The brain implanted "chip" to awaken the sleeping vegetative
Author:Changjiang Daily Time:2022.06.13
The Yangtze River Daily Da Wuhan client June 13th "Mom, this is my own Lego car, do you think I am great?" Nankanqu Park to play! "" Wife, 618 event has begun, I just bought 3 cans of protein powder and 10 catties of Xiaomi today when I just placed the order today ... In the early morning of June 11th, Zhang Ming, 44, took it with The 6 and a half -year -old son Doudou appeared in front of his wife's hospital bed. The cheerful voice of the child sounded, and the quiet ward suddenly became lively.
"She has become a vegetative for 260 days. She had a wake -up surgery 49 days ago. It was turned on 34 days ago." Zhang Ming stretched out his hand in front of his wife Xin Yun's eyes. "Look! Now her eyes can move up and down. It was gently rubbing his wife's face with his fingertips, and a hint of hope was revealed in his tired eyes.
"It is a miracle to survive brain stem bleeding. She has only been turned on for a month, and she has responded to external stimuli. It is better than we expected." Yang Xue, the director of Wuhan Puren Hospital, Instalia, MSI A little excited in words. He revealed to the Changjiang Daily reporter that Xinyun was the ninth plant that was "awakened" in the first year of its establishment, and was the heaviest condition.
"Do your best, at least you have not left a regret for yourself."
At 2 pm on September 30, 2021, Xin Yun told her husband that he was a little dizzy and wanted to lie down for a while. More than two hours later, Zhang Ming found that his wife couldn't get up and couldn't speak, and quickly hit 120 to send her to a nearby hospital. When he was admitted to the hospital, Xinyun was in a coma. The blood pressure was as high as 200, and the breathing was very bad. It was urgently found that it was bleeding from the brain stem. He immediately got up the ventilator and sent it to the intensive care unit. The doctor told Zhang Ming that brain stem bleeding was very dangerous, and even if he was lucky, he could not wake up. "You just save it!" Zhang Ming hesitated.
He stayed by his wife's illness in 24 hours, and turned her over every one hour and massaged for 40 minutes.脑干出血大脑受损,体温时高时低,高的时候42℃,他一天要给妻子擦身20多次降温;每餐食物要打成流质,从胃管喂下去,一天5次,每After more than 10 minutes, the water was fed in the middle ... 55 days later, although Xinyun was still in a deep coma, his life signs finally stabilized and transferred to the general ward.
Every day Zhang Ming talks about his wife's ears, talks about his daughter's learning, and says the son's naughty; his wife loves online shopping, Zhang Ming enters her favorite live room to put her mobile phone in her ear, almost every month's mobile phone traffic It will be super; as long as the wife's body allows, Zhang Ming will take her to do high -pressure oxygen, acupuncture, and physiotherapy. In mid -April this year, Xinyun transferred to Wuren Hospital in Wuhan.
Yang Xue, the director of the Inficness and Promotion of Nervous Regulatory Center, gave Xinyun a conscious evaluation, and the score showed that she was in a small state of consciousness. Yang Xue told Zhang Ming that this situation can try the vegetative awakening surgery. However, Xinyun's "sleeping" time is a bit long, and the effect of brain stem bleeding will be worse. After careful consideration, Zhang Ming accepted the suggestion. On April 29, Xinyun underwent deep brain electrical stimulation surgery and implanted a "pacemaker" in his head. On May 14, with the sound of "日", the pacemaker was activated. "On the 10th day of the boot, I found that she opened his eyes significantly." The small change of his wife made Zhang Ming happy.
"She and I are a college classmate. They have been together for more than 20 years." Zhang Ming said that in recent years, his wife has taken care of two children at home with full -time at home. She usually blames she does not understand her hard work. When I returned to the family to take care of their children during this time, my wife was really not easy.
So far, Xinyun's treatment has spent more than 500,000 yuan, hollowing out all the savings at home, and owed a lot of foreign debt. Zhang Ming said that no matter what the future results, he did not regret performing this operation.
"I can see his progress almost every day"
"Lift your head, straighten your hands, and persist for another 2 minutes." She revealed that among the awakened plants, 31 -year -old He Fan has the fastest progress and is the best recovery.
On November 3 last year, He Fan who worked at a construction site in Yangchun Lake accidentally fell into a coma from a scaffold of more than 3 meters high and was rushed to Wuren Hospital in Wuhan. When admission was admitted, the pupils were scattered, and they were diagnosed with special cranial damage. Since then, He Fan has been in a deep coma. Brother became a vegetative, but his brother did not believe it, as long as he lives, there is hope. He entrusted the two young children to his mother, and left the responsibility of taking care of his younger brother with his wife. In order to reduce his muscle tension, the couple had a massage as soon as they had time.
