PD :: Volume #6

#541: Alien Hand Syndrome

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„A person should be able to distinguish own body, which distinguishing partially is the body, which do not belong......, but this leg, not right...... it not real, I could not feel that its existence, I thought that it is not me.” “一个人应该能分辨自己的身体,分辨哪些部分是属于身体的,哪些不属于……但是这条腿,不对劲……它不是真的,我感觉不到它的存在,我觉得它不属于我。” This is not words of today's Dongzhou sudden a group of patients, but more than 30 years ago, a body loses recognizes sickness the patient to the description of own symptom. 这不是今天东州突然出现的一批患者的话语,而是早在30多年前,一位躯体失认症患者对自身症状的描述。 The body loses recognizes sickness, a rare nervous system syndrome, almost with „imaginary extremity/limb sickness” opposite over 80 amputation after the wound is healed in period of long time, can still feel limbs that oneself lose. Some will even be accompanied by „phantom pain”, the patient felt by the limbs of truncation still, and had the ache in this place. 躯体失认症,一种罕见的神经系统综合症,几乎与“幻肢症”相反80以上的截肢者在伤口痊愈后的一段长时间里,依然能感觉到自己失去的肢体。有的甚至会伴有“幻肢痛”,患者感到被截的肢体仍在,且在该处发生疼痛。 Existences of these situations, proved from one side the nervous system is restricting the ability of human sensation self- body directly. 这些情况的存在,从侧面证明了神经系统直接制约着人类感知自我身体的能力。 How is not the body, but is the nervous system, decided a person felt how oneself have many limbs and limbs situation. 不是身体本身如何,而是神经系统,决定了一个人感觉自己有多少肢体、肢体情况都怎么样。 However, is actually this nervous system a mechanism? How to play these roles in the brain of person? 然而,这种神经系统究竟是怎么个机制？怎么在人的大脑里起到这些作用？ For a long time, the medical circles have been trying to study a clarity, has actually been lacking the reasonable explanation of science. 长久以来,医学界一直都在试图研究个清楚,却一直缺乏着科学的合理解释。 Now, Gu Jun is unable explained to the patients and peers, what situation at present is having. 现在,顾俊也是无法给患者和同行们解释,目前发生着什么样的情况。 Dongzhou Secret Medicine Department Base, the stress disorder building's 9 th the stretch of isolation ward area, 37 independent hospital wards have lived in one respectively „Alien Hand Syndrome” patient, the cry of their pain spreads unceasingly, makes a sound on the corridor , some were suffered the fresh delirium words gradually. 东州天机医学部基地,精神心理大楼第九层的这片隔离病房区,已有37个独立病房各住着一位“异手症”患者,他们痛苦的叫声不断传出,响在走廊上,也渐有一些被折磨而生的谵妄话语。 Also less than day of time, 37 patients, receive a medical examination in various Dongzhou hospitals, perhaps more patients, have not diagnosed, has not gone see a doctor. 还不到一天时间,37位患者,在东州各家医院就诊,或许还有更多患者,还没确诊,还没就医。 They display the similar symptom, is the right upper limb for no reason ache, loses in 3-8 hours rapidly recognizes, and ache intensifies, contracts the extremity/limb to present many blood vessel blood stream blocking not to pass the phenomenon, gives the urokinase medicine to alleviate, but the ache of patient. Moreover from losing recognizes starts, the patient longs for that will contract the extremity/limb to remove through the amputation. 他们表现出同样的症状,都是右上肢无故疼痛,在3-8小时内迅速失认,并疼痛加剧,患肢出现多处血管血流阻塞不通现象,给予溶栓药有所缓解,但患者的疼痛更甚。另外从失认开始,患者就渴望通过截肢将患肢去除。 Alien Hand Syndrome seeks amputation symptom, is very similar to another very rare delusion barrier: 异手症就寻求截肢这个症状,与另一种非常罕见的妄想性障碍又很是相似: Body complete approval barrier sickness, bodyintegrityidentitydisorder. 身体完整认同障碍症,bodyintegrityidentitydisorder。 The misfortune will lose the person of some limbs always to fondly remember the limbs perfect time because of the accident, but the biid patient will be happen to opposite, they always long for on some limbs being able by truncation that is not itself, oneself will not have since birth, or will not want suddenly, will not matter this whether will be called of physical disabilities, they think that this will be normal, got rid contracted the extremity/limb can realize truly completely, can obtain the happiness. 因为事故而不幸失去某个肢体的人总是会怀念自己肢体健全的时光,但biid患者正好相反,他们总是渴望着自己身上某个肢体能被截除那不属于自己,自己生来是没有的,又或者自己忽然不想要了,无所谓这样是否被称为残障,他们认为这样才是正常,摆脱了患肢才能实现真正完整的自我,才能得到幸福。 