On January 20, Quang Tri Provincial General Hospital confirmed that the unit had just successfully intervened and treated a case of coughing up lightning on the background of bronchial dilation and pulmonary tuberculosis sequelae.
Previously, patient N.V.D (71 years old, residing in Cam Lo commune, Quang Tri province), was taken to Quang Tri Provincial General Hospital in a state of coughing up fresh blood in large quantities, at times over 300 ml per cough. The patient has a history of pulmonary tuberculosis and completed the treatment regimen 3 years ago.
Immediately upon admission, doctors performed emergency care, stabilized the condition, and at the same time performed necessary tests and performed a CT scan of the pulmonary blood vessels. The results showed signs of severe injury, forcing the hospital to organize an inter-departmental consultation between the Department of Tropical Diseases, Image Diagnosis and the Cardiovascular Intervention Unit.
Through clinical assessment and imaging, the patient was diagnosed with coughing up lightning on the background of bronchial dilation and pulmonary tuberculosis sequelae. Faced with critical developments, the patient was urgently transferred to the Cardiovascular Intervention Department (DSA).
The intervention team proceeded to node the bronchial artery on both sides and the right intercostal artery by nodules. After intervention, the bleeding artery branches were completely blocked, and the coughing up blood was effectively controlled.
After 2 weeks of treatment and monitoring at the Department of Tropical Diseases, the patient recovered well, no longer coughing up blood, stable health and was discharged from the hospital.
According to doctors, lightning coughs often occur in patients with a history of pulmonary tuberculosis, bronchospasm or pulmonary vascular abnormalities. This is a very rapid progression, with a high risk of death if not treated promptly.