Many children have severe dengue shock syndrome, complications of respiratory failure and multiple organ damage.

According to information from the Children's Hospital ( Ho Chi Minh City), the hospital is currently receiving more than 20 cases of dengue fever, many of which are severe and require ventilators. Over the past week, the hospital has also made efforts to save the lives of many children with severe dengue shock, complications of respiratory failure, blood clotting disorders, etc.

According to Dr. Nguyen Minh Tien, Children's Hospital of Ho Chi Minh City, there are many cases of severe dengue fever at the hospital. Specifically, baby CB. PLC (8 months old, living in Dong Thap ) had a history of 3 days of continuous high fever, no vomiting, no abdominal pain. On the 4th day, he still had a fever, vomited 4 times, had cold hands and feet, was admitted to a local hospital, diagnosed with dengue shock syndrome, and received IV fluids to prevent shock according to the protocol.

In the face of the child's severe progression, prolonged shock, blood clotting disorder, gastrointestinal bleeding, respiratory failure, active anti-shock, endotracheal intubation, mechanical ventilation, blood product transfusion, 3-day treatment at the local hospital, the child had severe liver and kidney damage (liver enzymes > 3000 units/L, blood creatinine > 100 micromol/L), and was transferred to the City Children's Hospital.

Ho Chi Minh City, many children with severe dengue fever and shock, respiratory failure, organ damage, picture 1 — 8-month-old PLC baby was diagnosed with dengue hemorrhagic fever shock and multiple organ failure.

Here, doctors continued to provide respiratory support, correct blood clotting disorders, alkalize the liver, and perform 3 consecutive blood filtration cycles. The child's condition gradually improved, with urination returning to normal, liver and kidney function returning to normal, being taken off the ventilator, alert, and feeding well.

Or another case is LHV (11 years old, living in Long An ) with a history of fever for 4 days, on the 5th day he was in shock and admitted to the local hospital in a state of deep shock, receiving anti-shock fluids according to the protocol, then transferred to the City Children's Hospital in a state of prolonged shock, respiratory failure, blood clotting disorder, liver damage, receiving anti-shock fluids, respiratory support, peritoneal puncture and drainage to decompress, blood transfusion and blood products, liver support treatment, and acidosis correction. The result after nearly 1 week of treatment was that the child's condition gradually improved, he was taken off the ventilator, and was alert.

Ho Chi Minh City, many children with severe dengue fever and shock, respiratory failure, organ damage, picture 2 — 11-year-old female child diagnosed with severe dengue hemorrhagic fever shock.

Another case is baby TQB (3.5 years old, living in Binh Tan district, Ho Chi Minh City) with a history of fever for 2 days, on the 3rd day he was admitted to the City Children's Hospital in a state of deep shock, receiving anti-shock infusion according to the protocol, the child's condition worsened, with prolonged shock and complications of respiratory failure, blood clotting disorder, gastrointestinal bleeding, liver damage, and was actively treated with high molecular dextran 40 infusion, combined with 10% albumin, blood transfusion, and respiratory support with a ventilator. The child's condition gradually improved after 5 days of treatment, was removed from the ventilator, and was alert.

Ho Chi Minh City, many children with severe dengue fever and shock, respiratory failure, organ damage, picture 3 — TQB child 3.5 years old, male, diagnosed with severe dengue hemorrhagic fever shock.

Dr. Nguyen Minh Tien, City Children's Hospital, recommends that parents should actively kill mosquitoes and larvae, sleep under mosquito nets, and monitor for early signs to take their children to a medical facility promptly when they see a high fever lasting more than 2 days and have symptoms that need attention such as fussiness, restlessness, tossing and turning, or lethargy, abdominal pain, nosebleeds, bleeding gums or vomiting blood, black stools, cold hands and feet, lying in one place, not playing, refusing to breastfeed, refusing to eat or drink...

Thu Phuong

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