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HCM City“Patient 91’s” lungs are almost completely solidified, and a lung transplant is the only way to save, which is why the Ministry of Health has appointed the hospital to prepare a transplant procedure.
Dr. Nguyen Van Vinh Chau, Director of the Hospital for Tropical Diseases in Ho Chi Minh City, said that the computed tomography results showed that fibrosis solidified all the lungs, only about 10% could resume operations. This condition means that the patient will die if ECMO (oxygenated blood through the body’s outer membrane) is terminated.
Now, the only way to save patients is with a lung transplant, he said.
The Ministry of Health assigned the National Organ Transplant Center, Viet Duc Hospital, to carry out the procedures to prepare for the transplant. Leading medical experts at the inter-hospital consultation meeting, chaired by the Ministry of Health on the afternoon of May 12, indicated lung transplantation for patients.
The professional council suggested that the Hospital for Tropical Diseases in Ho Chi Minh City was assigned to prepare pre-transplant solutions and treat active infections. By confirming “clean” nCoV, patients will be transferred to Cho Ray Hospital to prepare lung transplants.
Ho Chi Minh City Tropical Disease Hospital said the patient is currently still, using tranquilizers, pulse and blood pressure. The patient maintained mechanical ventilation by endotracheal intubation on day 20, ECMO intervention on day 38, dialysis, antifungal, pleural lavage pump. The samples smeared in the nose and throat two days ago were negative for nCoV.
This is the most serious Covid-19 patient today, the health situation is very erratic. The patient was confirmed positive on 3/18, respiratory failure gradually increased, progressively worsened even though he was young and had no underlying disease. The patient’s lungs solidified and the samples were repeatedly negative and then positive again.
Coagulopathy patients, suffering from “cytokine storm” syndrome, which means that the overactive immune system releases more cytokines against the body instead of protecting it. The Ministry of Health bought rare drugs abroad to treat blood clotting disorders in patients.
The patient is a pilot for Vietnam Airlines, located in Ho Chi Minh City, and has been to various restaurants and entertainment venues, including Buddha Bar & Grill, the city’s largest outbreak.