Usually contracts the extremity/limb is some in four limbs, sometimes will have two and three even four situations. 通常患肢是四肢中的某一个,有时候也会有两个、三个甚至四个的情况。 biid patient to serve this purpose, but the doctor does not agree to conduct the words of amputation surgery, they will often adopt the body to lose recognize sickness the patient not to have the act of self-injury that the collision and freeze the leg with the ice water to the necrosis, even are the self- amputation, this has had the case. biid患者为了达到这个目的,而医生又不同意进行截肢手术的话,他们往往会采取躯体失认症患者不会有的自残行为,撞车、用冰水把腿冻至坏死、甚至是自我截肢,这都有发生过的病例。 This spirit class disease was not been long by the time of acknowledgment and name, its pathology temporarily the riddle, is the psychological disease that the pure external factor causes, the brain function barrier that the nervous system causes confusedly initiates, only has the hypothesis. 这个精神类疾病被承认、命名的时间还不长,它的病理暂时还是谜团,到底是单纯外在因素导致的心理疾病,还是神经系统错乱导致的脑功能障碍而引发的,都只有假说。 At present, most can relieve the way that the patient pain and improves the patient quality of life to the biid most effective treatment, to patient amputation. 目前对biid最有效的治疗方式、最能解除患者痛苦和提高患者生活质量的方式,就是给患者截肢。 Gu Jun arrives outside of hospital ward, nearby team several people also stopped, is looking at inside patient by the glass window. 顾俊来到其中一间病房的外面,旁边的团队几人也停了下来,透过玻璃窗望着里面的病人。 The patients of name were Zhou Yibao, Alien Hand Syndrome that 21 years old, the students of Jihua University, discover at present already medical patient. 病人叫周毅宝,21岁,济华大学的大三学生,是目前发现的异手症最早就医患者。 At that time for Zhou Yibao looked ER doctor Li Ruiquan who examined detected exceptionally, the notice hospital reported the secret bureau immediately, the later development was quick, Dongzhou Secret Bureau received reporting of many hospitals, after the sending out personnel determined exceptionally, the patients turns around conducts the isolation and treatment. 当时为周毅宝看诊的急诊医生李瑞全察觉到异常,通知医院立即上报天机局,之后的事情发展很快,东州天机局接到多家医院的上报,派出人员确定异常后,就把患者们转过来进行隔离和救治。 Why is they? What kind of pathogenesis? What common ground do these everybody has the patient who to have? Alien Hand Syndrome inflectious? 为什么是他们？怎样的发病机制？这些男女老少都有的患者存在什么共同点？异手症具有传染性吗？ These issues, the medicine section is still trying to clarify. 这些问题,医学部还在试图弄清楚。 But regarding the treatment, the medicine section cannot take too many means that even if biid is really stems from the nerve to be unusual, but where nerve exceptionally has not had the proof. 而对于治疗,医学部拿不出太多办法,即使biid确是源于神经异常,但哪里神经异常都未有证明。 Brain leaf white matter excision method and nerve damage that technique therefore satisfies thirst by drinking poison, was not suitable said created again with his destruction brain cannot know with the irreversible damage, that might as well conduct the amputation, after all lost a hand also to have the high-quality life, moreover can install the artificial limb. 所以饮鸩止渴的脑叶白质切除术、神经损毁术,也都不适用再说与其破坏大脑造成不可知和不可逆的损伤,那不如进行截肢,毕竟失去一只手也还能有高质量生活,而且能安装义肢。 Copes with ordinary biid, the usual method is cognitive behavior therapy, aversion therapy and other psychological treatments, but the effect is not big. 对付普通的biid,惯有手段是认知行为治疗、厌恶疗法等心理治疗,但效果不大。 The psychological group has tried these methods to the Alien Hand Syndrome patient, had injected the mood-stabilizing medication to some patients, Zhou Yibao is, however the patients cannot be calm, instead gets stronger and stronger. 心理组已经对异手症患者尝试过这些法子了,也已给部分患者注射了镇定剂,周毅宝就是其中一个,然而患者们都没能镇静下来,反而愈演愈烈。 This situation looks like the different scale sickness patient to feel that very much the pathological change skin region has had the wicked itchy suffering, 这种情况很像异鳞病患者感到病变皮肤区域一直有恶痒的煎熬, The Alien Hand Syndrome patient was soon suffered to the rejection reaction of different hand by oneself goes crazy. 异手症患者被自身对异手的排斥反应折磨得快要发疯。 Gu Jun knows certainly that this is not ordinary biid, is not the matter of spontaneous generation, is that lost/carrying choice strength, black mountain sheep Youzai...... 