Phu Tho: A 3-year-old boy was playing when he was attacked by two neighbor's German Shepherd dogs, each weighing about 25 kg, causing his right kidney to rupture, leaving him in critical condition.
On April 1, Dr. Nguyen Duc Lan, Head of the Department of Pediatric Surgery, Phu Tho Obstetrics and Pediatrics Hospital, said that the patient was admitted to the hospital in a state of panic, with many wounds on the head, face, groin, back, and legs, and blood in the urine.
The child was given first aid, had his wound cleaned, and was vaccinated against tetanus and rabies. Ultrasound and X-rays were performed to assess the extent of the injury, and doctors determined that the child had a ruptured right kidney. A CT scan showed that the child's right kidney had broken into two pieces.
The patient was given a urinary catheter to monitor the color and quantity of urine, used a combination of three antibiotics, and monitored hemodynamics and blood oxygen saturation. On the second day of hospitalization, the child was transfused with 150 ml of packed red blood cells.
After 4 days, the child is now awake, has no fever, the soft tissue wounds still have little fluid absorbing the bandage, the abdomen is not distended, the right flank is painful to press, and the urine is clear.
CT scan shows the patient's right kidney broken into two pieces. Photo: Provided by the hospital
Dr. Lan assessed this as a complicated case, the external soft tissue injuries were not too severe but the abdominal trauma and kidney rupture were serious. The child needed to be closely monitored and treated with emergency surgery if conservative treatment was ineffective.
A week earlier, on March 23, the Department of Pediatric Surgery received a 4-year-old patient who was bitten by a dog on the head and right arm, with many abrasions on his body, including two lacerations to the scalp, bleeding profusely.
Doctors recommend that parents and caregivers should not let children play with dogs or cats, especially strange dogs or large dogs or cats. When children are bitten by dogs, cats or wild animals, they should be taken to medical facilities for treatment and vaccination.
Dog and cat owners also need to vaccinate their pets fully and have them revaccinated annually as recommended by the veterinary industry. Do not let dogs and pets roam free. Dogs and pets on the street must be muzzled to avoid attacking others.
Thuy Quynh
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