PD :: Volume #4

#346: post-traumatic stress disorder

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January 18 in the morning, the secret bureau headquarters medicine section, Gu Jun entered the institute of psychology building under the accompaniment of Wu Shiyu and Cai Zixuan. 1月18日这天上午,天机局总部医学部,顾俊在吴时雨、蔡子轩的陪同下走进心理研究所大楼。 After entering this simple building, they come to the brain advanced function research lab in 5 buildings, Dr. Shen is waiting in that head Professor Ma Jun as well as numerous researchers in laboratory. horse teaches is one of the home best brain branch experts, now is also Gu Jun treatment team one. 进入这栋朴实的大楼后,他们来到五楼的一个脑高级功能研究实验室,沈博士在那等着了,还有实验室的负责人马军教授以及一众研究人员。马教授是国内最好的脑科专家之一,现在也是顾俊的治疗团队一员。 The brain of Gu Jun be at an abnormal state, does not have the ordinary dysphrenia, anxious, despondent and intense, delirium these do not have, his personality has not seen anything to change. 顾俊的大脑处于一种异常状态中,不是有普通的精神障碍,焦虑、抑郁、激越、谵妄等这些都没有,他的性情也未见有什么改变。 When he, as soon as contacts „exceptionally” „supernatural force”- including the ancestor various, the imaginary dreamland, the incantation technique, illusion, different, R'lyeh wait/etc these things, he will have the headache symptom, but the contact referred to including hearing others says, to think, to be involved from the action. 但是当他一接触到“异常”“超自然力量”-包括祖各、幻梦境、咒术、幻象、异界、拉莱耶等等这些事物,他就会出现头痛症状,而接触是指包括听到别人说、自己想、从行动上参与其中。 Hearing others discussed is the symptom is lightest, if he listened to think casually, but the bulge felt pain ; If he listens to the brain, oneself will think deeply about the consideration, the symptom will aggravate rapidly, the brain will have the intense crack pain ; The words of own participation, will be more serious. 听到别人谈论是症状最轻的,他如果只是随便听着不去想,只是头胀发痛而已;但一旦他听进脑子里,自己加以思索考虑,症状就会迅速加重,脑部有强烈的裂痛;亲身参与的话,更会严重很多。 But no matter symptom weight, when he interrupts the contact, his headache will alleviate slowly. Words that does not contact, then anything does not have. 但不管症状轻重,当他中断接触,他的头痛就会慢慢缓解下来。不接触的话,则什么事情都没有。 On the contrary the contact duration is longer, the pain more weight gain, can the pain probably present the epilepsy whole body strong straight and twitching symptom, and temporary faints. 相反接触时间越长,痛楚就越增重,可以痛得出现癫痫的全身强直和抽搐症状,以及短暂性晕厥。 Three days ago Gu Jun in the hospital ward was a goa document that to read Master Tong sent, the document has not just read off, looks was also less than two pages, his whole body twitched and faints, was really scared the surroundings person, the good medical personnel just about to start to administer first aid, he woke up slowly. 三天前顾俊在病房内只不过是阅读通爷送来的一份goa文件,文件还没有读完,看了还不到两页,他就全身抽搐并晕厥过去,真把周围人吓着了,还好医护人员刚要开始急救,他就徐徐醒来。 Then from later, mood of the medical personnel sank, everyone knows that was greatly troublesome. 那从之后,医护人员们的心情又沉了下去,大家都知道有大麻烦了。 Gu Jun does not know optimistically, such, own spiritual consumption bottoms, the whole body was weary and uncomfortable, slow a talent recovered consciousness. 顾俊也知道不乐观,就那么一下,自己的精神消耗见底,浑身又疲倦又难受,缓了一天才缓过来。 The brain of person was too complex, his brain the tumor, has also lacked the oxygen steadily, has been injured, has had a surgery. Moreover before being injured the hemorrhage spot is the right side temporal lobe, the brain leaf white matter excision method damages is the former temporal lobe region, the matter of this region was difficult to say. 人的大脑太复杂了,他的大脑还长过肿瘤,缺过氧,受过伤,动过手术。而且受伤出血的部位是右侧前额叶,脑叶白质切除术毁损的就是前额叶区域,这个区域的事情非常难说。 