K lowered his throat, contracted Covid-19 Sp02 index dropped to 30%, the man in Ba Vi still survived

Mar 19, 2022 17:19 GMT+7

Patient Dinh Cong D. 67 years old in Phu Chau, Ba Vi, Hanoi, having difficulty breathing and turning pale, went to Ba Vi hospital to quickly test positive for Covid-19.

Immediately after that, the patient was transferred to Son Tay General Hospital at 22:50 on March 16, 2022 in a state of nervous excitement, difficulty breathing, cyanosis of the lips, cyanosis of the extremities, respiratory muscle contractions, SpO2: 30 %, reduced lung ventilation, snoring, snoring on both sides, heart rate is 120l/P, blood pressure is difficult to measure, exhausted state.

Doctors diagnosed the patient with respiratory failure/pneumonia/covid-19 confirmed/lowering throat.

Patient Dinh Cong D. passed the crisis

Immediately, the patient was actively resuscitated, indicated for intubation but not due to hypopharynx, the risk of death. The emergency team performed a one-stage tracheostomy, mechanical ventilation, placed a multi-bore central venous catheter to measure CVP 5cm of water, blood pressure was difficult to measure.

After two days of resuscitation, the patient was awake, breathing spontaneously through the trachea, SpO2 increased to 97%.

Realizing that the patient has metastatic hypopharynx, causing gaseous and esophageal deformities, unable to eat and drink for many days, and in poor condition, the doctors conducted leadership consultations, inter-disciplinary consultations to appoint open surgery. Nourishing gastrostomy.

Currently, after surgery, the patient is awake, breathing spontaneously through the trachea, blood pressure 120/70mg, all paraclinical parameters are stable.

Dr. Tran Thi Phuong Binh, head of the emergency and treatment team, said: patient Dinh Cong D, came to the hospital in a very severe state of respiratory failure, the patient had metastatic K hypopharynx, so it was very difficult in the process. surgical and emergency interventions, mortality prognosis.

With the efforts of the entire treatment team, the timely direction of the hospital’s leaders, the rhythmic coordination of the Anesthesia Department, the Department of General Surgery, the patient was saved and had gastric bypass surgery. care prolongs the life of the patient.

N. Huyen