Emergency care for a patient with a ruptured extra-tertial hives in Bach Long Vy, Hai Phong

Đại An |

Hai Phong - A 44-year-old patient on the island, with an uterine lump and rupture, was treated by the Bach Long Vy Militia Medical Center.

On the morning of October 21, Bach Long Vy Military-Civilian Medical Center (TTYTQDY), in Bach Long Vy Special Zone, Hai Phong City, said: At 2:50 p.m. on October 18, the TTYTQDY received patient Do Thi T, 44 years old, originally from Thanh Binh Ward - Ninh Binh City, currently working in Bach Long Vy Special Zone. About a week before, the patient had a dull abdominal pain and no treatment. When the patient's abdominal pain in the lower abdomen increased, and his abdomen became bloated, the patient went to Bach Long Vy National Center for Hygiene for examination.

At the Medical Center, doctors examined and admitted patients in the following conditions: The patient was alert, contagious, had left-sided abdominal pain in the lower abdomen, had little vaginal bleeding; pale mucous membranes, and normal heart and lungs. Uterine ultrasound did not see the image of the placenta - abdomen with many free fluids, the left secondary part had a block of the road. Clinical examination diagnosed: The outside of the uterus was ruptured.

Dr. Bach Long Vy's National Center for Hygiene and Epidemiology consulted with the entire hospital, asked for consultation opinions with the Deputy Director in charge and agreed to diagnose: Osteoporosis.

The Ministry of Health has resuscitated the patient and mobilized a Live Blood Bank. Through the inspection, there were 2 doctors from the Center with the same blood type as the patient and took 2 units of their blood to infuse into the patient immediately during the surgery. The case is assessed as complicated, dangerous, and has many risks that may occur during surgery.

The Board of Directors of Bach Long Vy Medical Center has agreed to report to the Board of Directors of the Department of Health, leaders of the Special Zone and hold an online consultation with the Obstetrics and Gynecology specialist of Kien An Hospital, and agreed to diagnose and prescribe emergency surgery at the center.

The surgical team included doctors from Kien An Hospital on the island and doctors from the Medical Center. The patient was taken to the operating room for endotracheal anesthesia, after entering the abdomen for examination, there was a large amount of blood in the abdomen, and a mass was found on the left side of the abdomen that had broken and was bleeding. The surgical team took a clip, cut the heavily damaged part, and stopped the bleeding. During the surgery, about 1,200ml of blood and 50gr of blood clots were sucked.

After about 1 hour, the surgery was successful, and the patient was temporarily stable. The patient was monitored for an escapade and transferred to the resuscitation room for further monitoring and treatment.

Đại An
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