Accordingly, on New Year’s Eve, patient Nguyen QT (born 2008, residing in Binh Son district, Quang Ngai province) had a traffic accident and was taken to a lower level hospital for initial treatment and transferred to the hospital emergency room. Danang.
The patient was admitted to the hospital in a state of deep coma, mechanical ventilation, chest-abdominal trauma, bilateral pneumothorax with drainage at the lower level, severed main bronchus of the left lung causing respiratory failure and lung compression. heart. Immediately, the patient had tests, a CT scan and was transferred to emergency surgery.
Doctors from the Department of Thoracic Surgery coordinated with the Department of Emergency Medicine and the Department of Anesthesia and Resuscitation to conduct an emergency thoracotomy and treat the severed left main bronchus injury for the patient. This severed lesion of the left main bronchus is 0.5cm from the bifurcation of the trachea – bronchus, located deep, obscured by the pulmonary artery, aortic arch, complex injury, disorganized, bruised. . Doctors in the Department of Thoracic Surgery had to do an economical resection and use a graft called the pericardium to reshape the back of the left main bronchus to avoid future bronchial stenosis.
Da Nang Hospital saved the life of a 10th grade male student whose left lung’s main bronchus was severed due to a traffic accident. Photo: BVCC
After 3.5 hours of surgery, the anesthesia and resuscitation surgery team successfully restored the patient’s left main bronchus.
After surgery, the patient continued active treatment at the Department of Anesthesiology and Resuscitation and the Department of Thoracic Surgery. After 10 days of treatment, the patient walked, ate, and breathed normally, and his chest X-ray showed good expansion. The patient was discharged from the hospital to return to life, study, and prepare with his family to welcome the new spring of Giap Thin.
Doctor Phan Phuoc An Binh, Deputy Head of the Department of Thoracic Surgery – Da Nang Hospital, said that patient T.’s case is a very serious and rare injury in the context of chest trauma. If the patient does not receive timely emergency treatment at the lower level (placement of bilateral pleural drainage), the risk of death is very high. Furthermore, if the patient does not receive timely surgery, there is a risk of continuous, progressive respiratory failure leading to death.
According to Dr. Binh, recently chest injuries due to traffic accidents have been increasing, especially during the holidays. Therefore, everyone should be cautious when participating in traffic and limit alcohol to avoid unfortunate accidents, especially when the Lunar New Year is approaching.
“If we encounter someone in a traffic accident, we should stay calm, check the victim’s condition, do not move or pick up the victim and call 115 immediately,” Dr. Binh recommended.
