Suddenly a voice interrupted their conversation.
The brain stem is called the life center of a person, controlling his or her autonomous breathing, autonomous heartbeat, digestion and other life functions. Once dead, the person will certainly not survive.
Therefore, the most thorough standard for determining brain death should be brain stem death, and the more accurate positioning is medulla oblongata death, because the above basic physiological functions of the human body are all concentrated in the medulla oblongata in the brain stem. Other parts of the brain have other functions.
It seemed that this statement also hit the point. When the others heard this, they turned around to find out who said it.
It was Xie Wanying standing there, staring at the patient and muttering to herself, "I wonder how long it will take to save the heart."
Her appearance reminded Cao Yong of the scene when he first met her.
"Tell me what you think." Cao Yong turned around and said to her.
Zhou Junpeng was shocked: Why is a deputy senior suddenly asking for the opinion of an intern?
Looking back at Fu Xinheng, Fu Xinheng did not object. Perhaps Fu Xinheng thought that inviting someone to the consultation meant that Cao Yong had to make the decision instead of himself.
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The teacher asked, and Xie Wanying answered: "Generally, if the heart of a myocardial infarction patient has cardiac arrest and the heart can be compressed in time, consciousness will recover because the rescue is timely. If the rescue is not timely, the entire heart is dead and it cannot be compressed again. The probability of a myocardial infarction patient who is compressed but has brain stem death is relatively low."
Several people heard her say this and it seemed to make some sense.
"Only when the rescue is not timely and the best treatment opportunity is missed, causing irreversible brain damage, will the patient die of brain death. But this patient was the first to be found and rescued in the interventional room, so this is unlikely to be the result. After pressing the button twice, could it be more than just a heart problem? Is it possible that the patient had a problem with his brain stem before, causing his heart to stop working for the second time? It is unlikely that he would be put on a ventilator directly in the interventional room."
Her subsequent words were like an epiphany, and several people at the scene suddenly had another way of thinking.
Zhou Junpeng and Huang Zhilei exchanged glances, then saw that the two associate senior officials and the associate senior official were also in a state of deep thought.
"You can do a CT scan." Cao Yong said.
Fu Xinheng said to Zhou Junpeng, "Go contact the CT room." Then he added, "I wanted you to do it after the consultation."
A CT scan was supposed to be done, but the doctor on the scene was thinking that even if it was done, they wouldn't know how to explain brain death to the patient's family. Xie Wanying's words gave them another possibility.
When it comes to brainstem problems, in addition to hypoxia caused by delayed rescue, 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 hypertension and high blood lipids, and the possibility of vertebral artery occlusion is also high. You can trace the patient's past medical history and ask if there are symptoms similar to cervical spondylosis, dizziness, and whether they always fall on the same side.
Cao Yong pulled up the patient's trouser legs and saw bruises on both knees, one on each side.
It seems to further confirm their conjecture.
Big leaders and big bosses work harder than ordinary people when they are in the prime of their lives, and they won't go to the hospital for a checkup unless they are on the verge of death. So Xie Wanying's speculation makes sense.
Zhou Junpeng escorted the patient to the CT room.
Cao Yong and Fu Xinheng walked to the meeting room of the Department of Cardiothoracic Surgery, and discussed as they walked that they needed to report to the dean and organize the backbones of the entire hospital to come for a consultation. If they didn't explain it clearly to the family, they would not give up.
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