indianbanksassociation Chapter 255 Brain Dead?
Chapter 255 Brain Dead?
When I arrived at the operating room in the summer, the operating room was already full of people.
Zhang Ming, Liu Yu, Qi Changfeng, the directors of each department, and even the dean came.
The entire operating room was surrounded by three floors inside and three floors outside.
Xia Xia squeezed past and asked Li Yajun.
"what happened?"
"Why are there so many people here?"
"Is something wrong with the patient?"
Li Yajun nodded solemnly: "The patient can't wake up."
Can't wake up? ? ?
The problem with these three words is big. If the patient uses general anesthesia during the operation, people will fall into a drowsiness. Generally, after the anesthesia has passed, they will wake up. Due to personal physical problems, some people will wake up delayed.
Xia Tian asked: "How long have you been calling?"
"Two hours."
What the hell! ! !
Still awake two hours after surgery? ? ?
Will this wake up?
I can't wake up after surgery, there are many problems.
First: the patient is old, overweight, poor preoperative mental state, liver and kidney insufficiency.
Second: postoperative hematoma.
Third: cerebral edema and cerebral ischemia.
Fourth: deferred hypercapnia and hypercapnia.
Fifth: hypothermia.
Sixth: other unknown factors.
Stepping feet in the summer, took a look at the patient.
This patient is none other than the female patient who suffered from stomach pain. She was sent to the operating room because of duodenal perforation, and Ye Zimo performed the operation.
"summer?"
"Is summer here?"
At this time, Zhang Ming's voice came.
"I am coming."
Xia Xia hurriedly responded and said to the doctor in front, "Please let me go, thank you."
Everyone made a way out.
Summer squeezed in.
The anesthesiologist Lao Chang was patting the patient's cheek and kept shouting, "Chang Juan, get up, get up quickly."
"Chang Juan, can you hear me?"
"Get up."
In the operating room, the way of waking up patients is usually very violent, calling the name directly, and slaps the face if the name is not woken up.
now.
The patient's cheeks were flushed on both sides, and he had apparently been screaming for a long time.
And Ye Zimo stood aside, his face was pale, his eyes were full of panic, his head was lowered, like a child who did something wrong.
"Director Zhang, Director Qi, Director Liu, Director Jia..."
Say hello to everyone in summer.
Zhang Ming looked solemn and said to Xia Xia.
"The patient was unable to wake up for two hours after the operation."
"Analyze it, what's the situation?"
Xia Tian frowned and asked, "Has the patient's brain CT been done?"
"Done."
Zhang Ming handed the film to Xia Tian.
Cerebral cortex value 35hu.
Brain medulla 30hu.
Cerebrospinal fluid 8hu.
The left frontal lobe has slightly increased density, blurred edges, symmetrical bilateral ventricles, no obvious enlargement and narrowing of each ventricle and cistern, no obvious deepening and widening of each sulcus, and the midline structure is centered.
The skull should be intact, with thickening of the mucosa in the left upper forehead.
The contour is symmetrical, the trachea is centered, and the vascular shadow is normal.
I glanced at the CT scans and reports, and there were no problems.
Cerebral edema and cerebral ischemia can be excluded.
Blood pressure, good vital signs, and sepsis can also be ruled out.
in addition.
The patient is 33 years old this year, with a uniform body and no loss of liver and kidney function.
Dean Jia said quietly.
"The patient's husband stated that she has always been in good health and has never been ill, let alone a lack of liver or kidney."
"But the patient never woke up."
"What the hell is going on?"
At this time.
A little nurse ran in and hurriedly said.
"The patient's family couldn't control it. They kept smashing the door of the operating room. They questioned what happened and asked the doctor to go out and explain immediately."
...
now.
Everyone's faces were very ugly.
A good-looking big living person came to the hospital and was sent to the operating room. Now people can't wake up...
The surgery should normally be over two hours ago.
The patient's family has been waiting outside the door.
Two hours have passed, and the patient's family will naturally smash the door if he still does not go out.
"summer."
"Do you have any good ideas?"
Zhang Ming looked at him.
Obviously, Zhang Ming put his hope in Xia Xia.
Summer shook his head.
"I don't have any ideas for now."
"If the whole body examination is done and the patient still cannot wake up, maybe..."
quiet! ! !
Xia Tian didn't dare to say those three words, but everyone could guess it.
brain death!
It is very rare, but the hospital encounters one or two cases every year. It is obviously a small operation, but it leads to brain death due to general anesthesia.
The biggest difference between brain death and a vegetative state is that.
Vegetative people can breathe on their own.
Brain death requires the aid of a device to breathe. Once the device stops working, the patient will die immediately.
Commonly known as: extubation!
six months ago.
An Aunt had an operation for breast fibroids. Aunt was under local anesthesia. During the operation, Aunt fell into a coma and could not sleep...
After an autopsy, the patient was found to be brain dead.
Why a small local anesthesia surgery can cause brain death to a patient?
No one can explain this!
Dean Jia looked up at Ye Zimo and said.
"Go and explain the specific situation to the patient's family."
"Just say the provincial hospital is willing to bear any consequences."
"In addition, give the patient a general examination to find out the specific cause."
Ye Zimo nodded stiffly, and left the operating room without saying a word.
Dean Jia glanced at Qi Changfeng and snorted coldly.
"From today, Ye Zimo will be suspended until the patient's specific reasons are found out."
"Also, from now on, the patient is in charge of the summer."
Dean Jia patted Xia Xia on the shoulder and said to Xia Xia in a very heavy tone.
"She's only 33, and she's the mother of a six-year-old girl."
"Whether this life can be saved depends on you..."