Taipei City Deputy Mayor Collapses at Dinner 北市副市長蔡炳坤昨餐敘不適 緊急送醫

Taipei City Deputy Mayor Tsai Ping-kun was rushed to the emergency room after collapsing at a dinner on July 11. Tests revealed he'd suffered a massive brain hemorrhage and midline shift, and doctors performed emergency surgery. Tsai is currently in the ICU and will be closely monitored for the next week.

Taipei City Deputy Mayor Tsai Ping-kun collapsed at a dinner on the 11th. He was rushed to the emergency room but was unconscious when he arrived at the hospital. A CT scan and other tests revealed a massive brain hemorrhage and midline shift. Doctors immediately operated on him. The surgery lasted 90 minutes.

Lin Wen-hsiung, Neurosurgery Chief, Taipei City Hospital Renai Branch: “He is currently under palliative sedation, so his coma scale number isn't all that important. We are closely monitoring his intracranial pressure.”

Hospital officials say Tsai had a right brain hemorrhagic stroke, his intracranial pressure and blood pressure will be closely monitored for the next week. The Renai Branch of Taipei City Hospital has tasked a team of medical professionals to care for him. One doctor says a midline shift caused by severe bleeding results in extreme pressure on the brain, and Tsai will have to be closely monitored for the next week. If his condition improves, the chances of a recovery are higher. If it doesn't, he may not make it or may remain in a coma permanently.

Lin Wei-wen, Cardiology Chief, Taiwan Adventist Hospital: “A midline shift is extremely dangerous. Without immediate intervention to relieve intracranial pressure, it could be fatal or cause permanent and severe damage.”

Ko Wen-je, Taipei City Mayor: “We have SOPs for everything we do. Each of our deputy mayors has a deputy secretary-general under them that can take over when a deputy mayor is unavailable.”

Asked who will take over Tsai's duties, Taipei City Mayor Ko Wen-je said the city has SOPs in place and Tsai's deputy secretary-general will take over his responsibilities for the time being.

台北市副市長蔡炳坤11日晚間陪同市長柯文哲出席餐敘時，突然不適倒下、緊急送醫，到院時意識不清、血壓偏高，進行電腦斷層等檢查，結果呈現右側大腦大片出血合併中線偏移，隨即進行開顱手術，手術時間約1.5小時。

仁愛院區神經外科主任林文雄說明：「目前在鎮靜治療狀況之下，病人大概就是處於一個深度昏迷的狀態，所以比如說昏迷指數，那些都不是非常的重要，主要是看他的顱內壓的狀況。」

針對蔡炳坤病情，院方表示，右側大腦出血性腦中風，未來一週是關鍵觀察期，將會重點觀察腦壓及血壓，目前仁愛院區已經組成醫療小組積極照護。醫師分析，大量出血造成中軸線偏移，影像學上表示腦壓非常高，未來一週要持續觀察意識變化，症狀若有改善預期樂觀，反之若無改善，最嚴重可能導致死亡或是植物人。

台安心臟內科主治醫師林謂文指出：「中軸線偏移的話，就代表腦可能會被壓扁，會非常危險，如果沒有緊急減壓的話，有可能會有生命上的危險，那就算沒有生命上的危險，將來可能會留下比較嚴重的後遺症。」

台北市長柯文哲回應：「事實上我們之前就有一個代理系統，我這個人做事都有sop的，因為我們每一個副市長下面有副秘書長，所以理論上副市長不在，副秘書長可以take over（接手）。」

台北市長柯文哲表示，已經討論要啟動工作代理系統，通常是由副秘書長頂替副市長工作，不會讓北市府工作運轉受到影響。