Saving the life of a Cambodian patient with cerebral hemorrhage and acute pulmonary embolism

Doctors congratulated the patient on his good recovery after the intervention.

The patient suffered from a cerebral hemorrhage due to high blood pressure. Upon admission, the patient was paralyzed and was treated in a stable condition in the Department of Internal Medicine and Neurology. Afterwards, the patient suddenly had difficulty breathing, chest pain, low blood pressure, acute respiratory failure and cardiogenic shock.

The patient was taken to the Intensive Care Unit (ICU). Diagnosis results showed severe acute pulmonary embolism due to a blood clot moving up from the lower limbs, causing near-total blockage of both pulmonary arteries.

The situation was critical because the patient had a large hematoma in the brain and could not be treated with thrombolytic or anticoagulant drugs. The doctors immediately held an interdisciplinary consultation and agreed to perform thrombolysis via the DSA system and place an inferior vena cava filter to prevent re-embolization. This was the only option that could save the patient's life while still controlling the risk of cerebral hemorrhage.

Thanks to timely and accurate intervention, the patient's blood pressure and blood oxygen improved rapidly, and heart and lung function stabilized.

After three days, the patient was extubated, breathing on his own and moving lightly, with good progress in both neurological and respiratory conditions.

THANH SON

Source: https://www.sggp.org.vn/cuu-song-benh-nhan-nguoi-campuchia-bi-xuat-huet-nao-thuyen-tac-phoi-cap-post817996.html