Problem description: The patient is now in a coma. It has been 11 days. The eyelids and eyeballs will move, and occasionally they will open their eyes. Now there is still some water in the brain, and now there is accumulation in the lungs. The fluid is quite serious. The doctor suggested that it should be transferred. Is there no cure? Or is it that the hospital can be transferred to the lung hospital. Our family members don’t know what to do now. The transfer is not a problem, and it’s not a problem.
Date: 2020-12-19
Patient information:Age: 57 years old Gender: Male
Problem analysis: The patient is: Go After bone flap decompression, intrapulmonary infection and pleural effusion were complicated. The purpose of decompressive craniectomy is to save lives.
Look at the patient’s head CT report shows: midline shift. The shift of the midline indicates that the patient has a brain herniation at any time, which is life threatening.
Pulmonary infection and pleural effusion are common complications after surgery.
Transfer to a higher-level hospital can provide better treatment, but there are risks in the transfer process, and the extent to which the patient can recover after transfer is unpredictable.
At present, patients are considering the question of whether they can save their lives.
Guide and suggestion: The medical conditions of county-level hospitals are not as good as those of higher-level (provincial, municipal)-level tertiary general hospitals. If transferred, it is recommended to be transferred to the Intensive Care Unit (ICU) in neurosurgery.
Continue to give symptomatic treatments for lowering intracranial pressure, eliminating cerebral edema, and anti-inflammatory.
If the inflammation in the lungs is severe and the sputum cannot be coughed up, a tracheotomy and a sputum suction device are required to suck the sputum.
If the pleural effusion increases, a pleural puncture is needed to remove the effusion if necessary.
The patient is currently in serious condition and his life is in danger at any time.
You need to save your life before you can consider whether you can recover in the next step.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection