Friday , October 22 2021

The surgeon must change the patient's head surgery



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In women, bleeding in the abdomen bleeds, forcing the doctor to act in the head of the patient and in the blood stream.

On January 24th, doctors at the Thoracic Cardiovascular Surgery received an emergency call from the Emergency Service, stating that a 66-year-old patient was in a critical condition.

The patient came to the hospital with abdominal pain, diarrhea, low blood pressure, suspected abdominal aneurysm. In the emergency department, patients with abdominal pain, vomiting, shortness of breath, blood pressure 90/60 mmHg retained vasomotor. Tomography results showed that an artery aneurysm of the artery with a diameter of more than 9 cm increased the image of the aneurysm, a large retroperitoneal hematoma, a free liquid in the blood.

Doctors in the two departments have consulted and decided to treat patients in emergency situations.

The patient is stable after surgery. Photo: Hoa Le.

The patient is stable after surgery. Photo: Hoa Le.

Doctor Han Van Hoa directly led the patient, said the operation of abdominal aortic aneurysm was very complicated, the operation to break the abdominal aneurysm was even more difficult. Drama occurs when patients are not anesthetized, blood pressure continues to drop to 50/30 with 3 vasomotor drugs.

"We've just revived, anesthetized, and acted. To keep the patient's brain anemic, the crew had to work for 45% of patients with headaches, a rapid flow of blood through 3 vasomotor doses.", Said Dr Hoa.

Sequential difficulty in opening your abdomen, the curvature is too large, the blood flows into your stomach. The crew just took his hand to hold the curvature without bleeding and quickly found the aorta, blood vessel clamp. To quickly find and control ships to avoid kidney damage, kidney veins, duodenum, urethra … is a great challenge not only for provincial doctors, but also for leading vascular surgery experts. .

After 4 hours the operation was successful. The patient is transferred to active cardiopulmonary resuscitation, hemodynamic stability.

"The patient had to transfer 3 liters of red blood cells, 1.6 liters of plasma, 450 ml of platelets, almost blood replacement during and after surgery to support blood loss and coagulopathy," Dr. Hoa shared.

After 10 hours of active resuscitation, helping the ventilation, the patient was fully awake without complications. On day 6 after surgery, the patient went back and forth, eating normally. This is the second case that the Cardiothoracic Surgery Department – the chest has met and successfully rescued.

Le Nga