PD :: Volume #4

#307: Nerve energetic obstructive skin disease


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Help, is quite itchy...... many insects to crawl in my face......” “救命,好痒啊……好多虫子在我脸里面爬……” In the isolation ward, thanks Yiman walks back and forth painfully, often with the head hits the hospital bed rests the head on, or pinches to pinch own arm ruthlessly, actually cannot stop, must grasp the face, even if that cheek has grasped fully is the scar. 隔离病房里面,谢一曼痛苦地走来走去,不时用脑袋去撞击病床的被枕,或是狠狠地捏掐自己的手臂,却还是停不住,还是要去抓脸,即使那张脸蛋已经抓得满是伤痕了。 She hits with the head suddenly layer on layer/heavily to a wall, under the nurse who immediately ran blocks, after all is only the 18-year-old young girl, she sobs no use. 她突然用脑袋重重地撞向一面墙壁,马上就被跑进来的护士阻下,毕竟只是18岁的少女,她无助地抽泣起来。 Has the monitoring camera in the corner of hospital ward, this inside the situation is broadcasting immediately in a medical conference room. 在病房的角落有监控摄像头,这里面发生的情况正即时播放在一个医疗会议室里。 Gu Jun and egg uncle, Zhang Haidong and other white coats look at the conference screen, could see that thanks Yiman the state of mind was getting more and more bad. 顾俊、蛋叔、张海东等白大褂们看着会议屏幕,都看得出谢一曼的精神状态越来越差了。 „The act of self-injury of patient aggravates, must increase the protective measures.” Zhang Haidong wrinkled the old eyebrow to say. “患者的自残行为加重,得加大保护措施了。”张海东皱着老眉说。 Professor stretch/open, if implements the limbs to be fixed to the patient,” Gu Jun asked that will be exciting to her state of mind?” “张教授,如果对患者实施肢体固定,”顾俊问道,“是不是更会刺激到她的精神状态?” What is the cause of disease? They are indefinite, can only do removes. 病因到底是什么?他们还不确定,只能做些排除。 If this is a skin disease, is not the virulence, bacterial, fungus and parasite, is not the allergic, the immunity and skin tumor wait/etc- the body target and shooting result of patient have nothing obviously exceptionally, moreover cannot stop itchy the local anesthesia. 如果这是一种皮肤病,不是病毒性、细菌性、真菌性、寄生虫性,也不是过敏性、自身免疫性、皮肤肿瘤等等-患者的身体指标、拍片结果都没什么明显异常,而且连局麻都止不了痒。 Facing such situation, vision of the doctors aimed at nerve energetic obstructive skin disease this type. 面对这样的情况,各国医生们的目光都对准了“神经精神障碍性皮肤病”这种类型。 Before Gu Jun, has been worried that can be this type, because this is also the category of psychiatry, the way of treatment becomes indefinite. 顾俊之前就一直担心会是这种类型,因为这也是精神病学的范畴,治疗的方式变得不确定。 If the microorganism causes, then kills the microorganism, the skin disease can be good probably, this has how to kill microorganism for treating path. 如果是微生物导致的,那把微生物杀死,皮肤病大概就能好了,这就有个治疗路子“怎么杀死微生物”。 However the nerve energetic obstructive skin disease is different. 但是神经精神障碍性皮肤病不同。 Does not need the unusual strength unseemly behavior, human had this kind of disease. The patient no primary skin harm, suddenly felt that which of body presents the paroxysmal pruritus, then scratched with the finger to grasp, actually more grasped is itchier, moreover presented measles spot, edema and scale scraps/condescend and other symptoms. 不需要有异常力量作怪,人类本来就有很多这类疾病。患者无原发性皮肤损害,却突然感到身体的哪一处出现阵发性瘙痒,然后就去搔抓了,却越抓越痒,而且出现疹斑、水肿、鳞屑等症状。 One type parasite paranoea, in the skin does not have the parasite, the patient to feel obviously tenaciously oneself infected the parasite, even if not believing to the explicit inspection consequence, is thinks in own skin has massive insects to crawl. 