Chapter 1444： : You are awesome, you have the final say!

Perhaps the most powerful doctor in the crowd who is proficient in the nervous system is Xue Zhengcheng!

At this moment, he was thinking about Chen Cang's words, and he seemed to react to it, but he couldn't grasp the clue!

After all, there is a difference between neurology and neurosurgery.

If you were a neurosurgeon better than a neurologist, what else would you do?

The complexity of the nervous system is destined to be very difficult to diagnose!

Compared with the difficulty of neurosurgery, let's not let it go!

Perhaps many people still haven't figured out the difference between internal medicine and surgery.

To put it bluntly, in clinical practice, the difference between internal medicine and surgery is whether patients need surgical treatment.

The surgeon's lifelong pursuit is to practice a good knife and do a good job for others!

However, the ultimate point of the physician is to be the **** of sight, to have a pair of flamboyant eyes, to find the necessary clues in the complex and complicated diseases, and then successfully diagnose and give a treatment plan!

Some people say that the highest level of surgeons is to be a physician!

This shows the importance of diagnosis and conservative treatment!

When everyone was curious and puzzled, Chen Cang finally spoke!

"I've seen Mr. Sidis's initial state. It was indeed a coma, but... when I checked the room this morning, I noticed something was wrong, because I found that the situation seemed to have changed!"

"And what the professor said just now, the patient suddenly opened his eyes. This clue finally made me diagnosed. In fact, this open eyes...is a manifestation of the sleep-wake cycle!"

As soon as this remark came out, there was a lot of discussion on the spot!

"Sleep-wake cycle?!"

"It turns out so!"

For a time, a lot of people understood what was going on.

Normal people like sleep awakening cycle!

Even one of the endogenous rhythms in the body is the so-called circadian cycle.

But what is coma?

Coma is an unstable state, vital signs are very unstable, is a pathologically dangerous state!

In this state, there is no possibility of a sleep-wake cycle.

Coma patients are all closed eyes!

So, in this case. Although Sidis opened his eyes, he did not respond to external stimuli, and he had no words, actions, or emotions!

This is not a good thing!

Chen Cang continued: "This actually shows that the patient has entered a manifestation called a persistent plant state!"

"There are some differences between the persistent vegetative state and ordinary vegetatives, but it behaves like a coma, and it is even easily confused with a coma!

Moreover, patients who were initially comatose can gradually develop into these states after varying lengths of time.

Therefore, once the patient has a sleep-wake cycle, the true coma no longer exists, but enters a continuous plant state! "

In a few words, Chen Cang explained clearly.

After hearing the continuous plant state, everyone suddenly understood why Chen Cang sighed!

How many of them can be cured if they are in contact with vegetative plants? !

If you are comatose, you can make adjustments and rescue according to the situation.

But once it enters the continuous plant state, it becomes more difficult!

Moreover, this is also very consistent with the patient's morbidity!

In general, acute trauma is the most common cause of persistent vegetative state, which is also consistent with the patient's disease diagnosis!

After Abate heard this, he gradually understood what was happening.

Although he did not understand what is called a continuous plant state, looking at everyone's expressions, he realized that the situation might be more dangerous!

"Professor Chen, persistent plant state... what is the situation and how to treat it?"

Chen Cang said: "This kind of situation is relatively rare, with an incidence rate of only 4 parts per million, but... At present, there is a lack of effective treatment for persistent plant conditions, mainly due to etiological treatment! And the cause is the most difficult clue to find! "

Speaking of which, Chen Cang did not continue to hit, but said: "But it is not without hope, and there are also patients who have reported recovery in the magazine."

"Now the most important thing is to find the cause there. Since it is caused by trauma, the most important thing we are now is to find the key factors!"

After hearing this, Abate suddenly rejoiced. After calling Chen Cang alone, he said seriously to Chen Cang:

"Professor Chen, Minister Sidis is too important! I still have to ask you this matter!"

Chen Cang nodded: "Relax, Mr. President, I will definitely go all out!"

After returning to the ward, Chen Cang looked at the crowd and immediately started diagnosis and discussion of difficult cases!

"Now, Mr. Sidis's only hope of survival lies in the cause. After trauma, we should look for the pathological products. We need to find the cause...Now we are going to review the head CT and MRI, EEG..."

Xue Zhengcheng stood there, watching Chen Cang standing above and pointing at the mountains and rivers, with some emotion!

He did not expect Chen Cang to have such a powerful diagnostic ability in neurology.

Even... Xue Zhengcheng feels that this is more than himself!

Thinking of this, he even felt a little scared!

Fear that Chen Cang will soon surpass himself...

This is not impossible!

As a neurosurgeon, Xue Zhengcheng knows how well a doctor with a strong neurology foundation will go on this road!

In particular, the other party is a surgeon with a strong surgical background.

Soon, Chen Cang arranged various plans.

What needs to be done now is to find the cause of the patient and strive to solve it.

However, the plant state will not die for a while.

While waiting for the results of Sidis's inspection, of course, it is certainly not idle.

Another liver donor from an official of the Ministry of Foreign Affairs has come!

In front of national forces, there are too many sources of donors!

Chen Cang decided to have a liver transplant.

After seeing Chen Cang, Zhou Hongguang actively gave up the position of the main knife.

Chen Cang is now a master of liver transplantation, and he is almost the last one to complete the liver transplantation task, which is a perfect breakthrough.

The surrounding Pakistani doctors watched Chen Cang enter the operating room of liver transplantation, and there was a lot of discussion.

"What kind of subject is Professor Chen?"

"Heart surgery! After all, Professor Chen just attended the AATS meeting..."

"No is gastrointestinal surgery. I just checked the information. Professor Chen is the president of the World Society of Gastrointestinal Surgery."

"But... why is his nervous system so powerful?"

"Because he is Professor Chen!" said Chen Cang's little fan Suika.

This answer seems to make everyone find nothing wrong!

During the liver transplant operation, Chen Cang said to the head nurse: "Establish a video conversation with Professor Wang Tong!"

The head nurse nodded!

Dean Shiba had no comments.

After all, what are you talking about, you are so good, you have the final say!

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ps: There are two chapters in the evening, please ask for monthly ticket...