Severe hemorrhagic fever shock warning risk of death

Doctors recommend dengue fever is still peak, if subjective will make the disease severe, difficult to cure.

Children's Hospital 1 Ho Chi Minh City has timely cured for 1 patient with severe black hemorrhagic fever, multi-organ damage risk of death. Male patient 11 years old, living in Binh Tan district, TP. HCM high fever for 3 consecutive days. Families who go to private doctors are warned to have dengue fever.

By the 4th day, before the re-examination was completed, the baby became very tired, lethargic, black pepper stools. Hospital Admission for Children 1, doctors identified patients with severe black hemorrhagic fever shock, the highest severity in dengue fever with signs of heart failure, uncontrollable pulse. Through testing, patients suffered from multiple organ damage, such as gastrointestinal bleeding, respiratory failure, liver and kidney damage, coagulopathy .

Doctors quickly resuscitated shock by infusion, using vasopressors, then were supported by mechanical ventilation to treat severe respiratory failure . Children received blood transfusions and preparations blood to treat gastrointestinal bleeding, coagulation disorders. In addition, doctors must conduct dialysis to correct liver and kidney failure.

Hospitals are overloaded because of the number of people hospitalized for dengue treatment.

Dr. Pham Van Quang, Head of Active Resuscitation Department, Children's Hospital 1 said that doctors must treat within 23 days to retain the life of the patient. This is one of the longest treatments in dengue shock . Because this patient is overweight, making treatment difficult.

The baby is only 11 years old but weighs 61kg, while the volume of blood is still the same as normal babies, the weight-based infusion makes overload, the access to the vein also becomes difficult for doctors to do Emergency recovery procedures. Doctors have used the highest medical techniques to save the lives of patients.

Over 3 weeks of treatment, the health of recovering patients, respiratory organs, circulation, liver, coagulopathy has returned to normal. Only kidneys are abnormal, but the child has urinated well, the prognosis will be quickly removed. After more than a few weeks the patient can leave the hospital.

In addition to this patient, at Children's Hospital 1, there are 4 patients with dengue fever shock that have just been treated in the Department of active resuscitation similar to the signs of worsening.

Dr. Quang recommends : 'Currently still high on dengue fever, parents are not subjective, especially in the condition of bright sunlight, erratic rainy afternoon, attention should be paid to avoid the shock of children. hemorrhage. If fever comes on the 3rd day, think about dengue fever. If accompanied by bleeding spots in the skin, or accompanied by a nosebleed, bleeding from the teeth, black stools, tiredness, weakness, cold hands and feet, then quickly take them to the hospital, not to leave the day 4th will be very dangerous'.

From the beginning of the year until now, TP. Ho Chi Minh City has nearly 15,500 cases of dengue, an increase of 15% over the same period last year. In which, there were 5 deaths, up 3 cases over the same period. So far, 13 districts have sanctioned 249 cases of non-compliance with dengue epidemic prevention, of which 85 were sanctioned in September alone.