Recently, the Central Tropical Diseases Hospital informed about H. patient, 65 years old, in Bac Ninh, hospitalized on June 27.Patients with a history of diabetes and hypertension.About 8 days before hospitalization, the patient was crashed into the right finger and treated itself with water and personal tape, leading to a festering wound.
The patient went to the medical facility in a state of difficulty opening his mouth, hard jaw was then introduced to the National Tropical Diseases Hospital because of the suspected tetanus.Patients were hospitalized in a state of tetanus clearly with specific manifestations: hard jaw, mouth opened 1 cm, increased body tone of severity (body spasticity), with convulsions on seizuresAnd chest blockers cause shortness of breath (signs of respiratory muscle damage).Immediately the patient was rescued by the emergency intubation, using a variety of sedatives to relieve pain and muscle relaxation to control seizures.
Directly treat patients H, Doctor Nguyen Duc Minh, Department of Emergency - Central Tropical Hospital shared: "In the early stages of the disease (acute phase), convulsions, disordersmuscle tone and plant neurological disorders are very severe.Control sedation, control of convulsions with many types of sedatives, muscle relaxation, different pain relief and antibiotic use to treat infections. "
After a month of active treatment, the patient gradually stabilized, completely stopped sedative drugs, muscle relaxation, ending spasticity and muscle convulsions.The patient's renal function has also returned to normal, the patient was able to breathe and control the infection and functional disorders attached.
Dr. Minh interpreted: People with tetanus often have the initial manifestation of jaw and difficult to open their mouths, then spread to the muscles that make the patient unable to walk.In severe cases, the disease can lead to stiff convulsions, if not treated promptly, it will lead to respiratory failure and quickly die from chest with hardness, fracture, muscle breaker.
The tetanus incubation period can last from a few days to several months.Therefore, people need to pay attention to tetanus vaccination, especially when exposed wounds.The self -handling of wounds at home can lead to serious and life -threatening complications.In case of tetanus suspected, it is necessary to immediately go to the medical facility for timely examination and treatment.
For people with tetanus after being discharged, Dr. Minh emphasized: “The patient needs to repeat the vaccine after 1 month of the hospital and repeat after each year or 10 years, or immediately after the exposed wound is infected.New dirty.
Thus, tetanus has 3 stages: acute phase, recovery and backup period to avoid recurrence.The severity of the relapse will depend on the patient's location and the contaminated properties of the wound.Most of the tetanus patients experience muscle weakness due to long lying, poor nutrition, absorption disorders in tetanus disease and muscle atrophy.These cases have been recovered for quite a long time.
Therefore, it is necessary to supplement positive nutrition by eating sugar, sugar and recovery... "
Wed Jul 31 2024 17:48:57 GMT+0700 (GI ờ Đ+0700 (GI ờ Đ ô