In March of this year, He Fan underwent a strict conscious assessment after the skull repair surgery. The results showed that he was in a small state of consciousness. "This situation undergoing a wake -up surgery is very likely to be awakened." Yang Xue, director of the Inficion of the Available Nervous Regulatory Center, told He Fei. I heard that my brother might wake up, and He Fei immediately agreed to the operation.
Due to the damage to He Fan's brain, Yang Xue chose the spinal cord electrical stimulation to wake up surgery for him. On April 2nd, the Yang Xuezhu knife implanted a miniature electrode into the extended marrow at the bottom of his hind neck, and then implanted a matching latch -sized transmitter device on the chest. Through continuous electrical signal stimuli, the external signals are enlarged and enhanced here, which in turn promotes it to the brain to make people react and awareness. On April 11, He Fan suddenly opened his eyes two weeks later. "We are most pleased to have this awakening operation, and he can see his progress almost every day." He Fei said excitedly that the right body of his brother has basically returned to normal, and now he can push himself on his own push by himself. The helper is about 50 meters, you can eat it yourself, and you can communicate normally with people.
Speaking of the rapid progress of He Fei, Chen Shurong admits to the persistence and cooperation of his family members. "The family membership is very strong. Usually, in addition to our training for him, his brother sister -in -law also sees him to train him." Chen Shurong said that He Fei was admitted to the hospital for more than 5 months. During his sleep. Many plants' family members believe that patients have no consciousness during the sleeping period, and it is of little significance to do training. It is not known that rehabilitation training must reach the accumulation of quantity before there is a qualitative leap. "He Fei's change this month is particularly great. We are full of confidence in his prognosis. He is expected to return to normal life."
Wake up the consciousness of being "trapped" by the body
It was found in the study that although some patients could not do action according to the instructions, they were not unconscious. Through tracking and evaluation of the patient's brain, some patients have a weak consciousness, and even some patients have nearly normal conscious activities in the brain. "They are like people who are locked in their bodies. Dating such people and receiving awakening treatment is likely to awaken them." Yang Xue said.
Zhou Chizhong, deputy dean and neurosurgeon expert of Wuhan Puren Hospital, told reporters that everyone has a "mesh uplink activation system" in the brain of each person, which is the center that the human body can ensure normal wake-sleep cycle. If the system is damaged, the brain will lose the ability to maintain awakening and become a "vegetative".
"To wake up the vegetative, let the system work again." Zhou Chizhong introduced that doctors will accurately evaluate whether this system is accurately evaluated by a series of quantitative indicators such as image science, neurotenic science, quantitative encephalide electrocardiogram technology, and coma assessment tables. It was completely destroyed or in a dormant state. If the system is destroyed, it is impossible for patients to wake up again. The key to the preoperative evaluation is to determine whether the pathway of this system has a "wire" or whether it is not powered at all. The line is broken, and the doctor is powerless, but if it is not powered on, just call it again.
In recent years, with the rapid development of first aid and severe medicine, the mortality rate of patients with acute and critical condition has decreased significantly, and conscious disorder groups have continued to expand. According to conservative estimates, there are about 70,000 to 100,000 plants in my country each year. "The awakening of this kind of patient has opened the door of hope for such patients." Yang Xue told reporters that there are currently two ways: "Deep Electrical Electrical Stimulation" and "spinal cord electrical stimulation" requires implantation electrodes. The wake -up system applies exogenous continuous electrical stimuli, enhances the patient's brain's electrical physiological activities, improves brain metabolic function, and is supplemented with nerve regulation treatment to maximize the patient's consciousness. According to statistics, patients with small conscious state after screening can reach 60%to 70%.
He reminded that there is also a time window for wake -up surgery. Generally, the effect of surgery in half a year diagnosed with plants is the best. Moreover, after receiving the wake -up surgery, you won't wake up immediately. "Substation is a long process, and Xinyun has not seen significantly improvement until now." Yang Xue said that he was particularly grateful to these families who did not want to give up. It was because they did not give up. The possibility.
According to the reporter's understanding, 4 hospitals in the city are currently conducting a vegetative wake -up operation. In May last year, Wuhan Pu Ren Hospital established the city's first chronic consciousness disorder and coma to a coma to the neural regulation center. Before He Fei, 7 patients had undergone wake -up surgery. Among them, six patients were successfully awakened. By tracking the return visits, the best life of the best patient has been able to take care of themselves.
(Zhang Ming, Xinyun, He Fei, He Fan are a pseudonym in the text)
Reporter Liu Xuan Correspondent Yin Qian
Xin Yun's 260 days on the hospital bed Zhang Ming took care of her in front of the bed. Reporter Liu Xuan
He Fan, who is receiving rehabilitation training for a while. Reporter Liu Xuan
Director Yang Xue is testing He Fan's recovery. (Please code the patient face) Reporter Liu Pai Photo
Director Yang Xue talked about the principle of the vegetative wake -up surgery. Reporter Liu Pai Photo
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