Just right,
Chen Fengmei was admitted by Lin Feng.
·Patient, female, Chen Fengmei, 28 years old...
She was supported by her husband and walked into the clinic.
"Sit...what's wrong?" Lin Feng asked professionally.
"Dr. Lin, this is the case. I have encountered a "ghost press"..." Chen Fengmei looked panicked.
Lin Feng: "………………"
Ghost press?
Rarely, Lin Feng remembers that he diagnosed one more than ten days ago. (Chapters 504-506)
Lin Feng remembered that the patient was diagnosed as "sleep paralysis" in the end.
certainly,
Not all people have sleep paralysis, and there may be other causes, which should be carefully screened.
"Can you tell me more specifically..."
"Okay, okay, it's like this. I often wake up in the morning. I feel weak, my muscles are a bit painful, my chest is heavily pressed, and I can’t breathe. Just 163 like someone is pressing on me, although I I'm already awake, but I want to sit up on the bed, but I can't move at all..."
"What about? How long did it take to get up?"
"It took more than ten minutes to get up, but I still don't have much strength..."
Lin Feng pondered.
If it is "sleep paralysis", after being able to resume movement, it will not say that there is no strength, but it will return to normal.
so,
It is possible that this patient is not "sleep paralysis".
At this time, the patient Chen Fengmei hesitated and said:
"Dr. Lin... Actually, I tried this situation 2 years ago. I had problems for a week. At that time, when I was in my hometown, my mother went up to the mountain temple to worship the gods, and then brought back some incense ashes and ate them. After it's done..."
Lin Feng: "………………"
Incense ash? !
Lin Feng’s first reaction was not—"Look, someone is superstitious again!"
It's—"Ash? Potassium? Hypokalemia?"
That's right!
The use of incense ash to cure the'ghost press' is really scientifically based! !
"Hypokalemia"
There will be a kind of "cyclic hypokalemic paralysis".
The principle is: When the potassium ion concentration in the human blood is lower than the lower limit of normal, the muscle membrane is in a hyperpolarized state, and the muscle's response to nerve stimulation is reduced, and then muscle paralysis is caused.
It can also be regarded as a kind of "ghost press".
It's similar to "sleep paralysis", but it's not the same thing.
If this kind of disease is not serious, it is a little bit weak. People generally don't feel a serious illness. They just think that it is excessive exercise, or rest without rest, just rest and eat (potassium supplement).
If it's serious,
The body will have symptoms of palsy limbs, as if someone (ghost) is pressing on the body.
Then it became a "ghost press".
Ancient,
After the ghost presses the bed, the superstitious people will go to the temples to pray for gods, and some temples will give incense ashes to the patients, soak in water to drink, and drive away ghosts.
Incense ash, there is potassium in it.
(Refer to burning rice straw as chemical fertilizer to fertilize the fields, indicating that there are potassium, phosphorus, etc. in the rice straw...)
(The content of potassium (aicd) ions in plant ash is very high.)
so,
After drinking the incense ash, the medicine was cured, and the ancients felt that the gods had driven away ghosts, and then they believed in gods and Buddhas even more.
so,
If you contacted the previous patients who had eaten incense ash, and then cured the "ghost press", then it can be inferred with a high probability:
The patient has "hypokalemia".
As for whether it is "cyclic hypokalemic paralysis", it needs more careful examination.
"Periodic hypokalemia" is a group of metabolic diseases related to potassium ion metabolism.
It has been reported abroad that periodic paralysis has a family history and is inherited in an autosomal dominant manner.
At home, it's different.
It is extremely rare to have a family history, but sporadic hypokalemic periodic paralysis is the most common.
"Go and check..."
Take blood, check an electrolyte...
...
When I was a child,
The result of the check is out.
·The blood potassium concentration is only 1.8mmol/L (normal 3.5-5mmol/L)
Only half the level.
Lin Feng was taken aback! !
So low! !
"Xiao Ai, take potash!"
Too late to drink,
Direct injection through the veins!
"Okay, I'll go right away..."
Xiao Ai ran out quickly, because she also realized that the matter was serious.
Lin Feng secretly called himself careless.
Why is he so nervous?
Because of such a low level of hypokalemia, very severe cases may have respiratory muscle paralysis, breathing difficulties, and arrhythmia, which may further cause her heart to stop at any time.
The more dangerous thing is that once the heartbeat stops, such patients are extremely difficult to rescue, because the potassium supplementation speed is not so fast!
Therefore, Chen Fengmei is in a very dangerous state at this time, and he may suddenly stop and die at any time.
Lin Feng secretly scolded himself carelessly.
soon,
Xiao Ai rushed in, carrying potassium agent + salt water...
Intravenous injection.
Lin Feng breathed a sigh of relief when he saw the liquid being continuously pumped in.
Fortunately, nothing happened!
The next step is to find out the reason.
Is it "cyclical hypokalemic paralysis"?
Or is it another reason?
_________
ps: The update is over. .
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