"Okay, I'll go right away."
Hearing this, Zhang Qingquan trot out excitedly.
"Director Qin, do you suspect that the patient's precocious puberty is rooted in the brain?"
The endocrine doctor heard this and looked at Qin Feng in surprise.
You know, there are several causes of precocious puberty, and they are all in different locations.
Even now, the root cause of many young children's precocious puberty is actually caused by excessive intake at home.
This includes animal and plant residual hormones, environmental hormones, excessive intake of health products, blind tonic and so on.
Nowadays, children's living standards are improving rapidly, but children's learning pressure is also increasing.
In order to ensure their children's health and nutritional supply, parents will buy so-called children's health products and stew various nourishing soups, including animal offal.
And there may be a lot of hormones here, and it will take time to balance after entering the child's body.
If it is ingested at a high frequency for a long time, it will easily cause the hormone level to rise, resulting in signs of precocious puberty and changes in physical appearance.
There is also a relatively special cause of precocious puberty.
Premature psychological stimulation!
Nowadays, children spend a lot of time in contact with electronic products. Children may have high-frequency psychological stimulation through some video clips, e-books, special websites, etc., thereby increasing hormone levels, which can easily lead to precocious puberty.
Therefore, parents must pay attention when watching TV and playing with mobile phones for their children, so as to avoid letting their children watch some movies that they should not watch.
As for the third cause.
Most girls with precocious puberty belong to idiopathic precocious puberty, also known as constitutional precocious puberty.
This is due to the decreased sensitivity of the hypothalamus to the negative feedback of sex hormones and the premature increase in the secretion of gonadotropin-releasing hormone.
And this kind of treatment only needs drug assistance, as well as daily control, lowering the hormone level in the body, and delaying the growth rate close to the normal level.
Under normal circumstances, if a girl has the appearance of secondary sexual characteristics before the age of 8, it can basically be judged as precocious puberty.
But this is also divided into the performance of sexual characteristics in different parts.
Simple premature mammary gland development, the onset is usually less than 2 years old, without growth acceleration and advanced bone age, the serum E and FSH basal values are often slightly increased, and the FSH bee value in the GnRH stimulation test is increased.
However, a small number of patients with this disease can gradually develop into true precocious puberty.
The second is premature hair growth.
It is a special type of incomplete precocious puberty, which can occur in both sexes.
It tends to occur around the age of 6, and may be accompanied by axillary hair development in addition to private parts. Agonadal development may be related to early adrenal function and premature secretion of a large amount of androgen.
The third is the case of a little girl, but it can be ruled out now, so don't worry about it.
The last one is also what people don't want to see.
It is precocious puberty caused by organic disease!
"Director Qin, what do you mean, tumor?"
Zhu Yijun, the attending doctor of pediatrics, heard it and said immediately.
"Well, I can basically judge that the child should be precocious puberty caused by hypothalamic hamartoma."
Qin Feng nodded and said his diagnosis.
"This is indeed possible!"
Hearing this result, the two also looked at each other and nodded slightly.
There is indeed such a possibility!
"If it's really a hypothalamic hamartoma, then this is a little troublesome."
Zhu Yijun frowned slightly. The size and location of the hamartoma is still unknown, so we still have to wait for the results.
After about ten minutes,
Finally, the brain CT arrived!
When the image appeared in the light box, both Zhu Yijun were stunned.
It really is!
"Director Qin, you are right, it really is a hypothalamic hamartoma."
He Yue, the attending doctor of endocrinology, couldn't help being surprised.
They didn't expect Qin Feng's judgment to be so accurate. Although they also doubted this, they definitely dare not get the correct result just through some basic inspections like Qin Feng.
This requires not only medical skills, but also sufficient experience!
But how old is this young deputy director of the emergency department?
Less than 30, the Ph.D. has not yet graduated!
In just one and a half years, he became the deputy director of the emergency department from intensive care medicine!
Even this rare disease of precocious puberty in children can be diagnosed!
"The location of this tumor is not very good~"
At this time, Qin Feng was looking at CT carefully, and couldn't help frowning slightly.
Because hypothalamic hamartomas are difficult to detect under ordinary X-ray films and CT scans, only three-dimensional imaging of MRI (magnetic resonance) can detect the size and shape of the space-occupying lesions.
The most important thing is that the surrounding nerve structure can be fully realized, providing conditions for surgical tumor resection.
Now, according to the three-dimensional CT imaging, the boundary between this hamartoma and the surrounding normal brain tissue is not very clear.
