Successfully saved the life of a 35-week-old patient with a perforated stomach.

Patient HTX, 35 weeks pregnant, weighing 2kg, from Dakrong commune, Quang Tri province, was admitted to the hospital on June 5 in a state of poor mobility and severe respiratory failure. During the monitoring process, doctors found that the child was not responding well to treatment, had a distended abdomen, and had dirty green gastric fluid. An X-ray was ordered and showed free air in the abdomen - a typical sign of a perforated hollow organ.

The patient was discharged from the hospital today, July 3 - Photo: TP

Immediately, doctors from the Pediatrics Department and the General Surgery Department, Quang Tri General Hospital held a consultation and agreed to perform emergency surgery. After more than 90 minutes, the stomach perforation was discovered at the fundus of the stomach, closed, cleaned and drained the abdomen.

The patient was monitored in the neonatal intensive care unit after surgery, receiving respiratory support, total parenteral nutrition, strong antibiotics, infection control, and nutrition. Up to now, the patient's health has stabilized, the surgical wound is dry, and bowel movements are completely normal. The patient was discharged this morning, July 3.

Dr. Tran Van Nam, Pediatrics Department, Provincial General Hospital, said that gastric perforation in newborns is an extremely dangerous surgical emergency, with a mortality rate of 30-60% if not diagnosed and treated promptly. The more premature the newborn, the higher the mortality rate.

"The causes of neonatal gastric perforation are divided into three main groups: spontaneous perforation; due to trauma or underlying disease. In particular, patient X. suffered from gastric perforation due to premature birth and pyloric stenosis. During the surgery, the doctors cut the diaphragm and created a widened pyloric stenosis. The child may experience sudden abdominal distension, cyanosis, respiratory failure, abdominal distention, peritonitis and septic shock within just a few hours. Late diagnosis and treatment can endanger the patient's life," said Dr. Nam.

The rescue of the 35-week premature baby marks a new step forward in the development of surgical expertise in particular and pediatric expertise of Quang Tri Provincial General Hospital in general.

Truc Phuong

Source: https://baoquangtri.vn/cuu-song-thanh-cong-benh-nhi-35-tuan-bi-thung-da-day-195493.htm