Chapter 524 Possible Aspen Syndrome(2/2)
The doctors all breathed a sigh of relief, but Manager Xie still frowned and asked carefully:
"Doctor, could Bai Xue have epilepsy? Many old employees in the unit said this before. You also know that if she, a girl, gets this disease, her life will be ruined."<
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Manager Xie’s question makes sense. After ruling out the mental problems, Chen Qi himself thought the same way.
If a patient faints for no reason and then convulses, any doctor will consider epilepsy.
The so-called epilepsy refers to the abnormal discharge of neurons in the brain.
To put it simply, the brain was short-circuited at that time and sent out a lot of abnormal electrical signals, causing abnormalities in the patient's feeling, movement, consciousness, spirit, behavior, etc.
In mild epileptic seizures, the patient may still be conscious.
In severe epileptic seizures, such as grand mal epilepsy, the patient will have impaired consciousness, accompanied by violent convulsions, typically foaming at the mouth, eyeballs rolling up, chewing muscles contracting to open the mouth and then violently close it, and the tip of the tongue may be bitten.<
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Excluding brain problems, to be honest, Bai Xue is more consistent with this symptom. Although it is not so exaggerated, who can guarantee that it is not a minor or moderate attack?
Moreover, data shows that 50%-60% of epilepsy patients are teenagers. Bai Xue is only 22 years old this year. In future generations, she will only be a college student.
If it is just an epileptic seizure, Chen Qi is not worried, because the disease usually does not kill people immediately. (Family members do not think so)
Chen Qi is worried that there are other reasons behind the patient's consciousness disorder and convulsions.
For example, heart disease.
Don’t think that only brain diseases can cause coma and convulsions. Heart diseases can also have similar symptoms.
For example, if a patient has an episode of tachyarrhythmia or severe bradyarrhythmia, and the heart does not pump enough blood, the brain will be ischemic and hypoxic, resulting in brain dysfunction, and transient coma and convulsions.
This is the so-called Aspen syndrome.
When Chen Qi expressed his doubts, Zhang Xing thought for a while and said:
"But the electrocardiogram we just did, I remember that there was no obvious abnormality in the electrocardiogram."
"No, no, no, there was no abnormality at that time, but it does not mean that it has always been normal. If it is really Aspen syndrome, it may be a sudden attack and sudden termination. This needs to be monitored with ECG monitoring. If the patient falls into coma and convulsions again,
And ECG monitoring can capture abnormal ECG activity, so that’s real.”
As soon as Chen Qi said these words, the doctors around him immediately became nervous again.
If the patient has epilepsy, he can only have a few seizures at most, and his life will not be in danger.
But if it is Aspen syndrome, which is a heart problem, then sudden death is really possible, and cardiac arrest can occur at any time.
"Aspen syndrome", also known as cardiogenic cerebral ischemic syndrome, refers to a sudden onset of severe, fatal slow or tachyarrhythmia, which causes cardiac output to decrease sharply in a short period of time, resulting in severe cerebral infarction.
Symptoms such as blood loss, loss of consciousness and syncope.
This syndrome has nothing to do with changes in body position. It often causes syncope due to a sudden and severe increase or decrease in heart rate, which occurs very suddenly.
Now the doctors began to worry. If the patient died at home or in the workplace, although it would be a pity, it would have nothing to do with the hospital and the doctors would not have to bear any responsibility.
But if he died in the emergency department, then the emergency department would definitely be involved, and none of the treating doctors would be able to escape.
Chapter completed!