According to information from the National Hospital of Tropical Diseases, N.V.K patient (male), 82 years old in Thai Binh, was transferred to the hospital's emergency department when on the 6th day of dengue fever.At first, he only felt tired and fever, so he went to the medical facility to treat.After that serious symptoms such as 39 ° C fever, platelets decreased deep to only 7 g/l (21 times lower than the minimum), large digestive bleeding caused black stool.
As soon as he was admitted to the hospital, he was appointed platelets to support blood clotting.Although platelets gradually increased and the disease entered the stage of retreat, the condition of bleeding in muscles was still complicated.Blood flows in the muscle tissue walls, legs and left hand, causing the muscles to be tight, intense aches and pains, turning purple.More seriously, the patient lost half the amount of blood in the body.The hemoglobin index decreased from 140 t/l to 70 t/l, pushing the patient into a critical condition.
Photo: BVCC
The patient shared due to the pain that made him unable to move his arm and chest wall, with an increasingly unable to endure.
ThS.BS
Dang Hoang Diep, Department of Emergency, Central Tropical Diseases Hospital said: “HGB hemoglobin (HGB) is an important indicator that reflects the body's oxygen transport ability.When this index decreases, the patient faces a very high risk of death if not intervened in time. ”
By the 9th day of the disease, the condition of the patient has many positive changes.Platelets have increased to 57 g/l, temporarily stabilized gastrointestinal bleeding and no new symptoms of bleeding.However, according to doctors, N.V.K's muscle bleeding still needs to be closely monitored because this is a complication that is difficult to control, cannot be processed by common measures such as circuit or pressed tape.The treatment focuses on blood products to maintain coagulation factors;The stable hemoglobin index ensures enough oxygen supply to the organs.
After half a month of treatment, the patient was discharged from the hospital.The case of patient N.V.K is a warning about the danger of dengue fever, especially complications of bleeding in the muscle.If detected early and treated promptly not only saves the patient's life but also reduces the risk of complications, long -term health protection.Doctor Diep emphasized: “It is important that people need to pay attention to warning signs such as: abnormal bleeding, fatigue, uneasiness or struggle;Difficulty breathing or any abnormal symptoms.Simple signs can quickly progress into serious complications if not handled in time. ”