Chapter 380: Vegetative Man
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Jiang Lianxing hurried to the emergency department of the hospital. Pen, fun, pavilion www. biquge。 The INFO emergency department is administering first aid to the patient. Seeing Jiang Lianxing coming, emergency doctor Du Qun immediately briefed Jiang Lianxing on the situation.
"Professor Jiang, the patient was hit by a red car while crossing the road near Lingjing Road and suffered serious head injuries. We have been intubated and the patient's heartbeat and breathing have been restored, but due to severe brain trauma, he still has not woken up. ”
"I'll take a look at the patient first." Jiang Lianxing did not look at the patient. The patient was put on a ventilator and lay quietly in the hospital bed.
When Jiang Lianxing was about to go to the patient for an examination, Zhang Chengjian, who had already arrived in advance, happened to finish the preliminary examination.
"Professor Jiang, the patient's pupils are dilated and he cannot breathe on his own. Severe brain damage. The specific brain damage will not be known until the brain CT is completed. However, the situation of the injured is extremely unoptimistic. Zhang Chengjian took the stethoscope off his ear and hung it on his shoulder.
Jiang Lianxing nodded, but still checked it himself. The patient has dilated pupils in both eyes and does not respond to light. Although there are no CT results yet, based on Jiang Lianxing's experience, the possibility of patients becoming "vegetative" is extremely high. However, it is too early to say this, and the condition of the patient will only be known after reading the examination report. 9%
"Although the situation is serious, we can't give up our efforts until the end. At this time, anything can happen. It should not be a family member or a doctor, we must have firm beliefs, and there is hope if we persist. Jiang Lianxing said.
Zhang Chengjian nodded.
After Qin Chuan went to work the next day, the results of the patient's various examinations also came out, and the patient's brain was seriously damaged and had been transferred to the outside world. In view of the serious condition of the patient, Shenwai organized a consultation with the department doctor.
"The patient's condition is very serious. The damage to the brain has actually caused the patient to become vegetative. Surgery doesn't make much sense. Even if surgery was performed. The chances of the patient waking up are also not high. Zhang Chengjian expressed his opinion.
Zhou Zengfu is also very supportive of the view of the proud protégé, "Although it is not the end, we as doctors should not give up." However, the damage to the patient's brain tissue is severe. Even if the surgery is successful, the patient has little chance of waking up. In this case, it is not necessary to have an examination and surgery. Medical care should make sense. In this case, if you still insist on surgery, you will inevitably be suspected of excessive medical treatment. ”
Jiang Lianxing did not express his opinion, but asked Qin Chuan: "I don't think so. The patient's condition is indeed serious. There is no doubt about the condition of brain damage. However, the patient has only been injured for more than ten hours in total, and the life and death of a patient have been determined without any surgical measures. I think this is irresponsible behavior. You know, individuals are different. There is a huge difference in the ability to resist disease. I recommend bilateral craniotomy to the patient for treatment. ”
"Dr. Qin, how confident are you that the patient will be able to recover after the operation?" Zhang Chengjian asked.
"There is no certainty. I don't think doctors can save people by chance. There comes a time when we need to be a little more responsible. Qin Chuan said.
"Do you know how much risk our hospital would take to operate on a case that is extremely likely to die in a pit?" Zhang Chengjian asked.
Qin Chuan shook his head, "It's not something I need to think about. This issue should be a matter of concern to the hospital's senior leadership. I'm a doctor, and I only think from a doctor's point of view. ”
Such a statement is irresponsible. If something happens after the surgery, or if there is no effect after the surgery. The patient's family still has to come to our hospital. Dr. Qin. The situation at home is not the same as abroad. You will only cause unforeseen trouble for the hospital by doing so. Zhou Zengfu said.
Jiang Lianxing spoke, "Old Zhou." This time, I disagree with you. I feel that although the patient's condition is serious, it is not completely hopeless, and I feel that we should not give up our efforts. At least we should try. ”
"Okay. I used to say that I take care of calves. Lao Jiang, you are actually not much better than me. You insist on surgery. I'm not against it either. Still, I reserve my opinion. But as a friend and colleague, I support you. Zhou Zengfu said with a smile.
Jiang Lianxing also laughed: "Each other." ”
Although Hu Chengzhong did not support the operation in his heart, but with the two authorities of Zhou Zengfu and Jiang Lianxing, he did not say anything at all. If he stood up against it, the two old fellows would definitely join forces. Discipline him like a grandson.
"In that case, let's actively prepare for surgery." Hu Chengzhong can only do the things of the director of his department in a decent manner. He wasn't afraid that the sky would fall, and there would be these two tall men on top of it.
"Xiao Qin, get ready, you will be the main surgeon of this operation." Jiang Lianxing quickly put the task on Qin Chuan.
"Huh?" Qin Chuan obviously didn't expect Jiang Lianxing to hand over such an important operation to himself.
