Chapter 863

"So, that way, can you confirm the stroke?" Asked the old man. He was a little awkward.

"This is one of the ways. Open your mouth and let me have a look." Guo Xiang said.

The old man opened his mouth. Sure enough, his tongue couldn't be centered and turned to one side.

There is a possibility of stroke.

"Sir, do you usually have high blood pressure?" Guo Xiang asked while writing the medical record.

"It's a little high. I've been taking medicine." Aunt helped him.

Guo Xiang nodded. No wonder the blood pressure was not very high just now.

"Now it's suspected that there is a stroke, but it may not be serious. You see, it's just that the tongue is a little biased and swallowing is a little difficult, but there are no symptoms of mouth eye deviation and facial paralysis. Sir, will you be weak? " Guo Xiang asked again.

"It seems to be ok..." the uncle shook his head.

Guo Xiang nodded. He walked in by himself just now, and his wife didn't help him. When he left, he didn't seem to have his hands and feet leaning to one side.

"We still need to do a CT to take a picture of the brain to make sure." Guo Xiang said.

"Then do it." Aunt nodded. It's all like this. You should always know whether it's good for treatment.

Guo Xiang gave an order and asked the old man to have a CT. When the results were taken, he didn't have a stroke.

But generally speaking, stroke is intracerebral hemorrhage, just like the porphyria patient before.

But without cerebral hemorrhage, another possibility is cerebral infarction.

"Is cerebral infarction also a stroke?" Asked the aunt.

"Yes, it's one of them. Intracerebral hemorrhage is that the blood vessels have burst and the blood flow comes out on the brain tissue, which oppresses and stimulates the brain tissue, resulting in cerebral ischemia and hypoxia, a series of dysfunction and, in serious cases, death. "

"Cerebral infarction is that the blood vessels in the brain are too narrow and blocked, the blood can't flow, and the oxygen can't pass through. Some tissues in the brain will necrosis due to ischemia and hypoxia, resulting in some dysfunction."

"But we can't find it by CT now. It may take a day for some necrotic brain tissue to be seen. Or do an MRI tomorrow, that is, an MRI, so you can see more clearly. " Guo Xiang said.

"That's going to be hospitalized?" The aunt glanced at her wife.

"It's best to be hospitalized, or in case the situation is bad, you can rescue it in time." Guo Xiang said.

"Then live." Aunt nodded. She was also afraid. If she had a stroke, she must have no way at home. What if something happened in time?

The old man was admitted to the hospital. Because he had difficulty swallowing, he was given some nutrient solution, otherwise he was too hungry to stand.

Then he gave some commonly used drugs for cerebral infarction.

The next day, when Guo Xiang went to the ward round, he found that the old man's situation was more serious. He couldn't drink the water. He even struggled to open his mouth. The whole person was very weak, and his hands and feet seemed to have little strength.

Hurriedly pushed the old man to do an MRI. As soon as the results were checked, he was surprised.

No, nothing, no cerebral hemorrhage, no cerebral infarction.

The blood test is normal, and the blood lipid is not high.

What's going on?

Guo Xiang called Xing Ming and Xu Wei together for consultation.

Tell the patient's symptoms. It's easy to choke, swallow and LISP when drinking water. Now it's even difficult to open your mouth. What's the reason?

"It must have something to do with nerves. It's all controlled by nerves." Xu Wei said.

"What virus is infected?" Xing Ming said.

Xing Ming pondered for a moment and said, "can it be rabies? I've seen rabies attacks in the countryside before. The symptoms of those patients are a bit like that. They also want to drink water. Obviously, their lips are very dry and cracked, but they can't swallow them. It's the virus that has invaded their nerves... "

Guo Xiang's face became serious. Rabies is a very serious disease. It's ok if it doesn't happen. Almost 100% will die when it happens, and the incubation period of the virus is still very long.

"I'll ask right away." Guo xiangteng stood up.

When I got to the ward, I pulled my aunt out. "Aunt, think about it. Have you been bitten by a dog recently, or have you been bitten by a dog before?"

"Dog?" Aunt was surprised. Why did you suddenly ask this?

She thought, "it's true. Two months ago, she was bitten by a dog, but she only scratched a little skin and didn't even bleed..."

"Did you get rabies vaccine?" Guo Xiang asked anxiously.

"Yes, and three more." The aunt stretched out her finger and said, "doctor, what's the matter? My wife's disease is related to being bitten by a dog? "

Guo Xiang frowned, "I'm not sure yet, but it's very possible. If it's rabies, there's almost no medicine to cure, and it happens very quickly... "Guo Xiang can't go on.

"Well, what about that?" The aunt panicked and grabbed Guo Xiang's hand, "no, no, we had an injection. At that time, he said it didn't matter. It's just a puppy. So good, it's sure to be fine. I advised him to fight..."

The aunt said, tears flowing down and her hands trembling.

"Aunt, aunt!" Guo Xiang quickly grabbed aunt's hand, "don't worry, we just doubt, we can't confirm, we'll check again..."

Xu Wei and Xing Ming also came over and asked about the dog bite at that time.

Aunt said that the dog was raised by someone else, not a wild dog, but also small. It was not fierce at ordinary times. At that time, the old man accidentally kicked it, and it bit in turn, which was not heavy.

But now people haven't vaccinated dogs, even if they are domesticated.

"How's the dog now?" Asked Guo Xiang.

"Dog? All right. " The aunt was stunned and said.

"Okay?" Guo Xiang frowned. It's impossible. If there is rabies, the dog should die first. It can't be good.

Dogs carrying rabies virus usually die within 3-5 days. Therefore, the observation period after being bitten by a dog is generally 10 days. Within 10 days, the bitten dog does not die or get sick, so the bitten person will not get rabies.

Although rabies also has an incubation period, it is unlikely that the virus in the old man's body has occurred, but the dog has not.

So the old man didn't get rabies?

"Let's go and see the patient's wound." Xing Ming proposed.

Everyone went into the ward and rolled up the old man's trouser legs.

"Where's the bite?"

"This is the position. You can't see it. At that time, you bit a small piece and broke the skin. It will be fine in a few days." The aunt pointed to her wife's ankle.

After observing, we really couldn't see the injury, not even the scar.

"Sir, open your mouth and let us have a look." Xu Wei looked at the old man.

The old man opened his mouth and couldn't open it.

"Try to be as big as possible." Xu Wei said.

The old man sobbed. He had tried his best, but he couldn't open it. He was about to cry.

The saliva could not stop flowing down, and the old man was ashamed and angry, with a sad face.