The 30-year-old man was run over by a reversing truck, causing particularly serious multiple injuries such as kidney rupture, liver injury, pelvic fracture and spine fracture. Thanks to emergency treatment and timely surgery at Duc Giang General Hospital, the patient has overcome the critical stage and is preparing to be discharged.
On the night of May 29, the Emergency Department of Duc Giang General Hospital received patient H.V.N (30 years old) in a state of severe multiple injuries after a serious accident.
According to the patient's account, while standing at home, he was suddenly hit by a truck reversing and running over him. After the accident, the patient was still conscious but had severe pain in the chest, back and pelvis, and his body was exhausted.
The patient was given first aid on the spot by emergency force 115, intravenous fluids, pain relief and quickly transferred to the hospital.
Upon admission, the patient was in a state of agitation, irritation, pale skin and mucous membranes, rapid pulse, and deep drop in blood pressure. Doctors determined that this was a case of traumatic shock due to very severe multiple injuries, directly threatening life if not treated urgently.
Immediately, the intra-hospital red alert procedure was activated, mobilizing many specialists to coordinate consultations and deploy emergency measures.
Examination and diagnostic imaging results showed that the patient had serious damage to many organs. Among them, closed abdominal trauma caused grade III liver injury, grade V left kidney rupture accompanied by collapse of the renal artery and abdominal hemorrhage.
In addition, the patient also suffered a fracture of the pubic segment on both sides, fracture of the left pelvis, fracture of the left pelvis, fracture of the left pelvic joint; fracture of horizontal protrusions on the right side from the L1 to L4 lumbar vertebrae and fracture of the XI rib on the left side.
Faced with a critical condition, a multi-specialized surgical team was mobilized in the shortest time. The patient was indicated for left kidney removal, abdominal endoscopy for detection and hemostasis, and at the same time to fix pelvic and spinal lesions.
The surgery was directly directed and performed by Dr. Do Minh Tri, Deputy Director of Duc Giang General Hospital. In parallel, the anesthesia and resuscitation team led by BSCKII Le Nguyen An performed intensive resuscitation right during the surgery, placed a central venous catheter, monitored invasive arterial blood pressure, transfused blood, replenished fluid and continuously controlled hemodynamics.
After nearly 3 hours of stress, the surgery was successful, dangerous lesions were treated promptly, helping the patient overcome the critical stage.
After surgery, the patient continued to be monitored at the Surgical Intensive Care Unit and applied modern PCA pain relief methods to effectively control pain and support the recovery process.
By the 10th postoperative day, the patient's health had stabilized. The patient could eat and drink on his own, exercise lightly, have personal activities and have urinary and fecal retention. The patient is expected to be discharged from the hospital in the near future.
