Patient's question:
God can eat less frequently, breastfeed but not be full, always eating and napping, sometimes milk is in the mouth but not swallowed, as if it has no feeling, bottle feeding may be able to be full, sometimes the eyes move inward, movements are less, high muscle tone. At 17 days, admitted to the hospital due to malnutrition caused by not being full from breastfeeding. Previous treatment and outcomes: Admitted to the hospital at 17 days for malnutrition, underwent a CT scan at 23 days; symmetrical low-density areas were observed in the bilateral frontal and parietal white matter with a CT value of HU16, other areas were normal. Underwent hyperbaric oxygen therapy and brain-stimulating injections, appetite increased, and condition improved. What kind of assistance is needed: Is this a brain disease? What kind of brain disease is it? Is it serious?Doctor's answer:
① Correct hypoxemia and hypercapnia; use mechanical ventilation if necessary.② Correct hypotension: ensure adequate cerebral blood flow; commonly use dopamine at a rate of 5-10 μg/kg/min intravenously.
③ Supply sufficient glucose to support cerebral tissue energy metabolism, which requires: can be administered at a rate of 6-8 mg/kg/min.
④ Correct metabolic acidosis: sodium bicarbonate 2-3 mEq/kg, dissolved in 10% glucose, infused slowly intravenously.