Saving a girl with severe dengue shock

The doctor is examining and treating the child patient.

According to the patient's family, the child had a high fever for 3 consecutive days. On the 4th day, the child had a stomachache, vomited brown mucus, and had cold hands and feet, so the family took the child to the local hospital.

Here, the baby's pulse was weak, his limbs were cool, his blood pressure dropped to 70/50 mmHg, and he was diagnosed with severe dengue shock on the 4th day and was treated with anti-shock fluids according to the protocol. After that, the baby's condition worsened, showing signs of respiratory failure, blood clotting disorders, gastrointestinal bleeding, and severe liver damage, so he was transferred to the City Children's Hospital.

At the City Children's Hospital, the patient was diagnosed with severe dengue shock, blood clotting disorder, gastrointestinal bleeding, liver damage, severe respiratory failure. Doctors continued to infuse high molecular weight dextran 40 10%, albumin 10%, anti-shock with the support of invasive arterial blood pressure measurement equipment, central venous pressure measurement, bladder pressure measurement, and combined use of vasopressors.

The patient was supported with continuous positive airway pressure, non-invasive ventilation, then intubated early, and had peritoneal drainage to relieve pressure. Coagulation disorders and severe gastrointestinal bleeding were treated with blood transfusions, fresh frozen plasma, cryoprecipitate, platelet concentrate, vitamin K1, and liver support treatment. After nearly 2 weeks of treatment, the child gradually recovered, was weaned off the ventilator, was alert, and liver and kidney function returned to normal.

THANH SON

Source: https://www.sggp.org.vn/cuu-song-be-gai-bi-soc-sot-xuat-huyet-nang-post791701.html