HanoiA female patient, 33 years old, from Nam Po, Dien Bien, contracted Covid-19 when she was 35 weeks pregnant, had severe respiratory failure, had to have an early cesarean section to focus on saving her mother, recovered and was discharged today.
Dr. Vu Dinh Phu, Head of Intensive Care Unit, Central Hospital for Tropical Diseases, said that this is a critical case, requiring very high professional requirements and close coordination between specialties. All physicians, especially those directly treating patients, must always closely, persistently monitor, evaluate and treat patients.
The woman said that she and her husband had been married for 11 years, only to become pregnant after two times of artificial insemination. On May 13, she tested positive for nCoV, then the fetus was 34 weeks old. On May 19, she had a high fever, chest tightness, and difficulty breathing. She was transferred to the Central Hospital for Tropical Diseases for emergency treatment.
Here, the doctor predicts that both mother and child are in critical condition due to mother’s blood clotting disorder, respiratory failure, severe lung damage, signs of pre-eclampsia, 35 weeks gestation. Doctors combine all specialties to save the lives of mother and child. In the first three days, the patient was actively treated, but had gradually worsened respiratory failure, the risk of fetal failure due to lack of oxygen in the mother. Therefore, she had surgery to catch her baby on May 21, and a baby girl weighing 2.6 kg was born healthy. After that, she continued to receive intensive resuscitation treatment.
On May 22, the disease got worse, she appeared metabolic acidosis (acidemia). Dr. Phu decided to apply measures including high-tech mechanical ventilation to protect the lungs, dialysis to absorb cytokines, control the cause of metabolic acidosis, maintain anticoagulants according to treatment goals, monitor and evaluate regularly. In 8 days of mechanical ventilation, the female patient was dialysis 6 times continuously, but the disease was not positive, lung function was severely reduced, eating through the tube was not digestible. The patient continued to receive mechanical ventilation through tracheostomy, dialysis 3 more times, using antibiotics to prevent superinfection, correcting electrolyte disturbances, intravenous nutrition, intensive care, and rehabilitation exercises. function, obstetric care.
Her disease improved after 13 days of continuous mechanical ventilation and 3 subsequent dialysis sessions, combined with other treatment measures. On June 13, she was removed from the ventilator, remarkable changes such as fully awake, eating well, being able to exercise at bed.
On June 26, she was completely stable and was discharged from the hospital. The baby girl was cared for in the hospital for a while after giving birth and was discharged in early June.
Also on June 26, 6 other Covid-19 patients were discharged from the hospital and a 60-year-old patient with many underlying diseases was transferred from the ICU. Thus, 17 critically ill Covid-19 patients treated at the Central Hospital for Tropical Diseases recovered during the fourth outbreak.
The fourth wave of Covid-19 has spread to most of the country. Soldiers in white shirts are straining against the epidemic in the hot summer. To support the frontline, individuals and businesses can accompany the program “Powering the epidemic center”. See details here.