Female patient L.T.T.T, 36 years old, residing in Hanoi, has overcome a critical condition in a deep coma and extendedendocystic assist, a typical sign of acute brain blockage. The case was successfully treated at the Central Hospital for Tropical Diseases.
According to information from the family, the patient drank alcohol at noon and drove home by himself. That evening, the patient went to sleep normally, but the next morning, relatives discovered many vomiting scars in the room and the patient did not react. When taken to the hospital, the patient fell into a deep coma. The disease progressed silently at night, making it impossible for the family to predict the severity of the condition.
At the Emergency Department (Central Hospital for Tropical Diseases), patients only have 8 points on the Glasgow scale, showing a serious decline in consciousness. The male will dilate by 2.5mm, reflecting weak light - a sign of central nerve damage and increased severe endoscopic pressure. In critical condition, the patient was placed with an endotracheal tube to protect the airways, used anti-encepathy drugs and transferred to an emergency CT scan of the skull.
CT images showed a large blood clot in the rightcewel, spreading to the amniotic sac, measuring up to 6.8 x 8cm. In particular, the path in the mid-brain is nearly 1cm wide, warning of rapidly proceeding brain congestion. This is a situation where every minute can lead to irreversible brain damage or death if not intervened promptly.
That same night, the hospital's cranial surgery team was mobilized. The patient had a scalp removed, bone drilled and skull marrow removed to remove the entire hematoma, stopped the bleeding carefully and restored the subcutaneous organization. Thanks to timely intervention, the patient was out of danger.
BSCKII Ta Viet Phuong said: This was a large-sized and large-scale endocrinological thrombosis, a cerebral hemorrhage due to a rupture of a cerebral artery on the basis of a patient with high blood pressure and obesity. If not operated on promptly or the transportation process was not guaranteed, brain stuckness could occur on the road and lead to death. On-site surgery decided to save the patient's life".
The doctor also emphasized that not every medical facility is capable of performing emergency brain surgery. Transferring people to a hospital in such cases can significantly reduce their chances of survival.
In addition to acute damage, the patient's obesity (weighing more than 100kg) is a major risk factor for cerebrovascular diseases. This case is a warning about subjectivity in health care, especially for people at high risk such as being overweight, frequently consuming alcohol, high blood pressure or suffering from metabolic diseases.
