Rebirth of Medicine Practices the World

This treatment had just been launched and there was little experience. After the patient's father learned about it, he rushed from Yingzhou City to Guangzhou City. After listening to the doctor's introduction, he decided to treat his son.

Such treatment is very expensive. His father raised a huge sum of money to receive treatment at Nanjiang Hospital in Guangcheng City.

During the treatment process, the treating doctor wanted to completely destroy this huge and complex "arteriovenous malformation", so he increased the amount of gamma rays irradiated.

A review after treatment revealed that the lesions had indeed been completely "destroyed". However, dangerous complications after radiation therapy struck the patient like a flood that broke a bank.

The patient began to have headaches, vomiting, frequent epileptic seizures, and gradually became confused. The treating doctor said that this was a reaction after gamma ray exposure, with severe and uncontrollable cerebral edema as the main cause.

At this moment, the patient's father could no longer raise the cost of continued treatment in Guangcheng. In desperation, he placed all his hopes on the Affiliated Hospital of Yingzhou Medical College.

Yesterday afternoon, I took an ambulance from Guangcheng and drove all the way to the Affiliated Hospital of Yingzhou Medical College.

Lin Lin and Liu Yulan learned about these situations yesterday afternoon through communicating with the patient's father and girlfriend.

"Please ask Dr. Ma to show the director the patient's latest head CT scan," Liu Yulan said to Ma Shuiyuan.

Ling Xiaoyun took the CT film handed to her by Ma Shuiyuan, placed it on the reading light beside her, and turned on the reading light. When everyone saw it, they couldn't help but gasp.

The right cerebral hemisphere was obviously swollen, the right lateral ventricle had been compressed by the swollen brain tissue to the point of almost disappearing, and the midline structure was also obviously shifted to the left.

These signs indicate that the diseased brain tissue has obvious edema and the pressure on the right cerebral hemisphere is very high. The patient may die at any time due to brain herniation caused by the high pressure.

"The diagnosis of this patient is clear. Please give your opinion on the patient's next treatment." Ling Xiaoyun opened his mouth and the discussion officially began.

"I am the doctor in charge. Let me say a few words first." Liu Yulan spoke first.

"After taking over the job yesterday afternoon, I feel that this patient's condition is very serious, and the dehydrating agents currently used have little effect. What's even more frightening is that the patient's epilepsy has not been effectively controlled, which will in turn cause brain damage.

Increased edema.”

"Currently, the patient's anti-epileptic drugs are a combination of carbamazepine and phenytoin, but the effect is not good and seizures are still frequent."

"So, my overall judgment is that the prognosis of this patient is not optimistic." At this point, Liu Yulan stopped.

"Well, I also agree with Dr. Liu's opinion. The prognosis of this patient is indeed not optimistic. However, I remember that Dr. Lin once successfully treated a patient with stubborn status epilepticus. With Dr. Lin's experience and skills, this patient was very good.

Wouldn't it be better if Dr. Lin was responsible for the diagnosis and treatment?" Li Yun'e's speech can be described as "killing without showing blood."

"Haha, this Li Yun'e is really competing with Lin Lin. It's okay, it's better for someone to come forward than me, so that this guy won't be so crazy in the future." Ling Xiaoyun secretly sneered.

Ding Feng had a good relationship with Liu Yulan and Lin Lin. Li Yun'e's words made Ding Feng speechless and simply kept silent.

"Doctor Lin, what do you think?" Ling Xiaoyun looked at Lin Lin with a smile. She wanted to see how Lin Lin would take Li Yun'e's "trick".

"Let me say a few words." Lin Lin is not Brother Chu. Besides, he has experienced this matter long ago, and he knows the outcome very well.

"I agree with Director Ling. The diagnosis of this patient is clear. The key now is treatment."

"Currently, the patient's condition is just at the peak of brain reaction after gamma knife treatment, and the situation is very poor. Severe cerebral edema puts the patient at risk of dying from cerebral herniation at any time; severe malnutrition makes the patient extremely weak.

The situation is prone to various serious complications, leading to the worsening of the condition."

"Frequent, uncontrollable epileptic seizures, in turn, will make the already severe cerebral edema more difficult to control, and the brain damage will be more difficult to repair."

"Now, there are two main lines of treatment. First, to control and reduce the patient's cerebral edema; second, to control the patient's epileptic seizures. Controlling cerebral edema is the top priority."

"According to the "Foreign Medical Journal" I checked in the library, there were reports that after gamma knife treatment, brain damage is divided into an acute reaction period and a chronic reaction period. The chronic reaction period usually occurs half a year to one year after radiation exposure.

The disease only develops later in life. This patient does not fall into this situation."

"The acute reaction period is often caused by the brain tissue being very sensitive to radiation. This sensitivity, on the one hand, makes the radiation treatment effective; on the other hand, it also causes greater damage to the brain tissue and more obvious edema.

This situation is consistent with this patient."

"For the treatment of cerebral edema, I recommend adding hormones, glycerol-fructose, and appropriate human plasma on the basis of mannitol. You must exert force at this time, otherwise, you will never have the opportunity to exert force in the future."

"As for the treatment of epilepsy, I believe that as the cerebral edema improves, the control of epilepsy will become easier. However, we cannot wait, because frequent attacks will also cause the aggravation of cerebral edema."

"So, I suggest that on the basis of the current anti-epileptic drugs, sodium valproate should be added for treatment. The dose is three times a day, 0.2 grams each time." This sentence was added by Lin Lin after rebirth. It was not included in the previous life.

Said this.

"Wait a minute, you just said, combined with sodium valproate?" Ling Xiaoyun seemed to have caught Lin Lin's "pain point".

"Yes, that's right." Lin Lin knew what Ling Xiaoyun would say next.

"Do you know the metabolic differences between carbamazepine and valproate?"

"We know that carbamazepine is a liver enzyme inducer and sodium valproate is a liver enzyme inhibitor. However, this is only a theoretical thing, just like antibacterial drugs cannot be used in combination with bactericidal drugs. Clinically, we

Aren’t there many cases of successful joint use?”

"There is a difference between clinical practice and theory. Sodium valproate has been used clinically since the late 1960s and has been proven to be a safe, effective and broad-spectrum anti-epileptic drug. In view of the patient's current situation, I think,

It’s worth using.”

"Well, what you said makes sense, please continue." Ling Xiaoyun was also convinced by Lin Lin. In fact, in her previous life, Lin Lin used these two drugs together on a large number of epilepsy patients. Not only did she achieve obvious effects, but also the blood drugs

Concentration monitoring also proved that the two drugs had little interaction with each other.