还有一种“寄生虫妄想症”,明明皮肤里没有寄生虫,患者却固执地觉得自己感染了寄生虫,即使对着明确的检查后果也不相信,就是认为自己的皮肤里有大量的虫子在爬着。 And plucks hairs and bites the nail, the hit head wait/etc these deviant behaviors, in this kind of disease is not the rare matter. 以及拔毛、咬指甲、撞击头部等等这些异常行为,在这类疾病中也不是罕见之事。 If not these red spots shapes like making the brand mark, and being similar of these outbreak patient occupations, this can be an ordinary disease. 所以如果不是那些红斑的形状像打下烙印一样,并且这些发病患者职业的类同,这可以是一种普通疾病。 To the spirit of patient definitely is a stimulation.” Zhang Haidong austere sound, A'Jun, needed you to go with the patient saying that you she trusted.” “对患者的精神肯定是个刺激。”张海东肃声,“阿俊,还是需要你去跟患者说,你更得她信任。” „If not good, we do make an artificial stupor to have a look?” The egg uncle gave an idea, everyone has also thought. “要是不行,我们就做个人工昏迷看看?”蛋叔提出个想法,大家也都想过的了。 Artificial stupor mainly for treating cerebral trauma patient, but sometimes to let some patients do not move heedlessly, can conduct this depth anaesthesia. 人工昏迷主要用于治疗脑外伤患者,但有时候为了让一些患者不要乱动,也是可以进行这种深度麻醉的。 I first try to convince her to support.” Gu Jun thought was saying. “我先试试能不能说服她撑一下。”顾俊思索着说。 Nerve energetic obstructive refers to the nervous system function being abnormal, or the dysphrenia, is partial in the latter now, without the local anesthesia is useless. “神经精神障碍性”是指神经系统功能失常,或者精神障碍,现在更偏向于后者,没有局麻没用。 How that key is to correct the psychology of patient. 那关键就在于怎么纠正患者的心理状态了。 Treats this kind of skin disease, usually must find one type itchy means.” Zhang Haidong also said, his year has over 50 years old, as the expert of dermatology department, has the rich experience to various ordinary, unusual and every large or small skin diseases. „The psychology of this kind of patient is very strange, they seem like the switch, opened is taken bad, closes does not have on anything. This needs to make them believe sincerely, is not itchy, cured, that switch will be closed.” “治这类皮肤病,通常得找到一种止痒办法。”张海东又说道,他年有五十多岁,作为皮肤科的专家,对普通、异常、大大小小的各种皮肤病都有丰富的经验。“此类患者的心理是很奇怪的,他们心里好像有一个开关,打开就是发病,关上就什么事都没有了。这需要让他们自己真心相信,不痒了,治好了,那个开关才会被关上。” How to stop itchy, this is the present issue is. 怎么止痒,这正是现在的问题所在。 The general nerve energetic obstructive skin disease, the medicine can create the effect on the physiology, more or less. 一般的神经精神障碍性皮肤病,药物还是可以对生理造成效果的,或多或少而已。 Mild condition patient, even if spreads apply Huanchu with the dexamethasone ointment, that still has the effect of affable pruritus. 轻度病情的患者,就算是拿个地塞米松软膏涂一涂患处,那也有舒缓瘙痒的效果。 No matter sterilization anti-itch uses, that can also give the sedative, no matter also with gives the local anesthesia. For example they already to thanks Yiman has made the Procaine seal-off therapy, reduces the itchy feeling and pain iso- feeling through the local anesthesia, coordinates the psychological treatment, this can also be restored to health. 消炎止痒药物不管用的话,那也可以给予镇静剂,还不管用就给予局部麻醉。比如他们已经给谢一曼做过的普鲁卡因封闭疗法,通过局麻降低痒感、痛感等异感,配合心理治疗,这样也能康复。 Now because of the influence of unusual strength, these methods is probably useless. 如今大概是因为异常力量的影响,这些手段都没用。 thanks Yiman should unable to feel the face exists, but she feels wicked itchy, many insects are crawling. 