The patient is Mr. C.Q.K (39 years old), with a history of chronic hepatitis B but has not been fully treated for viral control. About a week before being admitted to the hospital, the patient showed symptoms of fatigue, loss of appetite, jaundice, then quickly progressed to severe, was treated at a frontline hospital and transferred to major hospitals in Ho Chi Minh City.
When transferred to Military Hospital 175, the patient fell into a chronic acute liver failure caused by the hepatitis B virus, accompanied by severe blood clotting disorder, brain poisoning, deep coma, and having to use a ventilator. Biological indicators show that the disease progresses very quickly in just one week. The professional council determined that an emergency liver transplant is the only solution to save the patient's life.
At the difficult moment, no relatives in the patient's family had a blood type suitable for liver donation. However, a noble gesture appeared when a first-year university student, who had a long-standing relationship with his family, voluntarily donated part of his liver to save the patient's life.
Within just over 48 hours, Military Hospital 175 urgently completed the entire process of evaluating, screening donors - recipients, professional consultations, legal documents and preparing for surgery in accordance with regulations and strict standards.
The liver transplant was performed overnight, under the direct direction of the Board of Directors of Military Hospital 175, with professional guidance from the 108 Central Military Hospital, mobilizing hundreds of officers, doctors and medical staff from many specialties. The surgery lasted more than 10 hours overnight, in a patient's condition of deep coma and mechanical ventilation, posing many potential risks.
As a result, the transplanted liver leaves functioned well immediately after surgery. The patient recovered positively, gradually stabilizing vital signs. The liver donor is currently in stable health and is closely monitored according to professional procedures.
Sharing about the case, Major, Doctor CKI Nguyen Van Manh - Head of the liver transplant team said: "The patient was transferred to Military Hospital 175 in a state of acute liver failure, deep coma, and mechanical ventilation for many days. This is a case with a very poor prognosis, and our time is almost equal to the number of hours.
Emergency liver transplantation in this context is a huge challenge, not only in terms of surgical techniques but also in resuscitation, infection control and multidisciplinary coordination".
According to doctors, the patient fell into a coma and on a ventilator for the fourth day - a very unfavorable factor, increasing the risk of infection after the transplant, especially pneumonia. If liver transplantation is not done promptly, the patient can quickly fall into a serious infection and lose the opportunity for a liver transplant, leading to death in a short time.
