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Quang NamPrior to nCoV infection, “Patient 1405” with ruptured esophageal vein was cured, with many underlying diseases and a severe prognosis.
73-year-old “Patient 1405,” from the United States, in transit through Japan, entered Da Nang Airport on December 6 on flight VN319, isolated at Division 315, Nui Thanh District, Quang Nam. December, the patient vomited a lot of fresh blood, was rushed to the emergency room of Quang Nam Central General Hospital, received active resuscitation, infusion and blood transfusion.
Doctors are consulting “patient 1405” through online images. Image: Phuong Thao.
Then the doctors consulted and identified the patient with gastrointestinal bleeding due to suspected rupture of the esophageal vein in the context of elderly patients with diabetes, hypertension, hepatitis B, cirrhosis. It has many risk factors so the disease can get worse.
Endoscopic images of the patient showed that the grade 3 enlarged esophageal veins were bleeding. Doctors perform ligation of the esophageal veins to control bleeding.
Patients whose test results on days 7-8-10 / 12 are nCoV negative. Taking samples for the fourth time on December 14, the results of the screening test at Quang Nam Central General Hospital and confirmed tests at the Quang Nam Province Center for Disease Control came back positive for nCoV. This case was registered by the Ministry of Health on the afternoon of December 15.
“Patient 1405” stays awake, does not need to breathe, looks at the phone in the isolation chamber. Image: Phuong Thao.
“Currently the patient has stopped bleeding, he has a stomach ulcer, he has a poor prognosis. The hospital has asked the Health Ministry to treat him according to a regimen with the antiviral drug remdesivir. “said Nguyen Dinh Hung, deputy director of Quang Nam Central General Hospital.
On the morning of December 16, the patient’s health was temporarily stable, fever, autonomous breathing, alertness.
In addition to “patient 1405”, Quang Nam Central General Hospital also treated “patient 1377”, who are all admission cases. Furthermore, “Patient 1380” was treated at Quang Nam Regional General Hospital.
