Chapter 541: Hand strain

"A person should be able to distinguish his body, which parts belong to the body, and which do not belong ... But this leg is not right ... It is not true, I do not feel its existence, I think it does not belong to me . "
This is not the words of a group of patients that appeared suddenly in Dongzhou today, but a description of their symptoms by a patient with bodily agnosia as early as 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 the wound has healed. Some may even be accompanied by "phantom limb pain." The patient feels that the amputated limb is still there, and there is pain there.
The existence of these situations proves from the side that the nervous system directly restricts the human ability to perceive the body.
It is not the body itself, but the nervous system that determines how many limbs a person feels and how the limbs are.
However, what is the mechanism of this nervous system? How do these functions play in the human brain?
For a long time, the medical community has been trying to study clearly, but it has been lacking a scientific and reasonable explanation.
Now, Gu Jun is also unable to explain to patients and colleagues what is happening.
In this isolated ward area on the ninth floor of the Psychological and Psychological Building at the base of Dongzhou Tianji Medical Department, there are already 37 independent wards each living with a patient with "handed hand". Their painful cries continue to be heard and ring in the corridor. There are also some delirious words born of torture.
In less than a day, 37 patients have been seen in various hospitals in Dongzhou. Perhaps there are more patients who have not been diagnosed and have not yet seen a doctor.
They showed the same symptoms, all of which caused unexplained pain in the right upper extremity. They quickly lost consciousness within 3-8 hours, and the pain increased. There were multiple obstruction of blood flow in the affected limb, which was relieved by the thrombolytic drug, but the patient The pain is even worse. In addition, from the beginning of loss of consciousness, the patient is eager to remove the affected limb through amputation.
The symptom of amputation seeking amputation is very similar to another very rare delusional disorder:
Body integrity identity disorder, BodyIntegrityIdentityDisorder.
People who unfortunately lose a limb because of an accident will always miss the time when they are physically sound, but BIID patients are just the opposite. They are always eager to be able to amputate a limb on their body-that is not their own, they are born No, or you suddenly do n’t want it anymore. It does n’t matter whether this is called a disability. They think this is normal, and you can achieve a truly complete self and happiness if you get rid of the affected limbs.
The affected limb is usually one of the limbs, and sometimes there are two, three or even four.
In order to achieve this goal for BIID patients, and doctors do not agree to amputation surgery, they often take self-mutilation behaviors that are not available to patients with somatic agnosia, crashing cars, freezing their legs with ice water to necrosis, or even amputating themselves. There have been cases.
This mental illness has not been recognized and named for a long time. Its pathology is still a mystery. Whether it is a mental illness caused by pure external factors or a brain dysfunction caused by disorder of the nervous system is only a hypothesis.
At present, the most effective treatment for BIID and the way to relieve patients 'pain and improve patients' quality of life is to amputate patients.
Gu Jun came to the outside of one of the wards, and the team next to him stopped, looking at the patient inside through the glass window.
The patient's name is Zhou Yibao, 21 years old, a junior student of Jihua University.
At that time, Li Ruiquan, who was an emergency doctor visiting Zhou Yibao, noticed the abnormality and notified the hospital to report it to the Tianji Bureau immediately. Afterwards, the situation quickly developed. The Dongzhou Tianji Bureau received reports from many hospitals. After sending personnel to determine the abnormality, they transferred the patients. Come here for isolation and treatment.
Why are they? What is the pathogenesis? What do these patients, men, women and children have in common? Is alien hand disease contagious?
The medical department is still trying to figure out these problems.
For the treatment, the medical department can't come up with too many methods. Even if BIID is indeed caused by neurological abnormalities, there is no proof of neurological abnormalities.
Therefore, white matter excision and nerve damage surgery of thirst quenching thirst are also not applicable-let alone amputation instead of damaging the brain to cause unknowable and irreversible damage, after all, it is better to perform amputation. Can install prosthetics.
To deal with ordinary BIID, the usual methods are cognitive behavioral therapy, aversion therapy and other psychological treatments, but the effect is not great.
The psychological group has already tried these methods for patients with heterodrome, and some patients have been given sedatives. Zhou Yibao is one of them. However, the patients have not been able to calm down, but have become more and more intense.
This situation is very similar to patients with allo-scale disease who feel that the affected skin area has been suffering from itching,
People with heterodrome are going crazy because of their own rejection of it.
Of course Gu Jun knows that this is not ordinary BIID, it is not something that happens naturally, it is that negative selection force, the black goat cub ...
After thinking about it, Gu Jun opened the door of the ward when his heart was messy.
Suddenly, there was an inexplicable shock in his own right hand, as if he sensed something.
"Ah ..." Zhou Yibao, a patient who was fixed on the bed all over the body, saw the group of medical staff in protective clothes walk in and immediately screamed more excitedly. His eyes were covered with bloodshot eyes. Cut off this hand, this is not mine, really not mine ... "
The right upper limb of the patient is particularly strengthened, because to promote blood circulation, the bound area is not large, that is, the upper arm, elbow, and forearm are all iron cuffs.
This not only prevents the out-of-control of the other hand, but also prevents the patient's self-mutilation behavior. The position of the back of the hand that the patient stabbed with the pen has been dealt with before.
Gu Jun looked at the strange hand wrapped in white gauze, and there seemed to be an illusion flashing in front of him, as if he was dissecting the giant amputated limb of the black goat cub at the anatomical table. It's someone else ...
At this time, the patient's foreign hand was pulled suddenly, hitting the iron cuffs loudly, several iron cuffs seemed to be about to break.
"Cut it, cut it ..." The patient suddenly became more mad.
Gu Jun clenched his right hand, as he did when he was on the side of the mountain stream in Shidong Mountain, suppressing the inexplicable movement.
The uncle egg next to him and other people were also helpless, and the routine handling procedures for the abnormal forces had passed, and no results were obtained.
But there is not much time in the medical department. The patients are affected by the painful stimulus. The indicators of heart rate and blood pressure are in the danger zone. The test results of multiple organs such as liver and kidney are also not optimistic. uukanshu. com and the thrombosis and anticoagulation effect of the affected limb is declining, and if this continues, the patient must be sent to the rescue room at any time.
"Ajun, do we have to consider amputation?" Uncle Egg asked softly.
It is not a method, an experimental treatment method, maybe the patient will still experience phantom limb pain after amputation of the affected limb, and maybe the limb is removed.
They are doctors of the Tianji Bureau, as are many clinicians. Many times they are unable to cure patients, but they can work hard to make patients survive and better survive ...
Gu Jun took a deep breath, and for a long time did not say a half sentence, his ears seemed to have a strange sound.
You will have a lot of surgery opportunities, surgery, will you still have surgery ...
"I suggest to try artificial coma on the patient first." Gu Jun said in a deep voice, there is a demon who doesn't know where, and can't do what the demon wants, otherwise there will be no good results, "Also, I think See a right upper limb amputation for other causes. "
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