I Can See Health

Body organ donation?

All the medical staff present and other family members of the patient were stunned.

Chinese people are still quite taboo about this aspect. It definitely takes a lot of courage to dare to make the decision to donate body organs!

Lu Chen looked at the patient's regular script and admired the decision made by the girl's parents.

The girl's father said solemnly: "Xiao Yu is usually a very kind and helpful child. If she cannot wake up, organ donation may be able to save more patients."

The girl was diagnosed as brain dead. Now only her heart is beating weakly. She has no spontaneous breathing and is in a deep coma. Her heartbeat can stop at any time.

However, brain death is also considered death!

When we often talk about death, we generally mean that when the heart stops, it is equivalent to death, but clinically, some patients have a heart that does not stop.

But the brain has no function. In this case, it is considered brain death, and brain death is also death.

However, many people are still unable to accept the idea that brain death is also death. After all, they believe that the heart is still beating, and they hope that one day a miracle will happen and they will wake up.

But do miracles happen easily?

"Okay, I will help you contact the organ donation center." Lu Zhifeng said, "The corresponding process still needs to be improved."

Lu Zhifeng immediately understood the choice of the patient's parents.

The family members cannot bear the high medical expenses.

Give up treatment and donate body organs.

In his opinion, this is nothing more than the best choice.

However, organ donation cannot be successful casually. An organ donation coordinator is required to evaluate the condition of the "remains".

After a series of complicated procedures, the body's organs can be donated.

"Thank you, thank you, Director Lu."

The patient's father reached out and wiped away his tears.

Just then, the patient's mother's cell phone rang.

She was stunned for a few seconds, and then slowly answered the phone.

"A bottle of sleeping pills was found in the trash can at home? Is the bottle empty? I understand, it's troublesome."

Lu Chen stood aside and noticed the situation. He quickly said, "Did you really drink the medicine?"

With tears in her eyes, the woman nodded slowly: "Yes, I drank her grandma's sleeping pills. My son, life is so miserable..."

However, it's too late to say anything now.

They have been diagnosed as brain dead, is there any chance of recovery?

Discovering the cause of the disease does not seem to be of any help in diagnosis and treatment.

The patient's parents returned to the bedside and looked at their daughter silently.

I want to be with her in this last moment.

…

On the side, deputy chief physician Lu Zhifeng is still busy.

He seemed to have forgotten what Lu Chen said to him just now.

However, Lu Zhifeng wanted to be cautious.

He returned to the girl's bedside and rescored her brain function to assess the likelihood of resuscitation.

After a while, Lu Zhifeng still shook his head, "Deep coma, extremely low brain function score, no signs of recovery at all, still brain dead!"

Lu Chen stood aside, but his brows were furrowed. He felt something was wrong.

Before, the cause had not been found, and the diagnosis of brain death might still be justified.

But now, with the influence of a large number of oral psychotropic drugs or poisons, the diagnosis of brain death has to be reconsidered!

For such a young girl, only 16 years old, her cardiac arrest occurred in the emergency department, and cardiopulmonary resuscitation and rescue were carried out promptly.

Logically speaking, he shouldn't be brain-dead so quickly!

And the most important thing is that Lu Chen found that the patient's life value decline trend was gradually slowing down.

"Director Lu!" Lu Chen suddenly stood up and stared at Lu Zhifeng resolutely.

"What's wrong?" Lu Zhifeng turned his head slightly and looked at Lu Chen curiously.

This chief resident of the cardiology department is really interesting. He comes to the emergency department to consult patients and he still hasn’t left yet?

Are you related to this patient?

"You should have heard just now that this patient has a history of swallowing psychotropic drugs." Lu Chen said.

"Yeah, what's going on?"

Lu Zhifeng was a little impatient. He didn't understand what the young hospital manager wanted to do, and he had been whining on the sidelines for a long time.

However, the relationship between the emergency department and the cardiology department cannot be stalemate. The two departments are so closely connected that they cannot see each other when they look up.

He could only be patient and look at Lu Chen.

Lu Chen glanced at the girl on the hospital bed, turned around, and said softly: "Director Lu, I think this patient is a little too cautious when considering brain death?"

"Haha, not too strict?" Lu Zhifeng smiled at first, then laughed dumbly and said, "Dr. Xiao Lu, do you know the criteria for judging brain death?"

Brain death is a very complicated thing to judge. To diagnose a patient as brain dead requires a very complicated procedure.

Generally speaking, doctors do not make a diagnosis of brain death easily.

Lu Zhifeng continued: "The patient had suffered a cardiac arrest, was in a deep coma, had no spontaneous breathing, had extremely low brain function scores, and the possibility of resuscitation was slim, so I considered the diagnosis of brain death."

"If you are not strict as you said, and the patient's family members are required to continue to be treated in the intensive care unit, the treatment cost will be 10,000 to 20,000 yuan per day. Which ordinary family can afford such a large sum of money?"

"And the final result is very likely to be a waste of money and money. Is this the desired outcome if we continue the treatment?"

Lu Zhifeng feels that today's young doctors are too conceited and don't know how high the sky is!

For patients in such a deep coma and with a history of cardiac arrest, there is basically no possibility of resuscitation.

Still have too little clinical experience!

I always feel that I am a master of the apricot forest and can magically rejuvenate, and I want to try it on all patients!

Lu Chen took a deep breath, UU Reading www.uukanｋshu.net and exhaled slowly. He looked at Lu Zhifeng and said slowly: "Director, you are an expert in the emergency department. You must be more professional than me in judging clinical death. Brain death You are more familiar with the standards than I am, but..."

At this point, Lu Chen paused for a moment and continued: "But there is a prerequisite for judging brain death, and that is to rule out the influence of drugs (or poisons) that cause coma!"

When Lu Zhifeng heard this, his brows furrowed deeply.

Lu Chen didn't stop talking, "The patient has a history of oral drug poisoning, which must be taken into consideration. The patient's cardiac arrest and deep coma may be related to this drug, and may not be caused by cerebral ischemia and hypoxia. After all, the patient stopped in the emergency department, and you rescued her quickly, and the compression time was not too long. "

"Actually, in the final analysis, this is life!"

Lu Chen's voice was low.

"Director Lu, my opinion is to keep him under observation for at least 24 hours. At the same time, carry out poison removal treatment, such as plasma exchange and hemoperfusion!"

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