Suddenly a voice broke into their conversation.
The brainstem is called the life center of a person, and it controls people's spontaneous breathing, autonomous heartbeat, digestion and other vital functions. Once dead, of course, this person cannot live.
Therefore, the most thorough standard for judging brain death should be brainstem death, or more accurately, medullary death, 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.
It seems that this is also to the point. When the others heard this, they looked back 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 recover."
Her appearance reminded Cao Yong of the scene when he first met her.
"Tell me your opinion." Cao Yong turned to her and said.
Zhou Junpeng was taken aback: Why did the vice-senior suddenly ask a trainee for his opinion
Looking back at Fu Xinheng again, Fu Xinheng didn't object. Maybe Fu Xinheng thought that Cao Yong was the one who made the decision when he was invited to the consultation, not himself.
The teacher asked, and Xie Wanying replied: "Generally, patients with myocardial infarction can press the heart back in time when they suffer from cardiac arrest, and their consciousness will recover, because the rescue is timely. If the rescue is not timely, the whole heart will die, and it will not be able to return after compression. Like this It can be said that the probability of brainstem death in patients with myocardial infarction who are pressed back is relatively low."
After hearing what she said, several people seemed to make sense.
"Only if the rescue is not timely and the best treatment time has passed, irreversible brain damage will be caused, and the patient will be brain-dead. But this patient was first discovered in the intervention room and rescued immediately, which is unlikely to be the result. Press and return twice, Is it not just a heart problem, is it possible that the patient's brain stem had a problem before and the heart went on strike for the second time, because it is unlikely that the intervention room will be put on the ventilator directly."
What she said later was enlightening, and several people at the scene were suddenly opened to another way of thinking.
Zhou Junpeng and Huang Zhilei looked at each other, and saw that the two vice-senior and quasi-sub-senior were also in a state of contemplation.
"You can do a CT scan." Cao Yong said.
Fu Xinheng said to Zhou Junpeng: "Go to the CT room." Then he added: "I wanted you to do it after the consultation."
CT was supposed to be done, but the doctors at the scene thought that after doing it, they didn’t know how to explain the brain death to the patient’s family, unlike what Xie Wanying said 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 has a great relationship with 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 there are any symptoms similar to cervical spondylosis, dizziness, and whether they always fall on the same side.
Cao Yong raised the patient's trouser legs with his hands, and saw bruises on both knees, obviously on one side.
It seems to further confirm their conjecture.
Big leaders and big bosses work harder than ordinary people when they are in the golden period of life, and they don't go to the hospital for examination until they are dying. 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, discussing the situation as they walked, and it was time to report the situation to the dean and organize the backbone of the hospital to come for consultation. If you don't explain clearly to the family members, the family members will not give up.