"Ahhhh You are the one who advocates surgery. I'm already very supportive of you. Jiang Lianxing said with a smile. Of course, he is not irresponsible, but he believes in Qin Chuan's ability. He knew very well about Qin Chuan's previous situation in Tanshan Central Hospital, and even some of Qin Chuan's situation in Johns Hopkins Hospital. That's why I was relieved and boldly handed over the operation to Qin Chuan.
"Lao Jiang. Are you really so relieved? Zhou Zengfu was also very puzzled. If it was him, he wouldn't dare to hand over such a difficult operation to Zhang Chengjian to complete.
"Young people, how can you grow up without carrying heavy burdens? I'm so old that I can still work for a few years, and I always need young people to step up. Jiang Lianxing said with a smile.
Zhou Zengfu nodded: "Everything will let you go to the front." Looks like I'm going to let go of it appropriately. ”
On the one hand, Zhang Chengjian was a little envious that Qin Chuan could receive such a difficult operation, and on the other hand, he doubted whether Qin Chuan had the strength to do this operation. If there is a problem during the operation, or after the operation, the patient becomes a vegetative person, Qin Chuan will inevitably face great trouble. This kind of thing can be big or small. Qin Chuan was actually very risky in doing so.
"Dr. Qin, congratulations. Received such an important operation. When he walked out of the conference room, Zhang Chengjian quickly caught up with Qin Chuan.
"If you said you should have surgery just now, maybe such an important task will fall to you." Qin Chuan said with a smile.
"Forget it. With great power comes great responsibility. Such an important operation can only be completed by you, Dr. Qin. Zhang Chengjian is still a little unaccustomed to Qin Chuan's extremely confident attitude. I secretly said in my heart: When there is a problem with your operation, you won't be able to cry at that time.
Qin Chuan smiled and did not answer, at this time, he wanted to have a detailed understanding of the patient's condition. The facilities and equipment installed by Han Qing Group last time have not been dismantled, which is very convenient for Qinchuan. Qin Chuan re-examined the patient's head. The resolution has improved a lot. Qin Chuan also had a more accurate grasp of the patient's injuries. The patient's brain is indeed extremely damaged. Some ribbons will definitely be affected. But Qin Chuan feels that the patient is not completely hopeless of recovery.
Before the operation, the patient's family member was required to sign, which caused Qin Chuan to run into trouble.
Due to the escape of the driver who caused the accident, no one came to pay or advance the medical expenses for the time being, and the wife of the injured person was also hesitant.
"Doctor. Will I be able to revive my husband after the surgery? If I can, I'm willing to spend as much as I want. The injured man's wife, Li Zhengcui, held the pen but never signed. She worries about losing both money and people. The situation at home is not good, the burden is very heavy, the husband was injured this time, even if he can wake up, he will lose the ability to work in a short time, and the burden of the family will inevitably fall on her. If the family's meager savings are exhausted at this time, it will be difficult to maintain the family's life in the future. And even if her husband Yuan Baoyi does not have surgery, he will have to spend a lot of money to maintain it.
"Let me put it this way. Eldest sister. With surgery, at least your husband has a chance of waking up, and if he doesn't, your husband will only be in a vegetative state. I have just re-examined your husband with more sophisticated instruments, and found that the situation is better than expected. There's a good chance of waking up. Although, I know you have your difficulties, but what is more important than life? If Brother Yuan wakes up, it will be better for your family. If the operation is successful, I will use some more advanced techniques later, which can improve the chances of Brother Yuan waking up. Worried, I have to operate on Brother Yuan first. Brother Yuan suffered intracranial damage and internal bleeding, which can compress the brain and cause more serious damage. It can even lead to death. Even if you barely survive, you will inevitably become a vegetative person. Now the police are still tracking down the whereabouts of the driver who caused the accident. Wouldn't it be worth it if the driver who caused the accident was found one day, and Brother Yuan died because he didn't have surgery? Qin Chuan tried his best to persuade.
Li Zhengcui didn't want Yuan Baoyi to undergo surgery, but it was indeed because of the embarrassment of his family situation.
Qin Chuan saw Li Zhengcui's hesitation, and hurriedly continued to persuade: "Eldest sister, the operation can't be delayed any longer, otherwise it will cause permanent damage to the brain, and it will be too late to regret it."
Li Zhengcui still couldn't make up his mind: "I can't do such a big thing alone." I'll have to ask my family. ”
Li Zhengcui is a woman after all, her husband fell all of a sudden, and she suddenly had no idea. Turned around and asked her family.
"Zhengcui, you're stupid. Baoyi has become like this, since the doctor is not 100% sure of saving people. You still spend all your savings, what will you two do in the future? Your son is about to go to college, a lot of expenses, where are you going to make that much money? If people can be saved, we didn't say, how much money, we will smash the pot and sell iron, and we will also save people. But isn't it a doctor who is not sure now? Li Zhengcui's brother Li Zhengyi said. (To be continued.) )
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