Friday, 16 May 2008

A 18-year-old and female mentally ill

The suburb combines the inside of an a stretch of grass garden, have the 4 F of two red bricks the several-storied building, the room windows all nailed to ascend iron bar, let the person feel while see some different.At a side of the front door, hang a cake of old Bronze Medal, up engrave "the Kang Jian spirit health center in the park".The environment is secluded here and the air is delightfully fresh.Patient's family members all settle according to the row of time orderly comes to visit and absolutely have no downtown hospital to visit patient's time that kind of abuzz prospects in the afternoon.
BE on the second floor a room of hallway end in, live four female patients, the 18-year-old youth of an among those, the shape Qi is long, the facial appearance is handsome, the physical endowment is thin and feeble, feel ashamed and little speech.The history of this patient's simple disease is:Gao Kao3 fail in examinations, depressed and not talking much, develop to suppress Yu not to talk after two months with excitement rashness move alternation go into action, the companion has already soliloquize with immature inferiorly dance and stamp, draw up to diagnose "puberty schizophrenia disease" to hospitalize.Give after hospitalize general treatment, in January develop appetite bad, emaciated obvious, skin pale, weak have no dint.Patient the personality was more introverted since childhood, study result in up, although the physical endowment was weaker, had no obvious disease and had no more similar the condition appear.Out of heart patient and his family clan history.The parents are still living and an elder sister is also all healthy with a younger brother.Check-up heart palpitates, breath, blood pressures all in the normal scope, X line check heart lung normal, the blood check shows red cell, hemoglobin the value is low and match "lack an iron anemic" blood elephant.
The spirit section doctor not and easily diagnoses mental illness, so the suggestion still needs to do some biochemistries examinations that the blood wait, the dint diagram looks for possible reason or disease of cause these spirit obstacles and include genetic of, metabolism of, infection of etc..
Passed by for two weeks, each item analyzed check data to continuously deliver.Still kept DOing not hint that the machine quality sexually transmitted disease of possible cause of disease or other dirty machines change from these checks.Also exert in an expert the consultation however difficult poured these experts, everyone still kept agreeing the diagnosis which hospitalizes a hour:Have schizophrenia disease?This problem included to the diagnosis of be not willing to settle.
In addition to curing to anemically increase the blood a medicine, the medicine that the patient use mostly belongs to alleviate symptom and nourishment body of, be the medicine that the so-called headache cures a head and nourishes to strengthen figure.At later two under medical treatments of months, the patient's condition of patient disappears an amendment, contrary, excited that the rashness move of go into action more multifarious, sometimes still surprised Jue or consciousness happen misty, lack to recognize and should answer ability.Though force to have the previous 12 rice everyday, the nourishment eat tonic food is also not a few, but patient from slender change into obviously emaciated, of 1.65 meters the son weight only have 45 kilograms, and seem to be whole body tired, usually lie a bed.End, the patient ended her young life under the extremely weak circumstance.
Not so typical mental illness let the doctor and family members all catch to touch not and deeply.The lord cures doctor not to have no sorrily to hand over to treat toward the family members:"We feel thus of the disease be very strange, say the true, according to the current medical science level, if meet a same patient next time, we perhaps still will not diagnose, will not cure."The family members completely comprehend the sincerity of the authority and the mood of the doctor, at sorrow of remaining also hope to have an explanation for know very much.They agree autopsy.
According to the normal regulations, so of the entity Pou check a point and should need to adopt some new techniques more in the brain, in order to careful check brain organization in various nerve cell, blood vessel etc. of very small variety.For this, corpse before check, Prof. Chen cautiously handed over a step that need to be dissect, may meet of the problem reaches agreement definitely of method etc..
