The Department of Pediatric Intensive Care - Duc Giang General Hospital (Hanoi) has just received a 5-month-old patient in critical condition.
For the previous 3 days, the child had a high fever of 39-40 degrees Celsius, vomited 5-6 times/day, and had loose stools. The family did not take him to the doctor or for treatment. When admitted to the hospital, the child turned purple, breathed quickly, had difficulty catching pulse, and had cold hands and feet. Doctors determined that the child was in septic shock - sepsis, suspected sugar entering the body from the digestive tract. The team immediately resuscitated: Place an endotracheal regimen, take a ventilator, place a central vein catester, quickly route the anti-shock fluid, use vasopressors and antibiotics early. For many hours, doctors took turns monitoring each breathing rhythm and each sign of survival.
Despite active measures, children still have high fever, unstable blood dynamism, and kidney function is gradually deteriorating. After consultation, the team decided to continuously filter blood - a modern resuscitation technique to help remove toxins, balance alkaline Tan, and temporarily replace kidney function. After the blood filtration, the child's fever decreased rapidly, circulation and respiratory condition were stable, and the metabolic condition gradually improved.
The baby received comprehensive care, combined with respiratory and cardiovascular resuscitation, infection control and blood filtration for the first 40 hours. However, kidney function has not recovered, so they continue to filter blood.
After 13 days, the kidneys gradually became active again, and urine levels gradually increased. The child was taken off a ventilator, had his endotracheal tube removed, and after 23 days of treatment was discharged in a healthy state.
Dr. Nguyen Thi Lan Anh - Department of Pediatric Intensive Care (Duc Giang General Hospital) shared: The blood filtration time lasts 13 days, requiring perseverance and close coordination. This success affirms the capacity to treat serious and critical cases at the department.
The patient's family has difficult circumstances and language barriers, so the treatment process is further hindered.
Doctors recommend that when children have a high fever, vomiting a lot, diarrhea, feeding, rapid breathing, purple skin or perception disorder, they should be taken to the hospital immediately. Do not arbitrarily treat at home because the disease can progress rapidly and is critical.
