crazy scalpel

Xie Ke doesn't like others looking at him like this, as if he is judging something and then giving it a score.

What's more, even with a smile on Tong Shouye's face, it can't cover up his arrogant self-righteousness.

Shayk felt subtly uncomfortable with his pride.

However, this does not affect his concern about Tong Wenjie's condition.

"I think," Xie Ke bit his lip, trying not to care about Tong Shouye's ambiguous and straightforward eyes, and his tone became colder, "It's better to do further inspections, and it's best to find out The root cause of hydrops. And I am very concerned about Tong Wenjie's sudden pain like a heavy blow, which is obviously different from his usual headaches. And although it is in terms of the morphology of the ventricles, brain pools and brain sulci , CT and MRI findings are basically similar, but MRI can clearly show the interstitial edema in the white matter of the brain. In addition..."

Speaking of this, Xie Ke suddenly had a flash of inspiration, he turned his head and asked Tong Wenjie: "Have you ever eaten undercooked meat or drank raw water?"

Tong Wenjie shook his head subconsciously, then thought about it, and continued to shake his head firmly: "No."

Tong Shouye also said: "This should not be true. His mother has always taken good care of him in his life."

Xie Ke also felt that given their family conditions, they should indeed do a good job in terms of hygiene, so he believed it.

But he still mentioned this possibility: "Compared with other imaging examinations, the value of MRI for the diagnosis of brain parasitic diseases is much higher. Moreover, MRI examination only requires that there are no implanted ferromagnetic substances in the body, which usually means Pacemaker, respirator, etc., there are no other contraindications. Tong Wenjie can completely accept this examination."

MRI is Magnetic Resonance Imaging, which is a little more advanced than CT.Both have their own strengths, the spatial resolution of CT is higher, and the compositional resolution of MRI is higher.It is an angiography that does not require the injection of a contrast agent, and the contrast is completed through the signal excited by the flowing blood.

Tong Shouye originally wanted to say, since this is the case, let's do one more inspection.But he suddenly saw Tong Wenjie's face turned pale, and his expression was not quite right.

Xie Ke also found out, so he asked him: "Tong Wenjie, what's wrong with you? Is there any discomfort?"

Tong Wenjie looked like he was about to cry, and sobbed, "There are worms in my brain? How could this happen? Will it eat my brain and then come out? Or it will burrow into my body and then hatch. A lot of worm eggs came out, using my body as a host? Then they crawled out of my eyes, nose and ears? How did this worm get into my brain? Is it an alien creature? Will I become an alien?"

"..." If he wasn't still sick, Tong Shouye would definitely slap him on the head, "Who told you to watch horror movies! You are so timid to watch that kind of thing, all tablets will be confiscated from today on! "

Xie Ke held back his smile and touched Tong Wenjie's head: "It's not so exaggerated, just take an anthelmintic and kill them. If it's serious, it can also be removed by surgery. The parasites that can invade the human brain are mainly worms such as cysticercus and cysticerci. worms, and protozoa such as amoeba and toxoplasma. Helminths are more common in our country.”

Tong Wenjie blinked: "Amoeba? Will he be as cool as Rukawa Kaede if he gets it, and can dunk?"

"..." Fortunately, Xie Ke had watched this cartoon before, "This, not really."

Tong Wenjie rubbed his eyes: "Will I die?"

Xie Ke: "No, early detection can cure it."

Tong Wenjie pulled Xie Ke's sleeve, dragged him aside, and asked in a low voice, "Is this disease contagious?"

Xie Ke glanced at him, and replied: "As long as things that have touched your excrement are not allowed to enter, it should not be. Including water and so on. In short, the sanitation must be clean."

"..." Tong Wenjie hammered him: "I hate it!"

Xie Ke: "..." Where are you thinking, kid!I mean towels, washbasins and the like!

Tong Shouye was also a little surprised to see that his son had such a good impression of Xie Ke, mainly because of the level of trust he showed.This kid was brought up by his mother to be a little withdrawn, and even his peers couldn't talk much together, but now he took the initiative to talk to Xie Ke, and when he spoke, his eyes were still shining, and what's more rare was that he had physical contact.

But sickness still has to be cured.

Although he thought Xie Ke was interesting, Tong Shouye was an old man after all, so he took Tong Wenjie to find the outpatient doctor and explained the general meaning of what Xie Ke said.

Prescribe a checklist, any doctor will not refuse this kind of thing.

So they quickly got the MRI film again.And this time I was more cautious, and blood was drawn and sent to the laboratory for examination.The increase of granulocytes in the blood and the positive test of cysticercosis antibody suggest that the patient has cysticercosis infection, which should be considered in combination with the two signal-weighted imaging of mri.

This time it was diagnosed as brain cysticercosis.

This disease has existed since ancient times.

Zhang Zhongjing of the Eastern Han Dynasty recorded in "Synopsis of the Golden Chamber": eating raw meat, drinking milk to the full, and turning into white worms.

Chao Yuanfang of the Sui Dynasty said in "On the Origin and Symptoms of Various Diseases" that if you eat roasted beef skewers with branches, you will easily get a kind of inchworm disease. This kind of insect is long, white, small and flat.

The above-mentioned white worm and inch white worm are actually the same kind of worm, that is, Taenia solium or Taenia saginata.

In fact, the ultimate host of tapeworms is humans, and pigs can only be used as its intermediate host.Therefore, the ancients did not know that the adults of tapeworms are 2 to 4 meters long, and the longest can even reach 8 meters, parasitic in the small intestine.Cysticerci are the larvae of this worm.

Xie Ke didn't say this, otherwise, with Tong Wenjie's temperament, he didn't know what to be afraid of.

Tong Wenjie was fine, it was a heterogeneous infection, that is, there were no adult worms in his own intestines, so he probably ate something unclean by accident.

Allogeneic infection is generally sporadic, most of the disease is mild, and usually a single lesion.Unlike those who carry tapeworms themselves, if due to various reasons such as nausea or intestinal peristalsis, the gestational segment or eggs are refluxed into the stomach, and the intestinal juice and gastric juice destroy the embryonic membrane and release the larva... Oh no.

Oh, by the way, I forgot to say that there are about 4 eggs in a pregnancy.

Cysticercosis enters the brain and spinal cord parenchyma through blood circulation, or enters the ventricular system through the choroid plexus, and can also enter important parts of the hindbrain such as the subarachnoid space through blood vessels on the surface of the brain and spinal cord.After many people died, autopsies found out that they had this disease.

Tong Wenjie was transferred to the neurosurgery department on the [-]th floor.

Xie Ke originally thought that his parents would transfer him to the First Affiliated Hospital of Jiefang University, but knowing that it was just a few floors upstairs, he often ran up to see him.

Coincidentally, the attending physician in charge of him was Zhu Ming, who was Wang Lei's immediate boss.

And Tong Wenjie's daily life is just assigned to Wang Lei.

As soon as he heard that the patient was sent by a good friend, Wang Lei patted his chest and said, "Wrap it on me!"

Xie Ke: "..." Let's see who leads who astray.