Persistent coma + Severe renal insufficiency

How should it be treated, exactly?

Patient Ms. Zhang has encountered just such a dilemma.
 

Ms. Zhang, postoperative cerebral hemorrhage In a comatose state

and Accompanied by generalized edema

To wake up soon

Transferred to Nanjing Zijin Hospital for treatment.

The laboratory test report upon admission showed

Cardiac, hepatic, and renal functions all show significant abnormalities.

Multi-organ damage

Among them, creatinine and creatine kinase

They reached 353.7 µmol, respectively. /L , 5610.4 U/L

Close to dialysis criteria
 

For patients who are unconscious following surgery for cerebral hemorrhage

The optimal rehabilitation period is within three to six months.

However, for patients with severe renal impairment as a comorbidity,

What treatment would be most beneficial for her?

Ultimately Following a multidisciplinary expert consultation.

Decision Administer “hydration therapy”

Administer symptomatic supportive treatment, including dehydration therapy and fluid replacement.

Severe renal dysfunction

Convert to medical treatment
 

In just about a week

Ms. Zhang’s test results have all returned to normal.

Three weeks later, Ms. Zhang regained consciousness!

The biggest challenge has already been resolved.

Currently undergoing further rehabilitation treatment.