no, I will die! Captain Gu, it's not that I don't want to bear it, but I can't bear it. Do you understand that it's too itchy to bear it... "

Gu Jun saw her emotional so excited, he knew that this method could not be successful for her, because the focus was not on sedation, but on psychotherapy.

"Captain Gu, if you want me to die." Xie Yiman's tone became more and more intense, "then I might as well die in pain quickly!"

She was about to rush to the wall, Gu Jun quickly pulled her, "don't! We have other treatment options. This one can't be changed. Don't worry

"What plan?" Xie Yiman gasps and grabs his face. His eyes rekindled hope.

"Artificial coma." Gu Jun said, now can only try, "we implement general anesthesia on you, you will fall into a coma, nothing feel."

"Good!" Xie Yiman nodded happily, "this is good, I want to sleep for a while, this is good!"

"But you risk never waking up." Gu Jun told her this clearly. In ordinary cases, as long as the dose of anesthetic is reduced, patients can be awakened at any time. But like the banyan disease patients can not have general anesthesia coma, otherwise can wake up is only the body of loss of consciousness.

He does not advocate artificial coma. First, there is such a risk; second, when the patient's self-consciousness is lost, will there be any new changes in the patient's condition?

However, these are uncertain, but if they are forced to endure, they may also drive the patients crazy.

Every new disease treatment road needs to explore, and each road, patients must have the first try.

"I..." Xie Yiman is a little confused. Maybe he can't wake up? "Can I call my mother?"

"Yes." Gu Jun obeyed her request, which was no problem. Her family were controlled by the Bureau of natural science and technology.

Xie Yiman choked and talked with his parents for a long time on the phone, no one would want to take such a risk. But less than an hour later, she decided to make this attempt because she became more and more itchy. She couldn't hold on. As long as she could have a rest

The treatment plan was set and soon implemented.

All kinds of monitoring instruments and equipment were sent to the isolation ward, and the rescue room was also ready. The anesthesia team prepared the drugs and gave Xie Yiman inhalation anesthesia. In pain and expectation, the popular star actor slowly closed his eyes and entered a coma.

This is 2 p.m. that day, Xie Yiman did the world's first artificial coma treatment in the epidemic.

After her coma, she was continuously monitored. Gu Jun, Deng Ximei, uncle Dan and other people stood beside the hospital bed together with the anesthesia team, watching her quietly and sensing her surroundings

Gu Jun does not tend to artificial coma at the beginning, and at this time, there is always an uneasy entanglement in his heart, which is getting more and more serious.

When Xie Yiman was in a coma for half an hour, she was still lying in the hospital bed, but the indicators monitored by the instruments nearby suddenly changed. Consciousness coma and conscious consciousness, the performance of EEG is not the same, and at this time the slow wave of EEG increased, her consciousness again active."Wake up the patient!" Gu Jun hurry way, inhale to let oneself steady.

Several anesthesiologists had already taken action. Uncle egg patted his head regretfully: "Oh, I shouldn't have said this idea. I shouldn't have..."

"Uncle egg, we have to try it." Gu Jun knows that it's not the fault of anyone. He can't blame uncle egg. He just hopes that the patient can be awakened smoothly.

At this time, Deng Ximei, next to her, whispered to him, "maybe, we can try What is Xie Yiman going through now

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