Thursday, April 1, 2010

Vietnam: 25 yo Hanoi survives H5N1

Mothers infected with influenza A/H5N1 think most survived viscera

(VNA) - Hospitalized in a state of high temperature 41 degrees, severe respiratory distress, heart palpitations, blood pressure dropped and then the organs but think most 25-year-old mother survived spectacular.

Bach Mai Hospital director Nguyen Quoc Anh ca survival has notified the magic of young mothers, aged 25, is nursing a child under three months, in Soc Son Ha Noi.

On 10 / 3, she was transferred from T North Thang Long Hospital intensive care to the Department, Bach Mai Hospital in critical condition: 41 degrees high fever, severe respiratory distress (severe difficulty breathing, pale) ; Find fast, circuit 120 -130 times per minute; 80-90/60 mmHg drop in blood pressure. Although the ventilation via mask with high oxygen concentration, combined with intravenous fluids and medications to improve blood pressure vasomotor T but she still worse developments. Blood oxygen levels of patients down very low, 43 mmHg (typically less than 50 mmHg are at risk of death). The disease has variable viscera failure: respiratory failure, circulatory failure, kidney failure, blood clotting disorders, metabolic disorders, severe infections.

In addition, the lungs of patients with severe injuries, forced to use breathing apparatus to replace however, patients who have complications from emphysema, pleural hydrocephalus in again hinders the use of breathing apparatus. In addition, the weak condition after birth, for the treatment of numerous difficulties encountered.

Prior to the survival of patients, doctors decided to use continuous dialysis methods used specifically to filter results of internal adsorption toxin circulating in the blood reduces the inflammatory reaction and damage the agencies. Also, the hospital also uses the treatment of organ support machine breathing assistance, set up and smoking pipes continuously to ensure no accumulation of gas in the pleural cavity of the threat of respiratory diseases Human; combined support liver, kidney support, anti-clotting disorders, anti-infective, antiviral drugs, raised ...

After 7 days of treatment, and three times the risk of death, respiratory failure and the status of organ failure of patients has gradually improved. And to day 10, the body (heart, lungs, liver, kidneys, blood coagulation ...) return to normal. The function of life support machines for T patients were completely removed. Ms. T was drama of danger.

The test of Hygiene and Epidemiology Institute said patients infected with influenza A/H5N1 T but treatment with antiviral drug Tamiflu have very little effect because the patient to hospital too late (5 days). Thus, the survival of T is her hope to the doctors in treating cases of influenza A/H5N1 later.

hat-tip Treyfish

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