The hour separates January, is manage by Prof. Chen, have the all levels doctor attend of a section room read slice would up, the teaching assistant reported history and autopsy of simple disease see, then Prof. Chen lead everyone under"several microscopes"s that can provide many person observe in the meantime 50 a few pathologic slices pursue piece demonstration.Brain sum leaf, crest leaf, Zhen leaf, cerebellum, the brain bridge waits the organization slice of each part in in addition to the manifestation nerve cell has anoxia to swell etc. pathological changes, most make everyone surprising is have inside small blood vessel drive numerously special dye the technique dye red of egg white, many sugar grain.Careful observation, in various blood vessels in addition to blood cell still haven't a few bigger cells, the cell of these cells syrup all empty, the afterbirth pit is located on one side.What cell are these ?The consideration that young doctors have these cells belong to the metabolism for having something to do with heredity paroxysm a part, have of think these is blood vessel oneself inside the skin cell occurrence swell the sexual result of become.Discover organization blood vessels, such as liver and Pi...etc. in also all there is this kind of cell after, the request of Prof. Chen to all reserve of the internal organs organ carry on a reexamination and increase a slice when it's necessary.
Heart, lung, liver, kidney, Pi ……pass one by one under the Prof. Chen's sharp-edged vision.While checking stomach, the professor stopped.Because he discovers that the stomach of member of this disease is very special, the stomach wall is stiffer and glue there aren't a few hollow defection and damage on the film noodles spread at, the small grain of rice is big, big of also only green lentil kind.He asks a teaching assistant:"Do you think what this is?"The teaching assistant say:"Is not a stomach to glue a film debauched?I is so record of."The professor requests to reply the slice of stomach cautiously reads.
"The problem is here!"Prof. Chen uses inside microscope of point needle to point at a defection and damage that the stomach glues a film, edge and bottom of defection and damage spread all over all empty cell.These cell with other blood vessels inside appear of those the strange cell be completely similar.Young doctor after cautiously finishing see, Prof. Chen indicates him, also be like brain organization to organize stomach a slice to do various dyeings so and prove the characteristic of these cells further with common source.
The fact completely proved the views of Prof. Chen and the accuracy of the suggestion.An academic colloquium that is in a week up, Prof. Chen explained in detail the diagnosis opinion concerning this case for young doctors.
"This be the glue of a stomach liquid cell cancer.This kind of malignant tumor which come from stomach's gluing film gland a body takes up 1/10 of all stomach cancer cases around, the good hair particularly is a youth at the young man female.Usually glue film formation in the stomach small of ulcerate or debauched focus, the symptom can be not obvious, but the tumor is malignant degree Gao, the course of illness makes progress more and quickly and differ after prepare.In order to being full of to glue a liquid in the afterbirth syrup of the cancer cell, so egg white, have another sugar and glue a liquid etc. the dyeings of the composition all may present male reaction.At glue the amount of liquid have another of time, can push cell nucleus toward one side, all emptily glue a liquid and constitute 1: the whole cell to print to quit shape in the cell nucleus of one side, so call it as again'print to quit a cell cancer'.Most malignant tumor patients at course of illness later period the cancer cell can infringe upon surroundings organization or invade lymphoid tube and blood vessel.According to the covariance, the outside week made selective check the cancer patient in later period blood, can find out cancer cell in the patient blood of above 70%.The stomach glues liquid cell a cancer to usually more early infringe upon a lymphoid tube and become in the lymph the knot new of tumor, can also compare early invade blood way, cause internal organses, such as lung and liver...etc. in of transfer sex tumor growth.This probably has something to do with this kind of tumor cancer cell spreading at the characteristic of alignment.As for be like the member of this disease, there are so many cancer cells plugging small blood vessel, but the internal organs obviously didn't transfer a focus, and then lacked fixed position symptom of and not much see, is really a strange case."
Young doctors become clear suddenly, not only explicit diagnosis, also learn to not a few knowledge.Close behind they asked not a few problems and taught to make an answer one by one.
"What is the end destiny of cancer cell in the blood vessel?"
"Great majority's cancer cells in the blood in all will die and only a handful of cancer cells meet suitable environment and can continue to grow in the new part or the dirty machine and become to transfer."
"Which circumstances would urge cancer cell into blood, cause to transfer?"
"The tumor transfers to say currently that is a very complicated problem, it decide the dint is at the encroach upon of oneself of the tumor cell, surroundings the characteristics of the organization, the immunity appearance of the machine body etc..This case transfers to mainly relate to the characteristic of tumor.In addition have already prove as well, if the tumor of any body form is squeeze and that end cancer cell's going into blood almost is almostmore and the quantity is also larger.Therefore, malignant tumor once confirm should as early as possible fight for surgical operation excision behind.Can't massage, squeeze to the tumor part."

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