The patient is Major, physician D.V.C (born in 1985), working at a Southern unit. The patient has a history of chronic hepatitis B, is monitored periodically and given antiseptic drugs to control the disease. However, in the past month or more, due to being busy participating in many tasks, I stopped using antiseptic drugs. A few days before being hospitalized, he appeared tired, loss of appetite, and jaundice. When he arrived at Military Hospital 175, the test showed high liver enzymes and bilirubin, rapidly declining liver function.
In less than 2 days, the patient was away from consciousness and into a liver coma (C developed as a grade IV liver syndrome due to poisoning), accompanied by severe blood clotting disorder. Biological indicators show that acute liver failure on the surface is progressing very quickly, and the prognosis for death is almost certain. The professional council determined that emergency liver transplantation was the only solution to save the patient's life.
During the moment of life and death, her biological brother (born in 1981) volunteered to donate his liver to save her. In less than 48 hours, Military Hospital 175 completed the entire screening, consultation and surgery preparation process.
The surgery was conducted under the direct direction of the Hospital's Board of Directors, along with professional guidance from the 108 Central Military Hospital, the final unit for organ transplantation in the Army. The surgery lasted more than 8 hours, mobilizing hundreds of doctors and technicians from many specialties.
As a result, the transplanted liver leaves functioned well immediately after surgery. After only 24 hours, the patient was conscious and the recovery indicators were positive. The liver donor is currently in stable health and has returned to normal activities.
"The patient's acute liver failure progressed very quickly, especially a brain poisoning condition, although the patient was constantly replaced with huyet tuong and blood filtration, so the prognosis at that time was extremely poor. If not an emergency liver transplant, the patient will die in a short time. This is truly a race against death," said Major, Doctor of Medicine Nguyen Van Manh, captain of the liver transplant team.
This is the 9th successful liver transplant at Military Hospital 175. If in the first liver transplant, the team of experts from the 108 Central Military Hospital supported up to 15 experts, then the number of experts participating has now gradually decreased.
According to Doctor - Major, Master, Doctor.CKI Nguyen Van Manh, Military Hospital 175, acute liver failure is a condition of mild disorder of awareness ranging from mild to deep coma, caused by the accumulation of toxins (especially am ammonia) because the liver no longer has enough function to detoxify. This is a serious complication, often accompanied by blood clotting disorder and a high risk of death.
In this case, in just a short time since the start, the patient fell into a state of serious brain poisoning, liver coma and had to use a ventilator, which reflected a very rapidly progressive acute liver failure, the patient's liver almost completely lost function. If liver transplantation is not done promptly, this poisoning will lead to serious physical damage to the brain such as cerebral edema, cerebral herniation... leading to death.
