On the afternoon of 10/5, there was no new COVID-19 case, considering transferring the patient from an English pilot to Cho Ray Hospital

The National Steering Committee for the Prevention and Control of COVID-19 said: On the afternoon of 10/5, Vietnam continued to protect the initial achievement in the campaign against the COVID-19 campaign for 24 days without detecting new cases in the community. So far, Vietnam has registered a total of 148 immigration cases, but they were immediately quarantined.

Number of isolated people: the total number of close contacts and entry from epidemic areas are under health monitoring (isolation): 11,130, of which:
– Centralized isolation in the hospital: 180

– Concentrated insulation in other establishments: 6,146

– Isolation at home, place of stay: 4,804

Compared to 9/5, the number of isolated cases of COVID-19 prevention for health management has been reduced by approximately 3,000 people. The number of people in anti-epidemic isolation has continuously decreased in recent days.

Treatment status: as reported by the Treatment Subcommittee – National Steering Committee on prevention and control of COVID-19, sOn 10/5, BN91 was evaluated by the meeting between Viet Duc hospitals – RAYO CHAM – CALOR A HCMC – BACH MAI – CENTRO DE HUE. Proposal to consider the possibility of transferring to Cho Ray Hospital for active medical treatment and to evaluate the possibility of lung transplantation;

Patient 91 is a British pilot seen at Ho Chi Minh City Heat Illness Hospital, who is still in critical condition. Currently the patient lies still / sedated, without fever. Echocardiography of the lungs contracts synchronously, the lungs have to stop overflowing, collapse the posterior lower lobe, less right pleural fluid …

The consultation was carried out with the participation of leading experts in many fields of Vietnam, such as Prof. Dr. Nguyen Gia Binh, expert in active treatment; Prof. Dr. Tran Binh Giang – director of the Viet Duc Hospital; Associate Professor Dr. Nguyen Huu Uoc – heart and lung transplant specialist, director of the Center for Cardiovascular and Cardiovascular Surgery, Hospital Viet Duc …

Male pilot, 43 years old, 1.83 m tall, weighs 100 kg (body mass index is 30.1, with obesity factor). Patients with coagulopathy, who suffer from “cytokine storm” syndrome, an immune system that overreacts, releases more cytokines against the body that protects them. The patient was resistant to all coagulant medications currently used in the country, the Ministry of Health had to order rare medications from abroad to treat this male patient.

This is the most serious patient with COVID-19 at present, the treatment process from the day of admission is very complicated and erratic. The patient was confirmed positive on March 18, had a high fever continuously from the moment of admission, respiratory depression increased and worsened despite being young (43 years).

Previously, the patient had only one side of the lung solidified, but now this condition has appeared on both sides of the lung. After 53 days of treatment, 34 days of ECMO intervention, mechanical ventilation by intubation on day 15. Currently, patients continue with mechanical ventilation, dialysis, depending entirely on ECMO.

As reported by the Treatment Subcommittee, so far, there have been 241 patients with COVID-19 in our country declared cured / discharged. There are still 47 patients under treatment in 6 health centers at the central and provincial levels. Most patients have stable health. On the severely ill patient number 19 who recovered, he fed and drank well. Patients also receive electrolytic rehydration, supportive treatment …

On the afternoon of 10/5, among the patients treated with COVID-19, who monitor health in 6 medical centers, there are currently 6 patients with negative results from the first test with SARS-CoV-2 and 14 patients with negative results 2 or more times with the SARS-CoV-2 virus. Only 30 patients with COVID-19 tested positive for SARS-CoV-2

Thai Binh