Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Brainstem bruising caused by a car accident nine days ago and has not woken up. Conservative treatment is not working. My brother has been undergoing conservative treatment at a municipal hospital. What are the chances of waking up like this? What are the chances of waking up? Can’t we treat him in other ways? For example, going to a large hospital to understand surgery or something like that. The family is worried that his condition is getting worse. Thank you for your help, kind doctors. Hospital neurosurgery experts: in view of the limited information, only a little information, the current scope of neurosurgery, brainstem injury, or bleeding, whether caused by primary cerebral hemorrhage vascular lesions, or trauma, are rarely surgical intervention, even if the surgical intervention, there is a time limit, on the information you provide, the patient’s condition has not changed, the best time for surgery has passed, the coma does not wake up with The relationship between the hematoma and may also be in the most important factors leading to coma, but do not exclude diffuse axonal injury caused by brainstem injury, (there is still the possibility of ischemic hypoxic cerebral infarction, etc.) Both cases are very difficult problems within the scope of neurosurgical treatment. Patients with heavy reactions, poor prognosis and unclear outcome, so far, no clear treatment options are available. Only neurotrophic drugs can be applied to improve the situation, acupuncture/Chinese medicine treatment, music therapy, hyperbaric oxygen therapy, etc. The specific situation has to be combined with clinical. (If it is suitable for surgery, few people in China can currently carry out brainstem surgery, the surgical site directly on the center of life, the choice of surgical indications, the problem of post-surgical response, not, the patient woke up after surgery, and it seems that your current situation, even if surgery, for the recovery of wakefulness is not very helpful, the primary damage to the bleeding site already exists, which is the main reason for the coma does not wake up, and its Because it has been nine days, the patient’s wakefulness is currently pending comprehensive therapeutic measures) Patient: It seems that it is only up to him, no one can help him. Thank you kind doctor, your whole family is healthy and happy. Hospital neurosurgery experts: do not be discouraged, the treatment is difficult, does not mean that there is no treatment significance, young people are highly plastic, the possibility of recovery of neurological function, the best recovery period of 6 months, the recovery effect during this period largely reflects the patient’s final prognosis, the acute phase can be integrated neurotrophic drug applications to improve the situation, acupuncture / Chinese medicine treatment, music therapy, hyperbaric oxygen therapy, etc., to wait for the condition After stabilization, the patient can be discharged from the hospital for rehabilitation (acupuncture/Chinese medicine, music therapy).