What is traceable, his situation is similar to post-traumatic stress disorder ( ptsd ), but „unusual thing” is his stressor. 有迹可循的是,他这个情况类似于创伤后应激障碍(ptsd),而“异常事物”是他的应激源。 In the past Jake Wells had the ptsd symptom, in this joint forces also the survival personnel in some other countries had the slight ptsd symptom. 当年杰克-威尔斯有ptsd症状,这次联合部队中也有一些其它国家的存活人员出现轻微ptsd症状。 But Gu Jun with their different does not have the ptsd typical clinical performance, without intrusional wound reappears and does not have the lost/carrying change of cognitive and state of mind, does not have excessively to be vigilant, changed/easy Jire tetchy wait/etc, his self- evaluation does not have the psychological difficult position in this aspect, does not want to avoid these episodic memories. 但顾俊与他们不同的是没有ptsd典型临床表现,没有侵入性创伤性重现、没有认知和心境的负性改变,没有过度警觉、易激惹易暴怒等等,他自我评定也没有这方面的心理困境,没想回避那些事件记忆。 However when his brain actually displays to with the stress similar or related thing presents intense evasion, once faced with or contacts the related time, although does not have the psychological pain, but presents the intense physiological reaction, this conforms to the ptsd diagnosis. 然而他的大脑却表现出对与应激相似或有关的事物出现时的强烈回避,一旦面临或接触到相关的时候,虽然没有心理痛苦,但出现强烈的生理反应,这又是符合ptsd诊断的。 Regarding Gu Jun this situation, the headquarters tops are tense, Master Tong and Yao Shinian they are also. 对于顾俊这个情况,总部高层们都非常紧张,通爷、姚世年他们也是。 The private relationship, Master Tong they are not willing to see Gu Jun this ; Considers the general situation, they do not hope that Gu Jun cannot contact again unusually. In the past two years, the function of contribution and display of Gu Jun cannot say much, if cannot govern, that means that he can only long time recuperate and even the retirement...... 私人关系上,通爷他们就不愿意看到顾俊这样;为大局着想,他们也不希望顾俊不能再接触异常了。最近两年来,顾俊的贡献和发挥的作用不需多说,如果治不回来,那意味着他只能长时间休养乃至退役…… Then regarding the secret bureau, regarding the Global People, is a massive loss. 那么对于天机局,对于全球民众,都是一个巨大的损失。 Therefore, the treatment team responsibility is important, Liu Mingfeng and others governed the personnel of body to leave the stage, but Professor Maring and others studied the personnel of brain to take on the heavy responsibility. 正是因此,治疗团队再次责任重大,刘明峰等治躯体的人员退场了,而马林教授等研究大脑的人员担起重任。 Their most important mission discovers the pathology mechanism, this is only the Gu Jun mental issue, his brain has damaged to be out of balance, causes this situation. 他们的首要任务是找出病理机制,到底这只是顾俊的心理问题,还是他的大脑有所损伤失调,才导致这种情况。 Before Gu Jun the attempt has used the old seal purification stone, has not detected the spiritual corrosion. He has not made the S value examination, Dr. Shen they worried that the impact of wound scene may cause him to fall into the stupor again, that will only make the situation more difficult. 之前顾俊已经尝试性使用过旧印净化石,并没有测出精神侵蚀。他还没有做过s值检定,沈博士他们担心创伤场景的冲击可能会导致他再度陷入昏迷,那只会让情况更加棘手。 At this time, Gu Jun, Wu Shiyu and Cai Zixuan entered this laboratory, here advanced complete equipment can do some more careful brain inspection for him. 这个时候,顾俊、吴时雨和蔡子轩走进这个实验室,这里先进齐全的设备可以为他做一些更细致的脑部检查。 In the laboratory is very light and bright, before being divided the room, but the first room is connecting several inspection room that puts the different equipment. 实验室里很是明亮宽敞,分为前室,而前室连接着数个放有不同设备的检查室。 After the people have greeted, Gu Jun is taught and the others to take away the fmri inspection room by horse. fmri is the functional magnetic resonance imaging, the equipment seems like with the nuclear magnetic resonance is similar, but does not need to inject the emission active material when the examination. That he must check is bold-fmri, the blood oxygen level dependence functional mri. 