Multiple serious injuries due to gas cylinder explosion.

NDO - A male patient suffered multiple injuries, including blunt abdominal trauma suspected to be a ruptured colon, a wound to the right eyeball, and wounds to both hands due to a gas cylinder explosion.

On January 29th (the first day of the Lunar New Year, Year of the Snake), the Central Military Hospital 108 successfully received and treated an 18-year-old male patient who had been injured in a gas cylinder explosion. The patient presented with severe abdominal pain, bleeding from the eyes, crushed wounds, and bleeding from both hands. He had received initial treatment at a lower-level facility before being transferred to the Central Military Hospital 108.

The patient was admitted with multiple injuries, abrasions to the abdomen and chest, abdominal distension, tenderness in the right flank, and pronounced abdominal wall rigidity. The right eye had a ruptured eyeball, the left eye had eyelid damage, and preliminary damage to the eyeball was not apparent. Complex injuries included complete crushing of the left hand and partial crushing of the right hand.

Upon examination, the doctor diagnosed the patient with multiple injuries, blunt abdominal trauma suspected to be a ruptured colon, a wound to the right eyeball, and wounds to both hands due to a gas cylinder explosion 4 hours prior. The patient underwent a multidisciplinary consultation to reach a consensus on the diagnosis and underwent surgery to treat the injuries.

Doctors urgently performed surgery to check all abdominal organs, resect the ruptured colon, restore initial digestive function, clean and drain the abdominal cavity; remove the eyeball from the right eye, debride the wound, fix the first finger of the right hand, and perform amputation of the left hand.

This is a case of a patient with severe multiple injuries and complex trauma due to a gas cylinder explosion. These are considered firearm-related injuries, so during examination and surgery, there is a risk of missing injuries and secondary injuries occurring later in the process.

Thanks to timely diagnosis by the doctors and close, coordinated surgical intervention, the patient's life was saved. Post-operative care was also comprehensively, closely, and meticulously monitored by doctors and nurses, ensuring early recovery of digestion and mobility, preventing complications, and maintaining stable digestive function. The Upper Extremity Trauma and Microsurgery Department (B1B) performed reconstructive surgery on the hand wounds.

According to Dr. Diem Dang Binh, Deputy Head of the Department of Anorectal and Pelvic Floor Surgery at Military Central Hospital 108: This was a case of a patient with severe multiple injuries, complex damage to many organs, and injuries considered to be gunshot wounds. However, the patient was promptly diagnosed and surgically treated by a multidisciplinary team.

The patient was operated on by experienced doctors in various specialties, but there was a risk of overlooking injuries and improper handling. Close and thorough monitoring was necessary to detect secondary injuries related to those caused by firearms. The emergency and intervention team had to race against time, seizing every second on New Year's Day to save the patient's life.

During the Lunar New Year holiday, the amount of time spent cooking with gas cylinders in households increases, as does the use of flammable materials such as firecrackers. According to doctors, gas cylinder explosions can easily cause injuries, multiple traumas, and even life-threatening conditions.

Dr. Diem Dang Binh, a specialist in internal medicine, advises that to ensure safety when using gas cylinders, people should protect themselves and their families by purchasing gas cylinders and accessories from reputable gas companies and regularly checking their gas cylinders at home.

Source: https://nhandan.vn/da-chan-thuong-nang-do-no-binh-gas-post858700.html