Chapter 196: 【196】To take care of family members’ emotions
Chapter 196 [196] To take care of family members' emotions
Suddenly a voice broke into the middle of their conversation.
The brainstem is called the life center of the human being, which controls the human's spontaneous breathing, automatic heartbeat, digestion and other life functions. Once dead, of course, this person will not be able to live.
Therefore, the most thorough criterion for judging brain death should be that the more accurate location of brainstem death is medulla oblongata, because the above basic physiological functions of the human body are all concentrated in the medulla oblongata in the brainstem. Other parts of the brain have other functions.
seems to be cutting to the point. When the others heard this, they turned around to find out who said it.
It was Xie Wanying standing there, looking at the patient and muttering to herself, "I don't know how long it will take for the heart to be rescued."
Her appearance reminded Cao Yong of the scene when he first met her.
"Tell me your opinion." Cao Yong turned around and said to her.
Zhou Junpeng was taken aback: Why did a vice-senior suddenly ask a trainee's opinion?
Turned to look at Fu Xinheng again, but Fu Xinheng didn't object. Maybe Fu Xinheng thought that Cao Yong was the one who invited others for consultation, not himself.
The teacher asked, Xie Wanying replied: "Generally, patients with myocardial infarction who have cardiac arrest can press the heart back in time, and consciousness will be restored because the rescue is timely. If the rescue is not timely, the whole heart will die, and it will not be able to be pressed back. Like this It can be said that the probability of myocardial infarction patients who have been pressed back but brainstem death is relatively low.”
Several people heard her say this, and it seemed to make sense.
"Only if the rescue is not timely and the best treatment time is passed, it will cause irreversible brain damage, and the patient will die of brain death. But this patient found the first rescue in the intervention room at the first time, which is unlikely to be the result. Press and press back twice, Is it not just a heart problem, is it possible that the patient’s brain stem had a problem before and the heart directly went on strike for the second time, because it is unlikely that the intervention room will be directly on the ventilator.”
Later, her remarks were enlightening, and a few people at the scene were suddenly opened to another way of thinking.
Zhou Junpeng and Huang Zhilei looked at each other, and when they looked at the two vice-presidents and associate vice-presidents, they also fell into a state of contemplation.
"Can do a CT scan." Cao Yong said.
Fu Xinheng said to Zhou Junpeng: "Go and contact the CT room." Then he added: "I wanted you to do it after consultation."
ct was supposed to be done, but what the doctors at the scene thought was that they did not know how to explain brain death to the patient's family, unlike Xie Wanying's words, which gave them another possibility.
When it comes to brainstem problems, in addition to lack of timely rescue and hypoxia, medullary infarction is also a common cause. The reason is vertebral artery occlusion, which is closely related to high blood pressure and heart disease. This patient must have hypertension and hyperlipidemia, and the possibility of vertebral artery occlusion is also high. You can trace the patient's past medical history and ask if you have symptoms similar to cervical spondylosis, dizziness, and whether you always fall on the same side.
Cao Yong's hands pulled up the patient's two trouser legs, and saw the knees on both sides, obviously bruised on one side.
seems to further confirm their conjecture.
The great leader, the boss, worked harder than the common people during the golden period of life, and did not go to the hospital for examination until the moment of death. So Xie Wanying's speculation is very reasonable.
Zhou Junpeng escorted the patient to the CT room.
Cao Yong and Fu Xinheng walked to the meeting room of the Cardiac Surgery Department and discussed the situation as they walked. If you don't explain it clearly to the family, the family will not give up.
(end of this chapter)