众人打过招呼后,顾俊就由马教授等人带去fmri检查室。fmri即是功能性磁共振成像,设备看上去跟核磁共振差不多,但在检测时不需要注射放射活性物质。他要做的检查是bold-fmri,血氧水平依赖功能磁共振成像。 „This is the functional nerve imaging diagnosis inspection method.” Dr. Shen two people explained to Wu Shiyu, „when inspection will make A'Jun complete to stimulate mission, through measuring his signal change of blood oxygen level dependence, can reflect that the activity of his brain, this positioning accuracy can help diagnose his pathology mechanism partially.” “这是个功能性神经影像学检查方法。”沈博士向吴时雨两人解释,“检查时会让阿俊完成刺激任务,通过测量他血氧水平依赖的信号变化,能反映他局部脑的活动,这种准确定位可以帮助诊断他的病理机制。” „Cannot understand.” Wu Shiyu by the glass window of inspection room, looks at Gu Jun to lie down on the fmri equipment bed, „Dr. Shen, can you explain simply?” “听不懂。”吴时雨透过检查室的玻璃窗,看着顾俊躺到fmri设备床上,“沈博士,你能简单解释一下吗？” Actually Cai Zixuan does not understand fmri, the modern medicine really had too refines the domain much, did not specialize in the department of neurology even can not hear these. 其实蔡子轩也不太懂fmri,现代医学实在是有太多细化领域了,不是专修神经科的甚至能没听说过这些。 Because he today has a vacation accompanies the old friend to come the inspection, is thinking studies, reading some literature was clear. 他还是因为今天放假就陪着老友过来检查,也想着学习一下,看了一些文献才明白的。 „I.e .” Dr. Shen thinks, explains religious doctrine with the level language as far as possible: „If in the brain the nervous activity of which brain area is strengthened, the blood stream quantity will increase . Moreover the oxygen molecule that takes away must be more than activity neuron actual oxygen consumption capacity, the blood stream quantity that therefore the nervous activity causes will increase will raise the blood oxygen content of corresponding brain area, this will be the bold signal. This can helps us discover his stress the time, was where nervous activity brain strengthens.” “就是说。”沈博士想了想,尽量用平实的语言讲道:“如果大脑内哪个脑区的神经活动增强,血流量就会增加,而且带去的氧分子要多于活动神经元实际耗氧量,所以神经活动引起的血流量增加会提高相应脑区的血氧含量,这就是bold信号。这能帮助我们找出他应激的时候,是大脑哪里的神经活动增强了。” Wu Shiyu hear of Dr. Shen said, nods: „Good, cannot understand.” 吴时雨听沈博士说了一通后,点了点头:“哦好的,还是听不懂。” „Is......” Dr. Shen felt that needs explains in detail from the beginning, „the bold signal, is difference of the neuron activity influence on the partial oxygen consumption and cerebral blood flow, changed the comparative content of partial deoxygenated hemoglobin, thus causes the partial magnetic field nature to change......” “就是……”沈博士感觉有必要从头细讲一遍,“bold信号呢,就是神经元活动对局部氧耗量和脑血流影响程度的不同,改变了局部去氧血红蛋白的相对含量,从而导致局部磁场性质发生变化……” „Dr. Shen, I more listened to you to say probably, was more muddled.” Wu Shiyu lifts the hand to break, „I first said my understanding, makes this inspection salty handsome, is pats his stress time is in the brain where in excited, found this position to judge again he has what issue.” “沈博士,我好像越听你说,越糊涂了。”吴时雨抬抬手打断,“我先说一下我的理解,咸俊做这个检查,是拍他应激的时候是脑子内哪里在激动,找到这个位置再判断他有什么问题。” Cai Zixuan thought that she has not understood wrong, these words saying very clearly. 蔡子轩觉得她没理解错,这番话说得很清楚。 „Almost is this.” Dr. Shen said that „, but the brain is very complex......” “差不多是这样。”沈博士说道,“但大脑是非常复杂的……” Wu Shiyu is listening, while thinks, because the brain is ultra, she can only understand this degree. 吴时雨一边听着,一边想,就因为大脑超复杂吧,她只能理解到这个程度了。 Meanwhile, in the inspection room the equipment starts to revolve, in the zi zi sound, carries the Gu Jun inspection bed to remove toward the ring magnet that side. 与此同时,检查室里面设备开始运转,嗞嗞声响中,载着顾俊的检查床向着圆环磁体那边移去。 Apex 顶点
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