Chapter 543

"One should be able to distinguish one's body, which parts belong to the body and which do not belong to But there's something wrong with this leg It's not real. I don't feel it. I don't think it belongs to me

This is not the words of a group of patients who suddenly appear in Dongzhou today, but the description of a patient with somatic agnosia more than 30 years ago.

Somatic agnosia, a rare neurological syndrome, is almost the opposite of "phantom limb syndrome" - more than 80% of amputees can still feel their lost limbs for a long time after their wounds are healed. Some even accompanied by "phantom limb pain", patients feel that the amputated limb is still there, and there is pain.

The existence of these conditions proves that the nervous system directly restricts the ability of human beings to perceive their own bodies.

It's not the body itself, but the nervous system that determines how many limbs a person feels and how well they are.

However, what is the mechanism of this nervous system? How does it work in the human brain?

For a long time, the medical community has been trying to find out clearly, but there has been a lack of scientific and reasonable explanation.

Now, Gu Jun is also unable to explain to patients and colleagues what is happening.

There are 37 separate wards in the isolation ward area on the 9th floor of the mental and psychological building of the Dongzhou Tianji medical department base. There are 37 separate wards, each of which has a patient with "heterochiria". Their cry of pain is constantly spreading, ringing in the corridor, and gradually there are some delirium words that are tortured.

In less than a day, 37 patients were hospitalized in various hospitals in Dongzhou, and there may be more patients who have not been diagnosed or treated.

They showed the same symptoms. They all had unexplained pain in the right upper limb. They quickly lost their recognition within 3-8 hours, and the pain became worse. Many blood vessels were blocked in the affected limbs. Thrombolytic drugs were given to relieve the symptoms, but the pain of the patients was even worse. In addition, from the beginning of agnosia, patients are eager to remove the affected limb by amputation.

Hemiplegia seeks amputation, which is similar to another very rare delusional disorder:

body integrity identity disorder.

People who have lost a limb because of an accident always miss the time when they are physically sound, but on the contrary, patients with BIID always yearn for their limbs to be amputated - it doesn't belong to them, they are not born with them, or they suddenly don't want them. It doesn't matter whether this is called disability. They think this is normal Only by taking off the affected limb can we realize the true and complete self and get happiness.

Usually the affected limb is one of the limbs, sometimes there are two, three or even four cases.

In order to achieve this goal, and doctors do not agree to amputation, they often take self mutilation behavior that somatic agnosia patients would not have, such as car crash, leg necrosis with ice water, and even self amputation.

This mental illness has not been recognized and named for a long time. Its pathology is still a mystery. Whether it is caused by pure external factors or brain dysfunction caused by nervous system disorder is only hypothesis.

At present, the most effective treatment for BIID, the most effective way to relieve the pain of patients and improve the quality of life of patients is to amputate patients.

Gu Jun came to the outside of one of the wards. Several members of the team nearby also stopped and looked at the patients inside through the glass window.

The patient's name is Zhou Yibao, 21, a junior at Jihua University. He was the first patient to see a doctor for his hand disorder.

At that time, Li ruiquan, an emergency doctor who visited Zhou Yibao, noticed the abnormality and informed the hospital to immediately report it to the Tianji Bureau. After that, things developed very quickly. Dongzhou Tianji Bureau received reports from several hospitals. After sending personnel to confirm the abnormality, they transferred the patients to isolation and treatment.

Why are they? What is the pathogenesis? What do these patients have in common? Is forehand contagious?

The medical department is still trying to figure out these problems.

And for treatment, the medical department can not give too many methods, even if the BIID is indeed from neural abnormalities, but there is no proof of nerve abnormalities.

So neither lobectomy nor nerve damage can be used to quench thirst by drinking poison. Besides, it is better to amputate the brain than to cause unknown and irreversible damage to the brain. After all, losing a hand can also lead to a high quality of life, and prosthesis can be installed.

To deal with ordinary BIID, the usual means are cognitive behavioral therapy, aversion therapy and other psychotherapy, but the effect is not very good.

The psychological group has tried these methods for patients with forehand syndrome, and has injected some patients with tranquilizers. Zhou Yibao is one of them. However, the patients have not been able to calm down and become more and more serious.

This situation is very similar to that of patients with ichthyosis who feel itchy all the time in the affected skin area,

the patients with hemiplegia are suffering from their own rejection of foreign hands and are going crazy.Gu Jun of course knows that this is not an ordinary BIID, it's not something that happens naturally. It's the negative selection force, black goat cubs

Thinking about these, when his mind was in disorder, Gu Jun opened the door of the ward.

Time, his own right hand, there is an inexplicable impact jump, as if sensing something.

"Ah..." Zhou Yibao, a patient who was immobilized on the hospital bed, saw the group of medical staff in protective clothing walk in, and immediately exclaimed with more excitement. His eyes were full of bloodstains, "amputate my limb, cut off this hand, it's not mine, it's not mine..."

The patient's right upper limb is particularly reinforced, because to promote blood circulation, the binding area is not large, that is, the upper arm, elbow, forearm are all buckled with iron handcuffs.

This is not only to prevent out of control of forehand, but also to prevent self mutilation. The position of the back of hand stabbed by a pen has been dealt with.

Gu Jun looked at the strange hand wrapped in white gauze, and his eyes seemed to flash with illusions. It was like the scene of himself dissecting the giant amputated limb of a black goat cub at the edge of the dissecting table. Standing beside the dissecting table was like someone else

At this time, the patient's different hands suddenly pull, hit the iron handcuffs clang clang, several iron handcuffs seem to be about to break general.

"Cut it off, cut it off..." The patient suddenly became more crazy.

Gu Jun clenched his right hand, as he did at the side of the stream in Shidong mountain, and suppressed the strange change.

Next to the egg uncle and other people are very helpless, the abnormal force of the conventional processing procedures have passed, did not receive results.

However, there is not much time left in the medical department. The patients are affected by painful stimulation, and the indexes such as heart rate and blood pressure are in the danger zone. The detection results of liver and kidney and other organs are not optimistic. Moreover, the thrombolytic and anticoagulant effect of the affected limb is constantly declining. If it goes on like this, the patients will be sent to the rescue room at any time.

"Ah Jun, do we have to consider amputation?" Uncle egg asked in a low voice.

It's not a method. It's an experimental treatment. Maybe after amputation of the affected limb, there will still be phantom limb pain. Maybe the limb is diseased.

Many of them are not able to cure the patients, but they can strive to make the patients survive and survive better

Gu Jun took a deep breath. He didn't say a word for a long time. There was a strange sound in his ear.

You're going to have a lot of surgery, surgery, do you still have surgery

"I suggest we try artificial coma first." Gu Jun said in a deep voice, there is a devil in the unknown place, can not follow the devil's will, otherwise there will be no good results, "in addition, I want to watch a right upper limb amputation with other causes."

www.novelhold.com , the fastest update of the webnovel!