Suddenly a voice broke into the middle of their conversation.
The brainstem is called the human life center, controlling a person's autonomous breathing, autonomous heartbeat, digestion and other life functions. Once dead, of course the person will not survive.
Therefore, the most thorough criterion for determining brain death should be brainstem death, or more accurately, medulla oblongata death, because the above basic physiological functions of the human body are all concentrated in the medulla oblongata within the brainstem. Other parts of the brain have other functions.
It seemed that these words hit the point. When other people heard this, they looked back to find out who said it.
At first glance, 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 first time he met her.
"Tell me your opinion." Cao Yong turned around and said to her.
Zhou Junpeng was shocked: Why did a deputy senior officer suddenly ask a trainee for his opinion?
Turning back to look at Fu Xinheng, Fu Xinheng actually didn't object. Maybe Fu Xinheng thought that inviting someone to the consultation meant that Cao Yong would make the decision instead of himself.
The teacher asked, and Xie Wanying replied: "Generally, patients with myocardial infarction who have cardiac arrest can press the heart back in time, and their consciousness will recover, because the rescue is timely. If the rescue is not timely, the entire heart will die, and the compression will not come back. Like this
It can be said that the probability of a patient with a myocardial infarction who recovers from compression but has a brainstem death is relatively low."
Several people heard what she said and it seemed to make sense.
"Only if the resuscitation is not carried out in time and the optimal treatment time is exceeded, causing irreversible brain damage, the patient will be brain dead. But this patient was first discovered in the interventional room and rescued immediately, so this is unlikely to be the result. Press back twice,
Could it be more than just a heart problem? Is it possible that the patient had a brainstem problem that caused the heart to strike for the second time, because it is unlikely that the interventional room will directly put him on a ventilator."
What she said later was a revelation, and several people at the scene were suddenly opened to another way of thinking.
Zhou Junpeng and Huang Zhilei looked at each other, and then saw that the two deputy senior officers and associate deputy senior officers were also in a state of deep thought.
"We can do a CT scan." Cao Yong said.
Fu Xinheng said to Zhou Junpeng: "Go and contact the CT room." Then he added: "I originally wanted you to do it after consultation."
CT was originally going to be done, but the doctor on site thought that even if it was done, he didn’t know how to explain brain death to the patient’s family, unlike Xie Wanying’s words, which gave them another possibility.
Speaking of brainstem problems, in addition to lack of timely rescue and hypoxia, medullary infarction is also a common cause. The cause is vertebral artery occlusion, which is closely related to hypertension and heart disease. This patient must have high blood pressure, hyperlipidemia, and vertebral artery occlusion.
The possibility is also high. You can trace the patient's past medical history and ask if there are any symptoms similar to cervical spondylosis, dizziness, whether he always falls on the same side, etc.
Cao Yong's hands pulled up the patient's two trouser legs, and he saw obvious bruises on both knees on one side.
It seems to further confirm their suspicions.
When the big leaders and bosses are in the prime of their lives, they work harder than ordinary people, and they don't go to the hospital for examination until they are about to die. 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 conference room of the Cardiac Surgery Department and discussed as they walked that they needed to report the situation to the dean and organize all the key personnel of the hospital to come for consultation. The family members would not give up until they had a clear explanation to the family members.
