On 29/12, associate professor Dr. Do Ngoc Son, director of the Intensive Care Center at Bach Mai Hospital, reported on two patients receiving treatment there. Doctors are closely monitoring their clinical progression and vital signs to intervene promptly if any abnormalities arise.
One patient, a 44-year-old male, was transferred to Bach Mai Hospital in a coma. Pre-hospital medical teams had provided first aid, intubated him, inserted urinary and gastric tubes, and administered vasopressors. He was diagnosed with multiple traumas, including traumatic brain injury (subarachnoid hemorrhage, intraventricular hemorrhage), closed chest injury causing right hemopneumothorax, rib fractures, grade III liver injury, and perihepatic hematoma. He was the most severe among the 9 survivors.
The patient underwent controlled mechanical ventilation, pleural drainage, and conservative treatment to maintain organ function and prevent complications. He is now more awake and responsive, his vital functions are stable, and the brain and liver injuries show signs of stabilization.
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The patient is being closely cared for and monitored at Bach Mai Hospital. Photo: *Nguyen Ha*. |
The other patient at Bach Mai, a 43-year-old female, was conscious at the time of the accident but experienced severe pain in her head, neck, chest, and right knee. Upon admission, she had bilateral chest pain, suggesting chest wall and abdominal organ injuries. Imaging confirmed complex multiple traumas, including bilateral pneumothorax, right hemothorax, multiple bilateral rib fractures, grade III liver injury, and grade II kidney injury. On the evening of 27/12, she underwent minimal pleural drainage surgery.
Master of science Dr. Hoang Van Tuan, who is directly monitoring and treating her, stated that the patient is now conscious, responsive, without focal neurological deficits, afebrile, and hemodynamically stable. The right pleural drainage fluid volume is minimal, respiratory function has improved significantly, pain has decreased, and laboratory and imaging results indicate that the organ injuries are well controlled, with no worsening noted.
Doctors acknowledge that both patients' clinical conditions have significantly improved due to intensive and multidisciplinary treatment. However, the risk of complications remains. The current phase is critical, and patients require continued close monitoring to detect and prevent late complications related to chest, liver, and central nervous system injuries.
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Severely injured patient undergoing surgery at Viet Duc Hospital. Photo: *Thao My*. |
Viet Duc Hospital admitted 7 victims. The most severe was a 29-year-old female, who suffered bilateral lung contusion, hemopneumothorax, and multiple rib and vertebral fractures. The on-call surgical team performed emergency surgery to address her injuries. The remaining 6 patients had maxillofacial, shoulder, abdominal, and limb injuries, which doctors assessed and treated promptly. Currently, their conditions are more stable.
These 9 victims were involved in an accident on the morning of 27/12 in Phinh Ho commune, Lao Cai. A 29-seater vehicle carrying 18 charity volunteers unexpectedly overturned on a sharp curve. The incident resulted in 9 immediate fatalities. The vehicle was heavily damaged, with debris scattered across the scene. Authorities suspect the initial cause was brake failure while descending a slope.
Le Nga