谢一曼理应感觉不到面部存在的了,但她还是感到恶痒,还是有很多虫子在爬。 Gu Jun was used together the raw material of golden aloe to externally apply also to use, still did not have the effect, perhaps the live golden aloe was useful, the related medicine that perhaps later developed was useful, but that side the laboratory was still analyzes the stage of ingredient and extract to the raw material now. 顾俊连用黄金芦荟的原料外敷也用上了,仍然不起效,也许活的黄金芦荟有用,也许以后研制出的相关药物有用,可现在实验室那边仍是对原料分析成分、提取物质的阶段。 He has inquired in the fond dream, ancestor various reports of Jili are, that side the room of worm does not have the situation, temporarily had not found the related physical channel. 他在美梦中打听过,祖各吉利的汇报是,蠕虫之屋那边没情况,暂时没找到相关的物理通道。 I go to chat with her.” “我去跟她谈谈。” After the conference ended, Gu Jun arrives at that isolation ward again. 会议结束后,顾俊再次来到那个隔离病房。 Now the patients are still isolating in the local hospital, the secret bureau will use judgment to conduct the shift and centralized. The work in various aspects need more time to determine and conduct, but if could not find to stop the itchy means that perhaps patients this cannot boil. 现在患者们还在当地医院隔离着,天机局将酌情进行转移和集中。各方面的工作都需要更多时间才能确定和进行,但如果找不到止痒的办法,患者们这样恐怕熬不下去。 Chief Gu, help!” thanks Yiman sees him, immediately go crazy threw to grasp his aeroseal exposure suit, the entreaty: Saves me......” “顾队长,救命啊!”谢一曼一见到他,立即发狂般扑了上来抱住他的气密防护服,哀求不已:“救救我……” Gu Jun deeply inspires silently, facing praying for rescue of patient, looks like each time at heart is torn. 顾俊默然深吸一口气,每次面对患者的求救,心里都像被撕扯着。 What in the patients temporary condition is most serious is present thanks Yiman, the red spot on her face has not spread to expand, but she soon was itchy the nervous breakdown. 患者们中暂时病情最严重的正是眼前的谢一曼,她脸上的红斑倒没有蔓延扩大,但她痒得快要精神崩溃了。 „, The situation has actually verified now basically. I wear the exposure suit am only the procedure/program, your sickness does not have the infection, it is not bacterial virus insect anything causes, had some supernatural force to affect your sensation.” “一曼,其实现在情况已经基本查明了。我穿防护服只是程序而已,你的病没有传染性,它不是细菌病毒虫子什么引起的,是有某种超自然力量影响到你的感知了。” Gu Jun racket thanks Yiman shoulder, gave her to explain gently patiently a Tongshen was the nerve energetic obstructive skin disease, extremely paid attention do not annoy her violently. 顾俊拍拍谢一曼的肩膀,温柔耐心地给她解释了一通什么是神经精神障碍性皮肤病,非常注意着不要激惹到她。 Professor stretch/open has raised has selected him, the spiritual fluctuation of this kind of patient is big, easy anxious, especially did not like hearing others saying that you simply have not gotten sick, you have problems energetic this words. In clinical did for a long time knows, the patient mood paced back and forth very much, the medical-patient communication must first achieve the respect and altogether the sentiment to the patient. 张教授已经提点过他了,这类患者的精神波动大,容易焦躁,尤其不喜欢听到别人说“你根本没病,你精神出了问题而已”这种话语。在临床做久了就知道,患者心情都是很彷徨的,医患沟通首先要做到对患者的尊重和共情。 Therefore Gu Jun said the time, has to express me to know with one type you are victim view. 所以顾俊说起来的时候,都是用一种有表达出“我知道你是受害者”的说法。 That strength had some energetic connection with you, can transmit this idea like the present unceasingly in your brain, making you feel that on the face is very itchy and is very how itchy. But if we cut off this connection, getting sick was possibly good.” “那种力量与你产生了某种精神连系,才能像现在这样把这个想法不断地传递在你脑子里,让你觉得脸上很痒、怎么都很痒。