The longest position of the entire tumor exceeds 2.5CM, and surgery must be performed.
Otherwise, the impact will be great!
"Doctor Zhang, this little girl is looking for a quiet ward first, and is going to be hospitalized."
Qin Feng thought for a while, then turned his head and said,
"Take the parents of the children to the small conference room, and we will go there right away."
"Okay, I know."
Zhang Qingquan looked extraordinarily well-behaved tonight, even Qin Feng felt a little surprised.
When did this guy become so obedient?
It even made him feel a little familiar, like...
Zhao Yitian!
…
In the conference room, Qin Feng, Zhu Yijun from the Department of Pediatrics, He Yue from the Department of Endocrinology, and Zhang Qingquan, four doctors, faced the little girl's parents at the same time.
At this time, it is necessary to explain the condition and analysis in detail, and at the same time give a basic treatment plan.
"Director Qin, the three doctors, we have also done a lot of examinations. It's already dawn. Can you tell us what's wrong with Chenchen? What's wrong with us?"
The child's father's complexion was very bad, his eyes were red, and he looked haggard.
"Director, you just said that our daughter is a precocious puberty, what causes it!"
The woman was also very anxious and kept asking.
"Okay, we're just telling you the specific situation of your child now, so don't get excited."
Qin Feng raised his hand to signal, and then opened the slideshow,
"It's like this. After our detailed inspection, it is now completely certain that your daughter has experienced precocious puberty, and the bleeding you found is the manifestation of secondary sexual characteristics, menstruation."
"Precocious puberty is not good for children. Premature development will cause children to end their development prematurely, which will seriously affect not only the body, but also the mind and brain."
"And we have also found out the cause of the disease, you see."
Speaking of this, Qin Feng turned on the three-dimensional effect,
"This is the cause of your daughter's precocious puberty. This is our hypothalamus, which is also the highest center of human endocrine, and this shadow is the cause.
Hypothalamic hamartoma. "
"Tumor?"
Hearing this, the faces of the husband and wife changed drastically, especially the woman, who lost all color in an instant and almost fainted.
You know, in the life of normal people, the two scariest words to hear are tumor and cancer!
In most cases, it is not a good outcome to have a tumor.
What's more, this time their daughter still has a tumor in her brain.
"Doctor, serious?"
The child's father adjusted his glasses, swallowed hard, and stammered.
"Well, don't be too nervous, this tumor is different from what you think."
Seeing this, Qin Feng quickly explained,
"Hypothalamic hamartoma, also known as gray tuber hamartoma, is a relatively rare clinical lesion caused by abnormal development of brain tissue, and it does not appear in the day after tomorrow.
Because it occurs in the hypothalamus, the most important part of the human body, a mass is formed in this place, so it is called a hamartoma.
Some hamartomas will stop growing to a certain extent and will not affect the growth.
But this of your daughter obviously affects the growth, so it needs to be treated. "
…
After some explanations, the couple finally calmed down a little.
But his face was also full of tension and sorrow. Although it was not a tumor in the sense, it seemed that the situation was not very good.
Hypothalamic hamartomas usually cause several conditions.
One is the most common form of gimmick epilepsy, characterized by episodic smirking that lasts for a few seconds or tens of seconds and then stops suddenly.
There is no loss of mind during the attack, which may occur several to dozens of times a day.
However, this situation occurs relatively early, and it is the highest when it is about 1-2 years old.
The other is precocious puberty, just like the little girl is now.
At the same time, some will have behavioral abnormalities and cognitive dysfunction, which will affect intellectual development.
"As far as the current situation is concerned, the hamartoma of your daughter's hypothalamus has reached a size of 2x2.5cm, and it is accompanied by growth. If it continues, it may cause other problems.
Our advice is, surgery! "
After speaking, Qin Feng looked at the couple in front of him.
When the two heard this, they immediately seemed to be flustered.
Operation?
This result was completely beyond their expectations. They thought their daughter had been hurt, but unexpectedly fell ill.
"Director Qin, can this disease be cured?"
The father asked proactively.
"We need to make further judgments on this, and at the same time discuss the surgical plan with the pediatric department.
So far, the success rate of the operation is still very high. "
Qin Feng nodded and explained.
"Then...we agree to the operation."
The couple looked at each other, then nodded.
After all, this is Xiehe Hospital, one of the top tertiary hospitals in the country.
"Okay, that's it, you go through hospitalization first, and we will confirm the surgical treatment plan tomorrow."
"Okay, we'll do it right away."