Phu Tho A 3-year-old boy was playing when he was attacked by two neighbor's German Shepherd dogs, each weighing about 25 kg, causing his right kidney to rupture, leaving him in critical condition.
On April 1, Dr. Nguyen Duc Lan, Head of the Department of Pediatric Surgery, Phu Tho Obstetrics and Pediatrics Hospital, said that the patient was admitted to the hospital in a state of panic, with many injuries to the head, face, groin, back, and legs, and blood in the urine.
The child was given first aid, had his wound cleaned, and was vaccinated against tetanus and rabies. Ultrasound and X-rays were used to assess the extent of the damage, and doctors determined that the child had a ruptured right kidney. A CT scan showed that the child's right kidney had broken into two pieces.
The patient was given a urinary catheter to monitor the color and quantity of urine, used a combination of three antibiotics, and had hemodynamics and blood oxygen saturation monitored. On the second day of hospitalization, the child was transfused with 150 ml of packed red blood cells.
After 4 days, the child is now awake, has no fever, the soft tissue wounds still have little fluid oozing out, the abdomen is not distended, there is pain in the right flank, and the urine is clear.
CT scan shows the patient's right kidney broken into two pieces. Photo: Provided by the hospital
Dr. Lan assessed this as a complicated case, the soft tissue injuries on the skin were not too severe but the abdominal trauma and kidney rupture were serious. The child needed to be closely monitored and treated with emergency surgery if conservative treatment was ineffective.
A week earlier, on March 23, the Department of General Pediatric Surgery admitted a 4-year-old patient who had been bitten by a dog on the head and right arm, with many abrasions on his body, including two lacerations to the scalp, bleeding profusely.
Doctors recommend that parents and caregivers should not let children play with dogs or cats, especially strange dogs or large dogs or cats. When children are bitten by dogs, cats or wild animals, they should be taken to medical facilities for treatment and vaccination.
Dog and cat owners also need to fully vaccinate their pets and have them revaccinated annually as recommended by the veterinary industry. Dogs and pets must not be let loose on the street. Dogs and pets that are taken out on the street must be muzzled to avoid attacking others.
Thuy Quynh
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