但是如果我们把这种连系斩断掉,病可能就好了。” Gu Jun this inference is not rambles on, has the energetic connection like Nightmare Disease. 顾俊这个推断不是瞎扯的,像恶梦病就是有着那样的精神连系。 How that... do that I want to do?” thanks Yiman not only vacant and asked anxiously, trusts Gu Jun very much. “那…那我要怎么做?”谢一曼既茫然又焦急地问,对顾俊是很信任的。 We increase the sedative to you dosage, simultaneously fixes you on the hospital bed, the hands and feet ties up, you are responsible for putting out your will, enduring!” The Gu Jun drive said that „, no matter itchy, do not go to manage it, not flexure, enduring, to have been enduring today! How has a look to be able.” “我们给你加大镇静剂的剂量,同时把你固定在病床上,手脚都绑上,你负责拿出你的意志,忍着!”顾俊激励地说,“不管有多痒,别去管它,一下都不挠,忍着,忍过今天!看看会怎么样。” Let the patient face directly that connection, if can endure, can perhaps disrupt that unusual strength in reverse. 让患者直面那种连系,如果能忍下来,或许就能逆向破坏那股异常力量。 No, no,......” thanks Yiman hears word, was not anxious immediately, almost must scream that weeps bitterly: No, no, such I will die! Chief Gu, is not I do not want to endure, could not endure, you understand that was too itchy, could not endure......” “不,不,不……”谢一曼闻言,顿时就急了,几乎要尖叫痛哭起来:“不,不,那样我会死的!顾队长,不是我不想忍,是忍不了啊,你明白吗,太痒了,忍不了啊……” Gu Jun sees her mood is so excited, knows that this method was impossible to succeed to her, because with emphasis did not lie in calm, but lay in the psychological treatment. 顾俊见她情绪这么激动,就知道这个方法对她不可能成功了,因为重点不在于镇静,而在于心理治疗。 Chief Gu, if you think that I die.” thanks Yiman the tone becomes intense, that I might as well die happily!” “顾队长,如果你想我死。”谢一曼语气变得激越,“那我还不如死得痛快点!” Her strategic place hit in the past to the wall, Gu Jun holds on her hastily, leaves! We have other therapeutic schedule, this is not good trades one, should not be anxious.” 她就要冲过去撞向墙壁,顾俊连忙一把拉住她,“别!我们还有别的治疗方案,这个不行换一个,你不要急。” What plan?” thanks Yiman pants for breath asked, made an effort to grab the facial expression, in the look reignited the hope. “什么方案?”谢一曼喘息地问,用力抓着脸容,眼神中重燃了希望。 Artificial stupor.” Gu Jun said, now also can only try, we implement the general anesthesia to you, you will fall into the stupor, anything could not feel.” “人工昏迷。”顾俊说道,现在也只能试一试了,“我们对你实施全麻,你会陷入昏迷,什么都感觉不到。” Good!” thanks Yiman nods joyfully, this good, I want to rest a meeting, this good!” “好!”谢一曼欣喜地点头,“这个好,我想睡一会,这个好!” But you have the risk that does not wake forever.” Gu Jun told this clearly clearly. So long as the ordinary situation reduces stops the anesthetic dosage, can awaken the patient momentarily. However the different banyan tree sickness patient cannot have the general anesthesia stupor likely, otherwise can wake up also loses the body of consciousness. “但是你有永远都醒不过来的风险。”顾俊把这一点清楚明白地告诉了她。普通的情况只要减停麻药剂量,就能随时唤醒患者。但是像异榕病患者就不能有全麻昏迷,否则能醒来也只是丧失意识的躯壳了。 He did not advocate that very much makes the artificial stupor ; first, to have this risk ; Second, when patient's self-awareness loses, can the condition have the new change? 他不是很主张做人工昏迷,一是有着这个风险;二是当患者的自我意识丧失,病情会否有新的变化? However these are indefinite, the words that but suppresses perhaps, will also make the patient fall insanely. 不过这些都是不确定的,只是强忍的话,说不定也会把患者弄疯掉。 