Recently, Vinh Phuc General Hospital has received the case of P.T.K.P (11 years old) with serious multiple injuries after a traffic accident.Pediatric patients were hospitalized in a state of coma, pale skin, low blood pressure decreased, blood flowed from the buttocks - biological floor, complicated wounds in the buttocks, coccang bones and groin.
Upon receiving children in the emergency department, BS.Bui Duc Tho has evaluated the seriousness of the condition of the disease with shock of injury - shock of blood loss, the prognosis of the amount of blood is greatly lost and is ongoing, threatening to life, the risk of death if not emergency in time.time.Immediately, intensive emergency resuscitation measures were taken, including placement of endotrach tubes, mechanical ventilation to protect airway, emergency blood transfusion, central transmission lines, use of vasoconstriction drugs.Maintain blood pressure, tape forced hemostasis.At the same time, activating the reddhins of the whole hospital, inviting the hospital leaders and the leaders to conduct direct consultations directly at the hospital bed, making a judgment of the level of damage and planning for treatment.
Pediatric patients are quickly taken to assess the whole body damage, with the abdomen and pelvis is injected with contrast during the shooting process to accurately assess the extent of vascular damage.The urgent consultation took place right at the computer -class cutting room, under the chairmanship of BSCKII.suitable with the leadership of related specialties such as the Department of Heart and Blood Protection, the Department of Neurology, the Department of Orthopedics, the Department of Emergency, the Department of Hematology - Hematology - Blood Transfusion, the Department of Positive Resuscitation - Anti -Poison,... The damage is quickly identified: damage to the pelvic blood vessel system with continuous bleeding, pelvic injuries, pelvis, coccino, spinal damage, spinal tube and especially serious damageThe intake of the abdominal organs such as small intestine, colorectal, complex lesions in the perineal and buttock area, in addition to the traumatic brain injury.Accordingly, doctors agreed on appropriate interventions, surgical surgery and specific treatment plan, combining resuscitation - intervention - surgery, both diagnosis and treatment of lesions,Multi -specialized coordination, applying the most advanced techniques.
After the consultation, the patient is transferred directly from the computer -layer to the heart - blood vessel intervention room at the cardiovascular center.BSCKII.Nguyen Van Huy - Deputy Director of Hospital, Director of Heart Center and BS.Bui Duc Tho - Emergency Department and the crew successfully stopped the blood arteries damaged by biological gelfoam materials under the instructions of the digital angiography machine to erase the platform (DSA), thereby controlling the source of bleedingdanger from shy arteries (in the pelvic artery).
Shortly thereafter, the child was transferred to the Department of Anesthesia to perform two consecutive surgeries.With a group of orthopedic trauma surgery, spinal surgery - nerve surgery led by BSCKII.and strengthen the pelvis.From there, facilitating the next abdominal surgery performed by BSCKII.Nguyen Dinh Phuc - Head of General Department of Surgery as the main surgeon has performed many high and intensive techniques such as restoration of small intestine, restoration of buttock muscles - dead end, rectal hurricane2 -barrel artificial subjects, rehabilitation of anal sphincter and handling complex wounds of the perineal area.
The entire intervention and surgery takes place for more than 7 hours, with more than 2500ml of blood and 1500ml of blood products that are transmitted to compensate for the lost blood.The survival indicators are maintained stably during the surgery.Thanks to the rhythmic coordination, highly unified among specialties, and advanced and intensive techniques have been successfully applied, saving children from "death scythes".
On September 18, the child was transferred to Viet Duc Friendship Hospital (Hanoi) to continue monitoring and treatment.Update the current situation of the child has been withdrawn the intubation, can breathe on its own and wake up.