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Chapter 754 Weird! Sudden blindness

He was about to push Jiang Mai away and force his way into the ward.

Suddenly, Xiang Kai got out of the hospital bed. He endured the pain and stood in front of Lu Ruping. His young eyes were full of anger that was not for his age, and he said: "Try being cruel to my mother again!"

He can't say anything threatening, and he is so well-behaved that he has never said anything harsh in front of his family, which is why he is so loved.

But at this moment, when he witnessed his mother being repeatedly made things difficult by his father and grandparents, he finally learned to resist.

Xiang Kai's father was stunned and stayed on the spot.

The grandparents also fell into silence, and no one dared to continue until Lu Ruping.

"Xiaokai, Xiaokai..." There was still darkness in front of Lu Ruping's eyes, but at this moment, she no longer had the panic in her heart, and her expression was particularly calm. She gently reached out and hugged her son, who was half a head taller than she was sitting down.

"I'm fine. Just lie back on the bed." Lu Ruping comforted her. As she spoke, tears flowed out of her eyes that had lost their vitality.



After Xiang Kai came forward, all conflicts and quarrels immediately stopped.

The family members silently cooperated with the work of Xu Qiu and others. Anyone who dared to have any small thoughts would immediately be greeted by the angry glare of the eleven-year-old boy.

"I didn't expect it to be solved like this." Jiang Mai still didn't react.

Wang Fan glanced at Xiang Kai with admiration and said, "Unexpectedly, this little guy is more like a man than his father."

"Brother Xu, what's going on? Is there really something wrong with your eyes?" Soon, the two of them came to the observation room and stared at Lu Ruping on the examination bed with puzzled faces.

It was fine a second ago, how could it suddenly disappear?

In the observation room, in addition to Xu Qiu, Shi Lian was also present as a medical staff member of the opposite sex to cooperate.

She explained with some worry: "It is true that I am blind, but I am not sure what the specific problem is."

There are many possible scenarios for sudden blindness.

For example, optic nerve damage, glaucoma, central retinal artery occlusion, or periretinal vein inflammation, etc.

At the same time, if the blood pressure of some patients rises sharply in a short period of time, it may cause brain hemorrhage, cerebral infarction and other diseases, which will lead to insufficient blood supply to the brain, and may also cause the brain to be unable to accept uploaded visual signals...

"It doesn't look like an intracranial disease, nor does it look like a blood vessel problem." Xu Qiu slowly took off her medical gloves, her expression full of confusion.

Whether it is insufficient blood supply to the brain or blockage of the central retinal artery, some clues can be found during the physical examination.

However, the patient had no abnormalities except that he was blind.

There was not even any slight discomfort such as dizziness or bloating.

Only blindness!

This is so strange... Xu Qiu had encountered sudden blindness before, and the patient was called Luo Di.

At that time, in addition to being blind, Luo Di also suffered from at least severe pain all over his body. This also gave Xu Qiu a key clue, confirming that the disease may originate from the brain itself, and then gradually deduced that it was a rare brain-eating worm infection.

However, Lu Ruping had no other symptoms.

Her son was in severe pain all over his body...but it had nothing to do with her.

"It should have nothing to do with her son. Complex regional pain syndrome is not a genetic disease." Xu Qiu shook his head.

In Lu Ruping's case, when he was ruling out agency syndrome, he asked for an overview.

There is nothing noteworthy in the basic information.

While doing the examination just now, Xu Qiu also conducted a more targeted consultation.

Lu Ruping has no history of any neurological disease, no history of surgery, and no history of genetics.

"Where is your menstrual period?" Xu Qiu asked again.

Lu Ruping blurted out: "It should be the past few days. My menstrual period has never been regular, but it will definitely come every month. It should have come last week, but it has never come, and it will definitely not exceed this week.

of."

"Caesarean section?" Xu Qiu thought of the previous physical examination. Lu Ruping had an obvious caesarean section incision on her abdomen. Although it healed well, an expert could still identify it at a glance.

"Yes, I had a cesarean section at that time."

“Why do you have a cesarean section?”

Under normal circumstances, obstetricians will recommend vaginal delivery, but dangerous indications such as narrow pelvis, cephalopelvic disproportion, placenta previa, etc. will require cesarean section. Understanding this may be helpful.

Lu Ruping said: "I had a cyst at that time, so the doctor recommended me to have a cesarean section, so that he could cut out the cyst for me."

Xu Qiu nodded...That's it.

Endometriosis is one of the most common gynecological diseases.

"Dr. Xu, can you please leave me alone and go help my son... You said you wanted to do some surgery before, and you asked the child's father to sign for it. They will definitely not dare to go against you now!" Lu Ruping was still worried in her heart.

Written in Xiang Kai script.

Xu Qiu sighed.

Xiang Kai's condition is actually very stable. It's just that the first-line treatment doesn't work, and he needs to have a sympathectomy next.

This operation is not very difficult. For a doctor of Xu Qiu's level, there is basically no risk and it can be done easily.

Xiang Kai's pain hypersensitivity is caused by sympathetic nerve dysfunction. As long as the sympathetic nerves are cut off, there should be no problem in theory.

Just like patients with premature ejaculation, as long as the arms are removed, they will no longer have the trouble of premature ejaculation.

If cutting off the sympathetic nerves fails, the final analgesic pacemaker placement or subarachnoid analgesic pump implantation should be considered.

The former is to cut off the sympathetic nerve, which is like cutting off the roots of premature ejaculation patients.

The latter starts with the pain-generating mechanism of the brain... which is equivalent to making patients with premature ejaculation no longer interested in women.

And men.

Xiang Kai's condition is already very clear, and one of these two methods can always solve it.

On the other hand, Lu Ruping, who suddenly lost her sight without any clues and no clues, is a patient worthy of more attention.

"I will arrange the examination items for you first, and I will arrange the surgery as soon as possible for Xiang Kai." Xu Qiu said.

Lu Ruping nodded gratefully.

Xu Qiu continued: "Take her for a slit lamp fundus examination, intraocular pressure testing and optical coherence tomography.

“If no eye damage or optic nerve damage is found, continue with the brain CT scan.

"In addition, hematuria routine, blood biochemistry, etc. are also added."

Step by step inspection.

Sudden blindness, there is always something wrong with the eyes, optic nerve, visual transmission pathway, and ultimately the visual center of the brain.

After these examinations, more than 90% of diseases can be found.



After the examination was arranged, Lu Ruping also temporarily added an extra bed and went through the admission process.

However, since it was night when the medical order was given, the ophthalmology and laboratory departments were not open, so most of the examinations had to wait until the next day.

When the shift was handed over the next morning, everyone was shocked when they heard that Lu Ruping had become blind again just after solving Xiang Kai's incurable disease.

The record of this patient's illness was too simple.

Just four words: sudden blindness!

However, the most troublesome thing in clinical practice is this seemingly simple disease!

——
Chapter completed!
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