bookpower Chapter 521
Chapter 521
just right
Chen Fengmei was received by Lin Feng.
Patient, female, Chen Fengmei, 28 years old...
She was helped by her husband into the consultation room.
"Sit... What's wrong? Lin Feng asked professionally.
"Doctor Lin, it's like this, I encountered the 'Ghost Press'..." Chen Fengmei looked panicked.
Lin Feng: ".................."
Ghost press?
It is rare, Lin Feng remembers that ten days ago, he diagnosed one. (Chapters 504-506)
Lin Feng remembers finally diagnosing the patient as "sleep paralysis".
Of course
Not everyone has sleep paralysis, and there may be other causes that need to be carefully identified.
"Can you tell me more specifically..."
"Okay, okay, here's the thing, I often wake up in the morning lately, I feel weak all over, my muscles are a little painful, my chest is under heavy pressure, and I can't breathe. It's like someone is pressing on me, although I am already awake, but I want to sit up on the bed, but I can't move at all..."
"What about the back? How long did it take to get up? "
"It took more than ten minutes to get up, but I still didn't have much strength..."
Lin Feng groaned.
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 swallowed again and said:
"Dr. Lin... In fact, I also tried this situation 2 years ago, and I had problems for a week, when I was in my hometown, my mother gave me a mountain temple to worship God, and then brought back some incense ash, and after eating, it was fine..."
Lin Feng: ".................."
Incense ash?!
Lin Feng's first reaction was not - "Look, someone is superstitious again!" "
Rather—"incense ash? Potassium? Hypokalemia? "
That's right!
There is really a scientific basis for curing the 'ghost pressing' with incense ash!!
"Hypokalemia"
A "periodic hypokalemic paralysis" occurs.
The principle is: when the concentration of potassium ions in the human blood is lower than the normal lower limit, the muscle membrane is in a hyperpolarized state, and the muscle's response to nerve stimulation is reduced, which then leads to muscle paralysis.
It is also one of the "ghost presses".
It's very similar to "sleep paralysis", but it's not the same thing.
This disease, if not serious, is a little weak, people generally do not feel serious illness, only think that it is excessive exercise, or rest is not rested, as long as rest, eat full (potassium supplementation) is good.
If serious,
The body will have quadriplegia, as if someone (ghost) is pressing on the body.
Then it became the "ghost press".
ancient times
After the ghost presses the bed, superstitious people will go to the temple to pray to the gods, and some temples will give incense ash to the sick, soak water to drink, and exorcise ghosts.
Incense ash, inside, exactly has potassium.
(Refer to burning straw as fertilizer, used to fertilize the field, indicating that there is potassium, phosphorus, etc. in the straw...) ）
(The content of potassium ions in grass ash is high.) ）
So
After drinking the incense ash, the medicine was gone, and the ancient people thought that the gods drove away ghosts, and then they believed in the gods and Buddhas even more.
So
In connection with the fact that the patient has eaten incense ash before, and then cured the "ghost press", it can be inferred with a high probability:
The patient had "hypokalemia".
As for whether it is "periodic hypokalemic paralysis", it needs to be examined more carefully.
"Periodic hypokalemic paralysis" is a group of metabolic diseases related to potassium metabolism.
Foreign reports of periodic paralysis have a family history and are autosomal dominant.
Domestically, it's different.
Family history is extremely rare, but sporadic hypokalemic periodic paralysis is the most common.
"Let's go for a check-up..."
Draw blood, check an electrolyte...
......
As a child,
The results of the examination are out.
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 the potassium!"
It's too late to drink,
Direct meridian injection!
"Okay, I'll go right away..."
Xiao Ai quickly ran out because she also realized that the matter was serious.
Lin Feng secretly called himself careless.
Why was he so nervous?
Because of such low blood potassium, severe cases may have respiratory muscle paralysis, dyspnea and arrhythmia, which may further cause her cardiac arrest at any time.
What's more dangerous is that once the heartbeat stops, such patients are extremely difficult to rescue, because the speed of potassium replacement is not so fast!
Therefore, Chen Fengmei at this time is in a very dangerous state, and she may stop her heart and die at any time.
Lin Feng secretly scolded himself for being careless.
soon
Xiao Ai rushed wildly, with potassium + salt water ...
Intravenous injection.
When he saw the liquid continuously input, Lin Feng breathed a sigh of relief.
It's good that nothing happened!
Next, it's time to find out why.
Is it "periodic hypokalemic paralysis"?
Or is it some other reason?
_________
PS: End of update.