顾俊当然知道这不是普通biid,不是什么自然发生的事情,是那股负选择力量,黑山羊幼崽…… Has thought these, when the heart is disorderly, Gu Jun opened the door of hospital ward. 想过这些,心头凌乱之际,顾俊打开了病房的门。 The time, his own right hand, the inexplicable impacts leap, probably induced anything to be the same. 顿时间,他自己的右手,有一股莫名的冲击跃动,像是感应到了什么一样。 „......” Was fixed patient Zhou Yibao on hospital bed by the whole body saw the medical personnel who this crowd wears the exposure suit enter, immediately yelled excitedly, in both eyes full is the blood threads, „gives me quickly the amputation, reduces this hand, this is not my, is really not my......” “啊……”被全身固定在病床上的患者周毅宝看到这群身着防护服的医护人员走进,立时更加激动地大叫,双目里已满是血丝,“快给我截肢啊,砍掉这只手,这不是我的,真不是我的……” The right upper limb of patient especially was reinforced, because must promote the blood flow, the binding area is not big, is the upper arm, the elbow section and small arm is taking away the iron handcuffs. 患者的右上肢尤为被加固,因为要促进血液流通,绑定的面积不大,就是上臂、肘部、小臂都扣着铁铐。 Not only this is prevents the different hand from getting out of control, prevents the act of self-injury of patient, before the patient has processed with the back of the hand position that the fountain pen stabbed. 这不但是防止异手失控,也防止患者的自残行为,之前患者用钢笔刺伤的手背位置已经处理过了。 Gu Jun looks that is only wrapping up the different hand of white gauze, at present has probably the illusion to sparkle, probably oneself in autopsy table dissects the scene that black mountain sheep Youzai that only giant cuts off limb, stands in the autopsy table seems like others...... 顾俊看着那只包扎着白色纱布的异手,眼前好像有幻觉闪了闪,像是自己在解剖台边解剖黑山羊幼崽那只巨型断肢的景象,站在解剖台边的又像是别人…… At this time, the different hand of patient one pulled fiercely, hits the iron handcuffs the clang big sound, several iron handcuffs as if soon the break was ordinary. 这时,患者的异手猛地一下拉扯,撞得铁铐哐铛大响,几个铁铐都仿佛快要断裂一般。 „Reduces it, reducing it......” patient is demented immediately. “砍掉它,砍掉它……”患者顿时更为癫狂。 Gu Jun got hold of the right hand, like when near stone Tungshan that mountain stream gets hold, suppresses that inexplicable change. 顾俊握紧了右手,像在石洞山那条山涧边时握紧的那样,压制住那股莫名异动。 Nearby egg uncle and others are also very helpless, passed through to the conventional disposal procedure of unusual strength, has not received the result. 旁边的蛋叔等几人也很无奈,对异常力量的常规处理程序都走过了,没收到成效。 But medicine section how much time, the patients by the painful stimulation influence, heart rate, blood pressure and other targets in the danger zone, hepatorenal and other test results of organs are not been optimistic, moreover contracts dissolving of extremity/limb to tie up the antifreeze effect on drop unceasingly, this way, the patient must feed in the ER momentarily. 但医学部没多少时间了,患者们受痛苦的刺激影响,心率、血压等指标都在危险地带,肝肾等多个器官的检测结果也不乐观,而且患肢的溶拴抗凝效果在不断下降,再这样下去,患者随时都要被送进抢救室。 „A'Jun, we must consider, implements the amputation?” The egg uncle asked low voice. “阿俊,我们是不是得考虑,实行截肢？”蛋叔小声问道。 It is not the means of means that the means of experimental treatment, perhaps after the patient truncation contracts the extremity/limb, will have the phantom pain, perhaps the extremity/limb eliminates to the sickness. 不是办法的办法,实验性治疗的办法,也许患者截除患肢后还是会出现幻肢痛,也许肢离病除。 Their these secret bureau doctors, many clinicians are also, every so often no ability cures the patient, but they can try hard striving to make the patient live, lives well...... 他们这些天机局医生,很多临床医生也是,很多时候没有能力把病人治好,但他们可以努力争取让病人活下来,更好地活下来…… Gu Jun deeply breathed, for a very long time has not said half a word words, the ear seems the treacherous sound. 顾俊深深地呼吸了一下,久久没有说出半句话语,耳边似有诡谲的声响。 You will have a lot of surgery opportunities, the surgery, you will also undergo the surgery...... 你会有很多手术机会,手术,你还会做手术吗…… „I suggested first to try the artificial stupor to the patient.” The Gu Jun sinking sound said, which place the devil in does not know, cannot do following the meaning of devil, will otherwise not have the good result, „other, I want to observe and emulate other causes of disease the right upper limb amputation technique.” “我建议先对患者试试人工昏迷。”顾俊沉声道,有一只恶魔就在不知道哪处,不能顺着恶魔的意思来做,否则绝不会有好结果,“另外,我想去观摩一台其它病因的右上肢截肢术。”
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