Rescuing a Russian patient with a punctured heart, carrying an extremely rare blood type

Phương Linh |

Khanh Hoa - Russian patient with punctured heart, O Rh blood type - extremely rare, was saved by doctors at Khanh Hoa General Hospital.

On June 3, Khanh Hoa General Hospital said it had just successfully saved a Russian male patient with a punctured heart in critical condition.

Previously, at about 10 am on June 2, the hospital received an inter-hospital red alert about a 32-year-old young man, Russian nationality.

The patient was transferred in a state of severe shock, respiratory failure, severe circulatory failure, pulse and blood pressure were almost undetectable, skin and mucous membranes pale and unable to breathe on their own.

Through examination, doctors discovered many wounds on the body. Among them, the most serious was a tear about 3cm long in the intercostal cavity No. 3, the left median line.

In particular, patients lose a lot of blood but have Rh-O blood type, an extremely rare blood type in Vietnam, accounting for only about 0.01% of the population, making it difficult to mobilize compatible blood.

Immediately upon receiving the information, Khanh Hoa General Hospital activated the red alert, mobilized emergency teams, bedside ultrasound, surgery and resuscitation to be on duty to receive patients.

Assessing this as a particularly critical case, the doctors decided to transfer the patient directly to the operating room for emergency breast augmentation surgery. During the surgery, the team discovered that the patient had a perforated pericardium with a laceration about 2cm wide.

Recognizing that the heart damage was more complicated than expected, doctors continued to open the thoracic median thorax to fully approach. A team of 7 medical staff from the Thoracic Surgery Department and the Anesthesia and Resuscitation Department raced against time to save the patient's life.

In parallel with the surgery, the hospital coordinated with the Center for Emergency Hematology and Blood Transfusion to mobilize 2 more units of O Rh blood for treatment.

After more than 2 hours of surgery, doctors sewed and restored the damage to the right ventricle wall, controlled the internal thoracic artery, cleaned the pleural cavity, placed drainage and treated other complex lesions.

By the first post-operative day, the patient was completely awake and could talk normally. Currently, the patient's health is progressing well and continues to be monitored and actively resuscitated.

Phương Linh
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