Children are monitored actively treatment at the hospital.Photo: BVCC
Exploiting the history of the history, the patient has continuous high fever, does not meet the antipyretic, the family gives medicine to buy medicine at the Western pharmacy.On the third day, the patient vomited, was taken to the local hospital with diagnosis of dengue monitoring of outpatient treatment.
When returning home, the patient continued to have fever, vomiting, and cold hands and feet, so they continued to enter the local hospital in the state of non -caught vessels, the blood pressure could not be measured.Children were diagnosed with severe dengue shock, shockproofing were transferred according to the regimen and transferred the city's Children's Hospital.
Here, recorded mild vascular patients with cool limb, 80/60mmHg clamp blood pressure, floating skin, skin color recovery lasted for 3-4 seconds.Doctors diagnosed severe dengue dengue dengue shock, anti -shock infusion according to the regimen, using circuit under the direction of central venous pressure measurement (CVP) and invasive arterial blood pressure.
Pediatric patients are severe, prolonged shock, coagulation disorders, gastrointestinal bleeding, respiratory failure, doctors immediately conduct positive shock resistance, put internal tremons to breathe, blood transfusion, plasmaCold cave, cold precipitation, platelets concentrated.Clinical progression of children complicated, severe liver liver damage (liver enzymes> 2000 ĐV/L, blood creatinine> 250 micromol/l), continuous dialysis, liver support treatment.
Pediatric patients show signs of hospital infections should continue to treat organs and use broad spectrum antibiotics.
The result after nearly 3 weeks of treatment with 6 continuous dialysis, supporting the organs, the situation of the patient improves gradual urination, the function of liver and kidney returns to normal, has a breathing machine, alert.
Through the case of the above patients, doctors recommend: families need to kill mosquitoes, larvae, sleep and need to monitor early signs of dengue fever to take children to medical facilities in time in time..