Severe Covid, more serious lung sequelae – VnExpress

Ho Chi Minh CityAn 85-year-old man was hospitalized twice because of hypoxemia, high fever, difficulty breathing, and prolonged pneumonia after recovering from Covid-19.

Patient was admitted to the Intensive Care Unit – Anti-toxicity (ICU), Tam Anh General Hospital in Ho Chi Minh City two weeks ago with recurrent pneumonia, fever 39 degrees Celsius, shortness of breath, cough with phlegm, SpO2 (concentration). capillary oxygen) falls below 90%. A month ago, he was hospitalized for the same reason. The patient was diagnosed with respiratory failure due to severe post-Covid-19 pneumonia.

Doctor Tran Minh Giang, deputy head of the ICU, said fortunately the patient’s house was close to the hospital, so emergency treatment was timely. After stable treatment, patients are advised to receive influenza and pneumococcal vaccines to increase resistance before being discharged from the hospital.

In recent months, the number of patients coming to the hospital for post-Covid-19 sequelae examination, such as heart failure, pneumonia, lung damage, anxiety disorders… has increased at the hospital, many people have to be hospitalized for treatment. According to Dr. Giang, patients often have the same symptoms of fatigue, shortness of breath, labored breathing when carrying children, climbing stairs or just walking around the house. This is a common sequelae after Covid-19, which can go away on its own after a while, but there are also some cases of severe illness due to subjective failure to re-examine to stop it in time.

Many elderly patients have to be hospitalized because of post-Covid-19 sequelae. Photo: Hospital provides

At Tam Anh General Hospital, patients with indications for admission to the hospital for treatment of sequelae will be admitted to the Department of General Internal Medicine to monitor and assess their overall health. Severe cases, signs of infection, high white blood cells… must be transferred to the ICU. In the ICU, patients often have to take high-dose antibiotics for two weeks to recover and be discharged.

Recognizing the fact of the whole hospital, doctors found that the majority of patients with The sequelae of lung damage after Covid-19 infection are people with cardiovascular disease. At the Department of Cardiology, Cardiology Center, people with cardiovascular disease after being infected with Covid-19 often have many disturbances such as unstable blood pressure, arrhythmia, increased levels of heart failure, and repeated hospitalizations. times due to palpitations, shortness of breath, pneumonia, heart failure…

Typically, a 60-year-old male patient, living in Ben Tre, contracted Covid-19 on the background of high blood pressure and diabetes, had been vaccinated. After recovering from Covid-19 locally, he still had prolonged shortness of breath and was taken by his family to Tam Anh General Hospital to treat post-Covid-19 sequelae. Through examination, the doctors discovered that the patient had pneumonia on the background of grade 4 heart failure.

Dr. Huynh Thanh Kieu, Head of Internal Cardiology Department, Cardiology Center said that patients may have mild heart failure before but do not know, in the post-Covid-19 stage, the degree of heart failure worsens. The patient was treated for two weeks, using antibiotics, heart failure medication… to stabilize his health. Currently, the patient still needs to go to the hospital for regular check-ups and follow-up.

In addition, the Cardiology Center also recorded many patients coming for examination and treatment for post-Covid-19 tachycardia. Most patients have a heart rate above 110-120 beats per minute, shortness of breath, shortness of breath, and labored breathing. The tachycardia appeared in the first 1-3 months after they tested negative for the virus. Explaining this phenomenon, Dr. Kieu said that older people with underlying medical conditions are at higher risk of developing post-Covid-19 symptoms, and are more likely to lose balance in body biological indicators. Especially, the blood pressure, heart rate, and blood sugar readings were previously balanced or stabilized after being treated, but after being infected with Covid-19, the body had many disorders, so the index changed erratically, requiring intervention.

A patient was hospitalized at Tam Anh General Hospital in Ho Chi Minh City because his blood sugar index increased 10 times after Covid-19.  Photo: Provided by the hospital

A patient was hospitalized at Tam Anh General Hospital in Ho Chi Minh City because his blood sugar index increased 10 times after Covid-19. Photo: Hospital provides

To reduce the rate of hospital admissions after Covid-19, Dr. Kieu recommends that people take the initiative in health check-ups within the first 1-3 months of being cured. For people with symptoms of fatigue, shortness of breath, shortness of breath, heart palpitations, the elderly, and people with underlying medical conditions, they need to go to the hospital for examination sooner. Covid-19 can leave many sequelae on the cardiovascular, pulmonary, digestive, neurological, psychological … so patients can register for medical examination according to each specialty or general health examination.

In order to comprehensively assess the health and detect early sequelae of Covid-19 for patients, according to Dr. Giang, in addition to a highly skilled doctor, it is also necessary to have a full range of modern machinery and equipment to “detect” the disease. sequelae. For example, patients with respiratory sequelae, prolonged shortness of breath will be consulted for a low-dose CT lung scan using a 786-slice CT machine. The machine has AI-enabled software (artificial intelligence) to detect Covid-19 sequelae on the lungs thanks to the ability to analyze how much lung parenchyma is left, accurately reflecting the extent of lung damage and recording the condition. Lungs such as solidified, opaque, scarred, fibrous, peripheral lesions…

“The more severe the respiratory symptoms of Covid-19 patients, the more pulmonary sequelae. In particular, almost 100% of patients receiving high-dose oxygen have pulmonary sequelae, pulmonary fibrosis,” said the doctor. Jiang said. Therefore, based on CT results and clinical examination, the doctor will appoint hospital admission for cases requiring intervention, or advise on rehabilitation treatment for mild cases.

For patients with mild sequelae, pneumonia simply needs to be treated with physical therapy, increasing lung capacity by practicing breathing movements, pull-ups, push-ups, swimming, rowing. .. After 3 months of exercise, the patient should return to the hospital to be re-examined and assess the improvement after pulmonary rehabilitation.

For patients with cardiovascular-related sequelae, cardiologists will consult a general examination to rule out the cause of pre-existing cardiovascular disease, such as heart failure, regurgitation, or myocardial ischemia but do not know. for not going to the doctor. In case the patient has a general examination but no abnormalities are detected, the tachycardia arrhythmia will be treated with drugs, exercise, relaxation and psychotherapy.

Tam Anh General Hospital implements a comprehensive program of care, screening and treatment of post-Covid-19 sequelae with specialized specialties such as respiratory, cardiovascular, endocrinology, neuroendocrinology, and diabetes. Sugar, musculoskeletal, rehabilitation, imaging, nutrition… In addition to counseling, physical and psychological screening, the hospital also prevents health risks for patients. severe sequelae from Covid-19.

Contact to schedule an appointment with experts at Tam Anh General Hospital:

– Hanoi: 108 Hoang Nhu Tiep, Bo De ward, Long Bien district. Hotline: 1800 6858

– Ho Chi Minh City: 2B Pho Quang, Ward 2, Tan Binh District. Hotline: 0287 102 6789.

Tue Diem


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