Many people with severe pneumonia need ventilators, experts warn about prevention

Báo Gia đình và Xã hộiBáo Gia đình và Xã hội15/01/2025

GĐXH – According to doctors, pneumonia is not only a common disease but also especially dangerous for people with underlying diseases or immunodeficiency. If not treated promptly, the disease can lead to many dangerous complications.


On January 15, the Central Hospital for Tropical Diseases informed that this unit is treating nearly 20 pneumonia patients, including severe cases requiring ventilators and continuous blood filtration.

Pneumonia cases have been reported in people of all ages, including the elderly, people with underlying medical conditions, immunocompromised patients, and children.

A typical case is a 62-year-old male patient in Hanoi. The patient was admitted to the hospital in a very serious condition: severe difficulty breathing, purple lips, blurred consciousness, and an SPO2 index of only 47% - much lower than the normal level of over 92%.

Previously, he had chronic obstructive pulmonary disease (COPD) for more than 10 years, regularly using corticosteroid-containing inhalers at home without following regular treatment.

Thời tiết thay đổi, nhiều người mắc viêm phổi nặng phải thở máy, chuyên gia cảnh báo cách phòng ngừa- Ảnh 1.

Many patients with severe pneumonia require ventilators and dialysis. Photo: BVCC.

About a week before being hospitalized, the patient had contact with a relative with the flu, then developed symptoms of high fever, increasingly severe shortness of breath, accompanied by cough and thick phlegm.

Upon admission, the patient was diagnosed with severe pneumonia, influenza A infection, and Aspergillus infection (a serious consequence of prolonged corticosteroid abuse, severely weakening the immune system).

At the hospital, the patient is placed on a ventilator to maintain breathing. Doctors also use broad-spectrum antibiotics to fight infection and antifungal drugs to kill the lung fungus.

After a week of intensive treatment, the patient's condition improved. However, the patient is still being closely monitored to prevent complications from recurring.

Another case also hospitalized due to severe pneumonia is Mr. NVT (48 years old, Thanh Hoa). The patient came to the hospital in critical condition after 3 days of high fever, increasing difficulty breathing and low blood pressure.

It is known that the patient had a history of prolonged alcohol abuse, leading to cirrhosis, diagnosed 3 years ago but did not receive regular treatment.

At the hospital, the patient was diagnosed with severe pneumonia, with major damage to the right lung. Tests showed that the blood clotting index (Prothrombin) was only 26% - very low compared to the normal level of 70-140%, putting the patient at risk of serious bleeding.

The patient was placed on a ventilator, continuous blood filtration to remove toxins, and strong antibiotics combined with circulatory support drugs. After 5 days of treatment, the patient's condition gradually improved.

Master, Doctor Tran Van Bac, Deputy Head of the Emergency Department, Central Hospital for Tropical Diseases, said that pneumonia is not only a common disease but also especially dangerous in people with underlying diseases or immunodeficiency. If not treated promptly, the disease can lead to respiratory failure, sepsis and multiple organ damage.

Therefore, to prevent and control pneumonia, experts recommend that people, especially children under 5 years old, adults over 65 years old, people with underlying medical conditions, and immunodeficiency, should get a flu shot every year and a pneumococcal vaccine once in their life to reduce the risk of disease and complications.

People with underlying diseases need to adhere to regular treatment and avoid self-medication, especially corticosteroids, because they can weaken the immune system.

In addition, it is necessary to take measures to prevent infection such as keeping the body warm, wearing masks in crowded places, washing hands regularly and limiting close contact with sick people.

When there are signs such as high fever, prolonged cough or difficulty breathing, you need to go to a medical facility immediately for examination and timely treatment to avoid possible complications.



Source: https://giadinh.suckhoedoisong.vn/thoi-weather-thay-doi-nhieu-nguoi-mac-viem-phoi-nang-phai-tho-may-chuyen-gia-canh-bao-cach-phong-ngua-172250115110041899.htm

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