H hospitalized in critical condition
Patient T.V.C, residing in Gia Lam (Hanoi), was transferred to the hospital in a state of severe abdominal pain, difficulty breathing, fatigue, and deep low blood pressure. Two days before, the patient had pain in the epigastric region spreading to the back, fever and difficulty breathing gradually increasing.
Upon admission, the patient had a high fever, purple, rapid breathing, very low blood pressure and signs of acute respiratory failure. Doctors noted that the patient had many underlying diseases such as diabetes, chronic gout, adrenal insufficiency due to long-term drug use and especially a history of prolonged alcohol consumption - factors that make acute pancreatitis progress severely and quickly.
Test results showed many dangerous indicators: createdinin 199 μmol/l, lactate 16.3 mmol/l, procalcitonin 85.1 ng/ml. The patient quickly fell into multiple organ failure, requiring emergency intensive resuscitation intervention.
Applying high techniques to regain life
Immediately, the team placed an endotracheal aid to help with traditional ventilation, epidemic control, maintaining two high-dose vasopressors, using broad-spectrum antibiotics and especially applying continuous blood filtration - a high technique to help remove toxins and cytokines that cause inflammation, restore endothelial balance for the body in cases of severe septic shock.
After nearly three days of blood filtration and intensive care, the patient's condition improved significantly: The patient was alert, blood pressure was stable, blood filtration stopped, the vasopressors were removed and the ventilator began to stop. By the third day, the patient had had his endotracheal tube removed and was transferred to low-flow oxygen.
In the following days, vital signs gradually returned to normal, the patient had no fever, stable blood pressure, a soft abdomen and could eat better. Currently, the patient is completely alert, breathing is stable and continues to be monitored at the department.
According to doctors, acute pancreatitis - especially in people who have been drinking alcohol for a long time or have underlying diseases such as diabetes, gout - can progress extremely quickly and threaten their lives if not detected and given timely emergency care.
