Posted by Doctor Phan Phi Tuan - Head of General Surgery Department of Vinmec Phu Quoc International General Hospital
Infectious shock is a dangerous condition that can lead to multi-organ failure and a high fatality rate if not treated quickly. Urinary tract obstruction is a typical indication of septic shock that necessitates prompt treatment, with blockage clearance being the key to success.
Patient HUNG THI E. (57) arrives at Vinmec Phu Quoc Hospital in a state of hip pain, high fever, chills, and shock, with a very quick pulse, low blood pressure, drowsiness, and purple veins. The patient was diagnosed with septic shock and was actively resuscitated while the reason was investigated.
The patient was resuscitated aggressively with CVP infusion, high-dose antibiotics, vasopressors, blood alkalinization, intubation, and mechanical ventilation when it was determined that the patient was in shock due to urinary tract stones creating blockage. The patient's condition remained unchanged; his white blood cell count was low, his blood pressure gradually dropped, and his acidosis worsened. In that case, relocating to a hospital in a remote location like Phu Quoc Island is a very difficult and risky thing to do, and continuing treatment is also a difficult option to make while the ureteroscope is implanted into the ureter. If intervention is required, JJ will require open surgery. Vinmec Phu Quoc hospital doctors opted to intervene surgically to break the impasse while aggressively resuscitating the patient.
The patient continued to get active treatment after the deadlock intervention. After a week of intensive cooperation between emergency resuscitation doctors, surgery, internal medicine, and other specialists, the patient steadily improved, weaned off artificial ventilation, ceased vasomotor, and began to eat and live normally. After that, the patient was discharged and given a one-month appointment to fully resolve the problem.
Both family members and doctors were overjoyed when the patient recovered.
"Infectious shock from the urinary tract due to obstruction is an acute disease, progressing very quickly, causing high mortality., especially when there is an unresolved deadlock and low white blood cell count," said Doctor Specialist II Phan Phi Tuan, Head of the Department of General Surgery, who operated directly on the patient. We collaborated together with specialists from many departments to successfully cure this sickness and save the patient who was in such a critical situation. Our hospital will soon be equipped with a ureteroscope, allowing us to better manage ureteral stone disease and complications like the one in this case.”
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