In Phu Tho, a 3-year-old boy was playing when he was attacked by two German Shepherd dogs belonging to his neighbor, each weighing about 25 kg. The dog ruptured his right kidney, leaving him in critical condition.
On April 1st, Dr. Nguyen Duc Lan, Head of the Pediatric Surgery Department at Phu Tho Obstetrics and Pediatrics Hospital, stated that the child was admitted in a state of panic, with multiple wounds on the head, face, groin, back, and legs, and blood in the urine.
The child received first aid, wound cleaning, tetanus vaccination, and rabies vaccination. Ultrasound and X-rays assessed the extent of the damage, and doctors determined that the child had a ruptured right kidney. A CT scan revealed that the child's right kidney was broken into two pieces.
The child was placed on a urinary catheter to monitor urine color and quantity, treated with a combination of three antibiotics, and monitored for hemodynamics and blood oxygen saturation. On the second day of hospitalization, the child received a transfusion of 150 ml of red blood cell concentrate.
After 4 days, the child is now alert, has no fever, the soft tissue wounds have minimal oozing from the dressings, the abdomen is not distended, there is tenderness on palpation in the right flank, and the urine is clear.
The CT scan showed that the child's right kidney was broken into two pieces. (Image: Provided by the hospital)
Dr. Lan assessed this as a complex case; the external soft tissue injuries were not too severe, but the blunt abdominal trauma resulted in a serious kidney rupture. The child needed close monitoring and emergency surgical intervention if conservative treatment was ineffective.
A week earlier, on March 23rd, the General Pediatric Surgery Department received a 4-year-old patient who had been bitten by a family dog on the head and right hand, with multiple abrasions, including two lacerations on the scalp, and bleeding profusely.
Doctors advise parents and caregivers not to let children play with dogs and cats, especially unfamiliar dogs or large animals. If a child is bitten or injured by a dog, cat, or wild animal, they should be taken to a medical facility for treatment and vaccination as soon as possible.
Pet owners should also ensure their pets receive all necessary vaccinations and annual booster shots as recommended by veterinary authorities. Dogs and other pets should not be allowed to roam freely on the streets. When walking on the street, dogs and other pets must wear muzzles to prevent them from attacking others.
Thuy Quynh
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