At noon on November 20, Can Tho General Hospital said that it had just performed emergency surgery to save the life of a patient with a punctured heart wound.
Accordingly, on the afternoon of November 15, the Hospital received patient D.V.T. (54 years old, Can Tho City) was in a state of drowsiness after a fight suspected of having a punctured heart.
About 30 minutes before being admitted to the hospital, the family said the patient had been stabbed with an unknown object after fighting with another person. Relatives discovered the patient lying motionless and did not respond to calls, so they took him directly to the Emergency Resuscitation Department of this Hospital.
The patient had difficulty breathing again, wheezing, pulse, blood pressure could not be measured, and a heart disruption.
The doctor performed an endotracheal placement and established an emergency blood transfusion line. Examination of the area in front of the heart at the 6th interlace of the left mediastinal cord with a wound about 1cm and bleeding profusely. admitted to bed with thrombosis and congestive heart disease, signs of acute congestion.
Conduct an emergency consultation with a diagnosis of a punctured heart wound causing acute congestion; perform emergency surgery; transfer to the operating room. The patient had cardiac arrest and an external cardio in the chest with a disjointed heartbeat.
Proceeding to open the left chest: the heart muscle is tight, the heart stops beating, open the heart muscle. In the congestive cavity, there were about 500ml of blood thinning and lumps, the wound perched about 1cm in the right mediastinal cavity and perched the left lung.
The surgical team treated the heart wound, directly massaged the heart, and the heart beat again. After 1 minute, the heart beat steadily, the heart rate was 100 times/minute, blood pressure was 100/60mmHg. Next, the team sutures the local wound on the left lung; carefully collects the pericardum, chest wall, plays the left pleural cavity, and closes it into the chest.
After 24 hours of monitoring, the patient is now conscious, the drainage is not moving blood, blood pressure is within normal limits. The patient was further monitored in the Intensive Care - Anti-Poison Department.
According to Can Tho General Hospital, this is an emergency emergency emergency, if the chest is not opened promptly to remove the ap drive of the heart cavity and suture the heart wound, it will certainly die.
