Transfusion of more than 10 liters of blood saves the life of a child with dengue fever

On June 20, Children's Hospital 1 in Ho Chi Minh City announced that it had just saved a critical case of dengue fever after many days of treatment efforts.

The patient is THBN (12 years old, living in Tra Vinh ), admitted to the hospital with a continuous high fever, headache, vomiting, and first menstruation. At the provincial hospital, the child's fever subsided but she had a lot of black stools and cardiovascular collapse.

Doctors immediately started to actively fight the shock with electrolyte solutions, high molecular weight and blood transfusion. However, the patient continued to have massive bloody stools, about 0.5 liters of blood per time, causing shock and severe anemia. After consultation, the patient was urgently transferred to Ho Chi Minh City on June 14.

At Children's Hospital 1, the child was cyanotic, had respiratory failure, cardiovascular collapse, an enlarged liver, and a red blood cell volume of only 16%, which later dropped to 10%, equivalent to losing about 3/4 of his blood volume.

The doctor diagnosed the child with severe dengue shock, severe gastrointestinal bleeding and menstrual bleeding causing blood loss.

The 12-year-old patient is being monitored at the Intensive Care and Anti-Poison Department.

According to Associate Professor, Doctor, Doctor Pham Van Quang, Head of the Department of Intensive Care and Anti-Poison, the child was immediately given respiratory support and anti-shock treatment. More than 10 liters of blood and blood products were transfused to the patient (about 3 times the child's blood volume) to maintain vital signs.

After that, the team continued to perform endoscopy to stop the bleeding but only partially reduced it. A multidisciplinary consultation decided to infuse and inject new generation hemostatic drugs, helping the patient reduce gastrointestinal and menstrual bleeding, and gradually stabilize hemodynamics...

After 5 days of intensive care, the patient's condition has improved. Currently, the child is receiving oxygen, is alert, has begun eating, and is expected to be discharged in the next few days.

Dengue fever is a disease that often increases in cases during the rainy season. When it progresses severely, the disease can lead to cardiovascular collapse, severe bleeding, respiratory failure and death.

For children with fever for 2-3 days or more, especially when accompanied by signs of bleeding (nosebleeds, bleeding gums, petechiae...), abdominal pain, vomiting, parents should think of dengue fever. At the same time, take the child to a medical facility immediately for appropriate diagnosis and treatment.

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Source: https://www.sggp.org.vn/truyen-hon-10-lit-mau-cuu-song-benh-nhi-sot-xuat-huyet-post800224.html