The treatment path of each new disease needs to try to find out, but each road, among the patients must have the first attempt. 每一种新疾病的治疗道路都需要摸索,而每一条路,患者们当中都总要有第一个尝试的。 „Didn't I......” some thanks Yiman ignorant/veiled, possibly wake? „Can I call my mother?” “我……”谢一曼有些蒙了,可能醒不过来?“我能打个电话给我妈妈吗?” Ok.” Gu Jun complies with her request, this is not in the way, her family member was being controlled by the secret bureau. “可以。”顾俊遵从她的要求,这不碍事,她的家人都被天机局控制着了。 thanks Yiman sobbed with the parents chatted very for a long time is telephoning, no one met to take this risk. But after less than one hour, because she becomes even more intense wicked decides to make this attempt itchy, she really could not support, so long as can resting a while be also good...... 谢一曼哽咽着跟父母聊了很久的一通电话,没人会想冒这种风险。但不到一个小时后,她就因为变得越发强烈的恶痒而决定做这个尝试,她实在是撑不下去了,只要能歇一会儿也是好的…… The therapeutic schedule sets, quick carries out. 治疗方案定下,很快就执行起来。 Various types of monitoring instrument equipment fed in the isolation ward, the ER also prepare, the anaesthesia team matched the medicament, made the inhalated narcosis to thanks Yiman. This popularity star in the pain and hope, closes the eye slowly, enters to the stupor. 各种的监测仪器设备送进隔离病房,抢救室也准备好了,麻醉团队把药剂配好,给谢一曼做了吸入麻醉。这位高人气明星演员在痛苦与期盼中,缓缓地闭上眼睛,进入到昏迷当中。 This is 2 : 00 pm of this day, thanks Yiman underwent the artificial stupor treatment of global first in this sickness epidemic disease. 这是这天的下午 2 点,谢一曼在这次病疫中做了全球首个的人工昏迷治疗。 The situation after her stupor continues to be monitored by the entire journey, Gu Jun and Deng Ximei, the egg uncle and others are the anaesthesia team defend by the hospital bed together, calmly visits her, and is inducing the surroundings...... 她昏迷后的情况继续被全程监控着,顾俊、邓惜玫、蛋叔等几人更是和麻醉团队一起守在病床旁边,静静地看着她,并感应着周围…… Gu Jun hits does not favor the artificial stupor from the beginning, but at this time, in the heart the anxious entanglements, are always getting more and more heavy. 顾俊打一开始就不倾向人工昏迷,而此时,心中总是有一份不安纠缠,越来越重。 When thanks Yiman the stupor time just full a half hour, she still lay down on the hospital bed motionless, however nearby instrument is monitoring the target suddenly changed. The consciousness stupor and consciousness are sober, the electroencephalogram of performance is different, but this time electroencephalogram slow wave increased, her consciousness enlivened. 当谢一曼的昏迷时间刚刚满半个小时,她依然躺在病床上一动不动,但是旁边的仪器监测着的指标突然变了。意识昏迷与意识清醒,表现的脑电图是不一样的,而这时的脑电图慢波增多,她的意识重新活跃起来了。 Awakens the patient quickly!” The Gu Jun hurried say/way, the inspiration makes itself steady. “快唤醒患者!”顾俊急忙道,吸气让自己稳着。 Several anesthetists have gone into action, the egg uncle regretted that is patting the head: Was bad, I should not say this idea, really should not......” 几位麻醉师已经行动起来了,蛋叔懊悔地拍着头:“糟了,我不该说这主意,真不该……” Egg uncle, the means must try.” Gu Jun knows that whose mistake this is not, cannot blame on the egg uncle, only hopes that the patient can be awakened smoothly. “蛋叔,办法总要试一试的。”顾俊知道这不是谁的错,怪不到蛋叔头上,只希望患者能被顺利唤醒。 At this time, nearby Deng Ximei said to him in a soft voice: Perhaps, can we, what try...... to have a look at thanks Yiman to experience now?” 这时候,旁边的邓惜玫轻声地对他道:“也许,我们可以,试一试……看看谢一曼现在经历着什么?” Apex 顶点
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