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On June 25, 2019, The Lancet, a world-renowned medical journal, published a study entitled Mortality, Morbidity and Risk Factors in China and Its Provinces 1990-2017: A Systematic Analysis of the Global Burden of Disease 2017.
road Chinese road traffic injuries as the only non-disease factor in the top 10.
Coma caused by traffic accidents is a serious awareness disorder, its mortality rate is very high, long-term coma will not only produce lung infections, muscular atrophy, hemorrhoids and urinary tract infections and other complications, but also life signs will often appear sharp changes, can be fatal and aggravate the original disease, therefore, it must be actively treated and wake-up treatment.
recently, Pan Renlong's team successfully awakened a 28-year-old boy (a notable name) who had been in a coma for 20 days because of a car accident.
Whe saw the moment of Xiao Geng's awakening, Xiao Geng's mother felt very much, tears, said: "You don't see him now conscious, can talk, can communicate, legs and feet can move, but he just came to the Blue Cross but unconscious, body is also filled with a variety of treatment tubes, it is really painful ah!" I almost had a nervous breakdown..."
suddenly fell into a car accident unconscious, happy small family into a desperate situation this year 28-year-old Xiao Geng, there is a happy little family, he and his wife love for many years, both have a stable job, two years ago they finally entered the hall of happiness marriage.
At the beginning of March this year, Xiao Geng was even more happy with the good news of his wife's pregnancy, knowing that he was about to become a father, that joy and excitement could not help but spill over into words, the family was still immersed in the joy of his wife's pregnancy, but did not know that doom is slowly approaching.
according to Xiao Geng's mother recalled, on the morning of May 8, Xiao Geng also specially asked his wife to do the first birth test, unexpectedly at about 23:00 that night, but in the cross the road was unfortunately hit by a car, when people fell into a coma, and then 120 first aid to a local hospital in Jiangsu Province for treatment.
After admission to the hospital, the chest tube intuteration mechanical breathing, clean suturation, nutritional support and other rescue treatment, followed by head CT examination, image tips: brain dryness injury, left temporal lobe injury, cobweb subcading bleeding, saddle area hematoma and other conditions.
sudden car accident, so that the small Geng family at a loss, happy small family also fell into a desperate situation.
Especially for a newly pregnant wife, it is a fatal blow, if Xiao Geng continues to be unconscious, she will not only take care of the pregnant himself, but also take care of the car accident husband, these are a pregnant wife can not bear.
Pan Renlong team professional evaluation and treatment, so that the coma 20 days of the group miraculously awakened to face the patient who has been in a coma for 20 days Xiao Geng, his family will never give up treatment.
In hospital, after two months of professional treatment and careful care, Xiao Geng's condition has improved significantly, his bronchial tube has been sealed, chest tube has been removed, serious intestinal obstruction has also been cured;
Coma is a serious disorder of consciousness, it is necessary to seek timely medical treatment for the diagnosis and treatment of patients in coma, because coma is the most serious disorder of consciousness, its clinical diagnosis and treatment is more difficult, and once missed effective treatment time, due to long-term coma will bring more problems, even life-threatening.
and because of the lack of a scientific assessment system and effective wake-up call at an early stage, many doctors misjudge patients with consciousness disorders, especially those with long-term coma.
In the traditional sense of "plant people", more than 40% are not really "plant people", although they can not complete the doctor's instructions, but the use of magnetic resonance and other technologies to conduct a comprehensive assessment of the brain, the results found that there are still weak consciousness, and even some patients have a brain close to normal human consciousness activities, this part of the population if they can receive standardized treatment, the chance of awakening will be great.
therefore, Director Pan stressed that the identification of comatose patients and "plant people" must be rigorous, once misjudged, some patients who have the opportunity to wake up will never wake up.
At the same time, doctors in the treatment of patients with consciousness disorders, should as soon as possible to judge the extent of their coma, the implementation of side rescue, side observation, side diagnosis, side treatment, and in the best treatment window (car accident coma patients are generally 28 days - 4 months after the car accident), its timely and effective treatment, patients have the possibility of consciousness recovery.
At present, for long-term coma patients wake-up methods, mainly for etiology and complications of treatment, drug treatment, rehabilitation treatment, hyperbaric oxygen therapy and neuro-regulatory treatment and other methods, the specific methods of wake-up are as follows: etiology treatment: for the cause of the patient's coma and complications of the treatment.
medication: Coma or plant-induced wake-up can be used to improve brain circulation, nutrition nerves, stimulate the brain nerve drugs, which can promote the repair of nerves in the brain, the patient's wake-up is of great help.
Rehabilitation: Training and guidance for limb recovery in patients with coma or plant people, using modern brain rehabilitation treatments to help the brain oxygenation, improve blood circulation in the brain, relieve brain stress, brain fatigue, stimulate the brain's potential ability to promote metabolism, maintain brain health, promote rapid recovery of body function.
Hyperbaric oxygen therapy: hyperbaric oxygen can quickly improve the blood oxygen pressure and improve the oxygen dispersion and dispersion distance, increase the oxygen content of the brain, improve the blood supply at the lesions of the brain, improve the hypoxia of brain cells, and have a good wake-up call effect on comatose patients.
neuromodulation method therapy: there are mainly positive and medium neuroelectric stimulation MNS, repeated transcranial magnetic stimulation rTMS, spinal cord electrical stimulation SCS, deep encephalopathy stimulation DBS and other methods, through neuromodulation to stimulate the patient's cerebral cortical layer, enhance neuroelectric physiological activity, increase cerebral blood flow, improve brain circulation, to promote wake-up.
For comatose patients to wake up the specific choice, mainly according to the patient's specific condition, brain damage site, the severity of the coma, but also to its professional evaluation of various brain functions, so that wake-up is more targeted and more effective.
name source: Shanghai Blue Cross Brain !-- the end of the !-- - to determine whether the end of the login.