In the past two days, an incident has rushed to the hot search:
A 24-year-old previously healthy man suddenly fainted after tooth extraction, was diagnosed with cerebral hemorrhage, and finally died after rescue efforts failed.
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The events are roughly as follows:
On January 21, 2024, Wang Aoji, an automotive engineer from Yueyang, Hunan Province, celebrated his 24th birthday, but he has been lying in a Shenzhen funeral home for more than 5 months.
According to the family, on the morning of July 30, 2023, Wang Aoji went to the stomatology department of the nearby Kwai Chung People's Hospital in Dapeng New District, Shenzhen alone to extract teeth due to tooth inflammation and pain.
He had no discomfort during and after the extraction, but he suddenly fainted during the re-shooting of the panorama.
Doctors immediately resuscitated him and transferred him to the emergency department.
After a CT scan, doctors found him to have an intracranial hemorrhage, and he was subsequently transferred to another hospital for treatment.
During the transfer, he developed projectile vomiting and convulsions, and was eventually diagnosed with spontaneous intracranial hemorrhage.
Although doctors performed a craniotomy, he sadly passed away 14 days later.
Final official identification:
Spontaneous intracerebral hemorrhage leads to neurological dysfunction of the central system and death from multi-organ failure.
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The final findings of the hospital were:
The cause of death was preliminarily determined to have no direct cause and effect related to tooth extraction.
The final result is:
The family claimed 1.8 million yuan, and the hospital agreed to pay 600,000 yuan.
The final treatment plan is not yet known.
Life is impermanent, and the life that should be in full bloom is over.
It is deplorable.
May the families of the patients mourn!
Is there a theoretical correlation between tooth extraction and intracerebral hemorrhage?
If under certain conditions, for a specific group of people.
There is indeed some correlation between tooth extraction and intracerebral hemorrhage.
What specific groups of people are likely to have a brain hemorrhage caused by tooth extraction?
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In certain circumstances, tooth extraction may increase the risk of intracerebral hemorrhage in the following people:
1. Patients with high blood pressure
Patients with high blood pressure have fragile blood vessel walls and are prone to rupture when blood pressure fluctuates, resulting in intracerebral hemorrhage.
2. Patients with blood disorders
Some people with blood disorders (such as hemophilia) or who take anticoagulant drugs (such as warfarin) have an increased risk of bleeding after tooth extraction due to abnormal blood clotting function.
3. Patients with a history of cerebrovascular disease
These include cerebrovascular malformations, aneurysms, etc., which in themselves increase the risk of cerebral hemorrhage.
4. Diabetics
Diabetic patients have severe vascular disease and poor blood circulation, which increases the risk of thrombosis and blood vessel rupture.
5. Elderly
As we age, the elasticity of blood vessels decreases, and the risk of intracerebral hemorrhage increases.
6. Patients with severe anemia
Anemia can lead to an inadequate supply of oxygen, which can make cerebral blood vessels vulnerable and increase the risk of intracerebral hemorrhage.
In this incident, does the 24-year-old belong to a special group?
The patient's sister said:
My brother did not have any risk assessment and examination before the tooth extraction, and my brother went for a check-up in May and denied a history of syncope!
In general theory, 24-year-old men should not belong to a special group, but they all have special.
Without adequate risk assessment and examination, it is not known whether he belongs to the high-risk group.
At least under this detail, the hospital was negligent.
What are the conditions that predispose to spontaneous intracerebral hemorrhage?
The source of the picture is the network, and the infringement is deleted
Spontaneous intracerebral hemorrhage refers to the rupture and hemorrhage of cerebral blood vessels due to lesions or abnormalities in the inside of cerebral blood vessels without obvious external causes or trauma.
Here are some conditions that are prone to spontaneous intracerebral hemorrhage:
1. High blood pressure
Long-term hypertension makes the cerebral blood vessel wall thickened and fragile, prone to lesions and the formation of small aneurysms, which eventually rupture and lead to cerebral hemorrhage.
2. Vascular ridge
Cerebrovascular malformation is an abnormal cerebrovascular structure formed during fetal development, such as arteriovenous malformation, arterial cavernous sinus malformation, etc., and the cerebral blood vessels of these abnormal structures are prone to rupture and cause cerebral hemorrhage.
3. Aneurysm
An aneurysm is a local dilatation of blood vessels on the wall of a cerebral blood vessel, which is prone to rupture and cause cerebral hemorrhage due to the weakness of the blood vessel wall.
4. Abnormal platelet function
Platelets are important cells involved in blood clotting and hemostasis, and if patients have abnormal platelet function, such as thrombocytopenia, reservoir disease, etc., it can lead to abnormal blood clotting and increase the risk of cerebral hemorrhage.
5. Anticoagulation therapy
The use of certain drugs, such as anticoagulants such as warfarin and heparin, can prolong blood clotting and increase the risk of intracerebral hemorrhage.
6. 高龄
As we age, the cerebral blood vessels age and harden, vulnerability increases, and the risk of spontaneous intracerebral hemorrhage increases.
7. Substance abuse
Certain drugs, such as cocaine and amphetamines, have stimulant effects that can cause cerebral vasoconstriction and increased blood pressure, increasing the risk of intracerebral hemorrhage.
This 24-year-old young man, whether there is a cerebrovascular malformation and whether there is a problem with the related laboratory tests So far, there is no official data.
But as a matter of common sense, we should know that the probability of a normal person suddenly having a large amount of cerebral hemorrhage after tooth extraction is very low.
Whether it was the young man who concealed the relevant medical history or the hospital was negligent in the process of diagnosis and treatment, and which party concealed the truth, I believe that in the end, the official will have a fair and open investigation conclusion.
In any case, life has withered.
May the living mourn and the departed rest in peace!
Life is not easy, but live and cherish.