
Previously, patient TNPU (18 years old, Ba Na commune, Da Nang city) was transferred to Da Nang Hospital by the 115 Emergency Center in a lethargic state, with pale skin and mucous membranes, distended abdomen, chest and abdominal pain, deformed left arm, unmeasurable blood pressure, and undetectable peripheral pulse. An urgent ultrasound detected a large amount of blood in the abdomen.
Immediately, the on-duty team reported to the on-duty leader, activated the "Internal Red Alert", mobilized all resources, and took the patient straight to the operating room with a diagnosis of multiple trauma, closed abdominal trauma, closed chest trauma, left arm fracture, and head and face trauma.
Within minutes, doctors and nurses from many related specialties were present in the operating room, coordinating anesthesia, resuscitation, and surgery in parallel.
The teams performed simultaneous surgery, draining the pleura, stopping bleeding in the left arm, and performing abdominal surgery. The surgery lasted nearly 5 hours under conditions of continuous resuscitation and surgery to save every minute of the patient's life.

Specialist II Doctor Tran Van Nghia (Digestive Surgery Department, Da Nang Hospital) said that when opening the abdomen, a series of severely damaged organs were discovered: grade IV spleen rupture, grade II liver injury, grade I left kidney injury, stomach rupture, small intestine rupture, colon rupture, and blood in the abdomen.
Doctors prioritized stopping the patient's bleeding by performing a splenectomy and parallel liver suturing, wedge gastrectomy, small intestine resection, and colon resection using a Stapler to stop bleeding quickly and shorten the surgery time. This was an extremely complicated case, with life measured in minutes. If delayed, the patient might not survive.
After surgery, the patient was put on a ventilator and intensive care in the Surgical Intensive Care Unit (Department of Anesthesia and Resuscitation). After 10 days of treatment, the patient's health condition improved and he was transferred to the Department of Gastroenterology for further monitoring.
Source: https://nhandan.vn/benh-vien-da-nang-kich-hoat-quy-trinh-bao-dong-do-noi-vien-cuu-song-nu-sinh-bi-tai-nan-giao-thong-post914404.html
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