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HCM CityThe freezing “patient 91” lungs had become inactive, a lung transplant was the only way to save, so the Ministry of Health assigned the hospital to prepare the transplant procedures.
Dr. Nguyen Van Vinh Chau, Director of the Hospital for Tropical Diseases in Ho Chi Minh City, said that the results of this morning’s CT scan showed that the patient’s lungs had become fibrosis and had lost function. 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 prepare pre-transplant options to 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. He had a nose and throat sweep two days ago, negative nCoV.
Pulmonary congestion is a condition in which a part of the lung, once collapsed, normal ventilation, now fills with fluid. The causes of coagulation can be due to inflammation, pulmonary edema, pulmonary hemorrhage, lung cancer … Depending on the case, the doctor can choose different treatments such as antibiotics, antifungals, steroids.
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.
The chest x-ray of a patient is frozen. The damaged part is translucent white, the black part can still work. Illustration: Emory School of Medicine.
