On 5/1, a representative from Ba Ria General Hospital stated that the patient was admitted to the emergency room in critical condition, with no palpable pulse, unmeasurable blood pressure, rapid breathing, and pale skin. The patient had sharp object wounds on his back and left hip, suspected of causing deep internal damage.
Doctors immediately initiated aggressive resuscitation, establishing five intravenous lines and preparing for a large-volume blood transfusion. Emergency ultrasound revealed a significant left hemothorax, posing a life-threatening risk. After 45 minutes of urgent resuscitation, the on-call team decided to transfer the patient to the operating room for a thoracotomy to control the bleeding.
During surgery, the team observed approximately 2,200 ml of blood in the left pleural cavity. The lower lobe of the left lung had a wound about 2 cm long, actively bleeding and leaking air. Doctors promptly sutured the lung to stop the hemorrhage. However, during the operation, the patient suddenly experienced cardiac arrest. The surgeons performed direct cardiac massage for about five minutes, successfully restarting the heart.
After 90 minutes of surgery and intensive resuscitation, the patient overcame the critical period. By approximately 5 am the following day, vital signs were stable, with a pulse of 80 beats per minute and blood pressure of 120/70 mmHg. The patient's anemia also improved. In total, the patient received 10 units of blood and blood products.
After 10 days of treatment, the teenager made a full recovery and was recently discharged from the hospital. A representative from Ba Ria General Hospital stated that the swift response, urgent surgery, and intensive resuscitation were crucial in helping the patient overcome his life-threatening condition.
Le Phuong