Falling behind at the start, the first surgery shocked the world.
Chapter 255 Brain Death?
When Xia Tian arrived at the operating room, it was already packed with people.
Zhang Ming, Liu Yu, Qi Changfeng, the directors of various departments, and even the hospital director came.
The entire operating room was surrounded by layers of people.
Xia Tian squeezed through the crowd and asked Li Yajun.
"What happened?"
"Why are there so many people?"
"Has something happened to the patient?"
Li Yajun nodded gravely: "The patient is unresponsive."
Can't wake him up?
These three words are a big problem. If a patient is under general anesthesia during surgery, they will fall into a coma. They will usually wake up after the anesthesia wears off. However, due to individual differences, some people may wake up later.
Summer asked, "How long have you been calling?"
Two hours.
Holy crap!!!
Still not awake two hours after surgery?
Is there any chance he'll wake up?
There are many problems if the patient cannot be woken up after surgery.
First: The patient is elderly, overweight, in poor mental condition before surgery, and has liver and kidney dysfunction.
Second: Postoperative hematoma.
Third: Cerebral edema and cerebral ischemia.
Fourth: Delayed blood syndrome and hypercapnia.
Fifth: Low body temperature.
Sixth: Other unknown factors.
I stood on tiptoe in the summer and glanced at the patient.
This patient was none other than the female patient who had been brought into the operating room due to abdominal pain and duodenal perforation, and was operated on by Ye Ziming.
"summer?"
"Is summer here?"
At that moment, Zhang Ming's voice came.
"I am coming."
Xia Tian quickly responded and said to the doctor in front of her, "Excuse me, thank you."
The crowd quickly made way for them.
Summer squeezed in.
Anesthesiologist Lao Chang was patting the patient's cheek, repeatedly calling out, "Chang Juan, get up, get up quickly."
"Chang Juan, can you hear me?"
"Get up quickly."
In the operating room, the way patients are usually woken up is very violent. They are called by name, and if they can't be woken up by name, they are slapped in the face.
now.
The patient's cheeks were flushed, indicating that he had been calling out for a long time.
Ye Ziming stood to the side, his face pale, his eyes filled with panic, his head bowed like a child who had done something wrong.
"Director Zhang, Director Qi, Director Liu, Dean Jia..."
Summer greeted everyone one by one.
Zhang Ming looked serious and said to Xia Tian.
"The patient was unable to wake up for two hours after the surgery."
"Can you analyze what's going on?"
Xia Tian frowned and asked, "Has the patient had a brain CT scan?"
"I did it."
Zhang Ming handed the film to Xia Tian.
The cortical value was 35 HU.
30 HU of brain medulla.
Cerebrospinal fluid 8hu.
A small patch of slightly increased density was observed in the left frontal lobe with blurred edges. The two ventricles were symmetrical, and there was no obvious enlargement or narrowing of any ventricle or cisternives. No obvious deepening or widening of any sulci was observed. The midline structures were centered.
The skull is intact, but there is thickening of the oral mucosa on the left upper jaw.
The outline is symmetrical, the trachea is centered, and the blood vessels are normal.
I glanced at the CT scan and report, and there were no problems.
This can rule out cerebral edema and cerebral ischemia.
Blood pressure and vital signs are good, which also rules out sepsis.
Also.
The patient is 33 years old, of average build, and has no liver or kidney dysfunction.
Dean Jia said quietly.
"The patient's husband stated that she had always been in good health, had never been sick, and had no liver or kidney deficiency."
"But the patient remained unconscious."
"What exactly happened?"
At this time.
A young nurse rushed in and said hurriedly.
"The patient's family couldn't control themselves and kept banging on the operating room door. They demanded to know what had happened and that the doctor come out and explain immediately."
……
now.
Everyone looked extremely grim.
A perfectly healthy person came to the hospital, was taken to the operating room, and now they're still not waking up...
The surgery should have been completed two hours ago.
The patient's family members had been waiting outside the door.
Two hours passed, and the patient still hadn't left, so naturally, the patient's family members started banging on the door.
"summer."
Do you have any good ideas?
Zhang Ming looked at him.
Clearly, Zhang Ming had placed his hopes on Xia Tian.
Summer shook her head.
"I don't have any ideas for the time being."
"If a full body check is performed and the patient still cannot wake up, perhaps..."
quiet!!!
Summer didn't dare say those three words out loud, but everyone could guess them.
Brain death!
It is extremely rare, but hospitals encounter one or two cases every year where a minor surgery results in brain death due to general anesthesia.
The biggest difference between brain death and a vegetative state is that...
A person in a vegetative state can breathe independently.
Brain-dead patients require mechanical ventilation to breathe, and once the equipment stops working, they will die immediately.
Commonly known as: pulling the tube!
Six months ago.
An older woman underwent surgery for a breast fibroadenoma. She was given local anesthesia, but fell into a deep sleep during the procedure and never woke up again…
An autopsy revealed that the patient was brain dead.
Why would a minor procedure under local anesthesia cause brain death in a patient?
Nobody can explain this!
Dean Jia looked up at Ye Zimo and spoke.
"Go and explain the specific situation to the patient's family."
"Just say that the provincial hospital is willing to bear any consequences."
"In addition, give the patient a full physical examination to find out the specific cause."
Ye Zimo nodded stiffly and left the operating room without uttering a sound.
Dean Jia glanced at Qi Changfeng and snorted coldly.
"Effective today, Ye Ziming is suspended from his duties until the specific cause of the patient's illness is determined."
"Furthermore, from now on, Xia Tian will be in charge of the patients."
Dean Jia patted Xia Tian on the shoulder and said to him in an unusually heavy tone.
"She's only 33 years old and a mother of a 6-year-old girl."
"Whether this life can be saved depends on you..."
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