Nghe An Obstetrics and Pediatrics Hospital: Saving a girl in a deep coma, critical due to diabetes
(Baonghean.vn) - The Intensive Care and Anti-Poison Department of Nghe An Obstetrics and Pediatrics Hospital has just saved the life of a 13-year-old patient who was in a deep coma and in critical condition due to diabetes.
Recently,Nghe An Obstetrics and Pediatrics Hospitalreceived the case of patient D.TPL (13 years old, residing in Yen Thanh district) with symptoms of coma, difficulty breathing, pulse, blood pressure unmeasurable. The patient had hypovolemic shock, diabetic ketoacidosis, sunken eyes, pulse, blood pressure unmeasurable, 2mm pupils on both sides, poor light reflex.
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Doctors treat patient D.TPL Photo: Hoang Yen |
The patient's family said: Over the past month, the child has lost weight very quickly, 5kg/month. He is often tired, always thirsty, drinks a lot, and urinates frequently, but has not been examined or treated for a specific illness.
Emergency blood test showed that blood sugar index upon admission was 72.85 mmol/l (normal is 3.4-6.2 mmol/l), HbA1c 10.4%, the consultation team unanimously diagnosed the patient with hypovolemic shock, Diabetic ketoacidosis.
Doctors quickly put the child on a ventilator, fasted, rehydrated according to the protocol, used 3 vasopressors: adrenaline, noradrenaline, dobutamine, used intravenous insulin, and monitored blood sugar, urine, and electrolytes every hour.
Given the patient's critical condition, the family was very worried and repeatedly asked to be transferred to a higher level hospital.treatmentHowever, because the patient was on a ventilator, maintained many types of vasopressors, and assessed the risk of unsafe transportation, the doctors explained and stabilized the patient's family's spirit to continue to trust and feel secure in the treatment at the department.
After 6 days of mechanical ventilation, blood sugar and insulin adjustment, the patient's condition gradually improved, hemodynamics were stable, no vasopressors were used, blood sugar was stable, reflexes were good, and the patient was weaned off the ventilator and given oxygen.
After 1 day of being taken off the ventilator, the patient was awake, breathing on his own, was taught to eat orally, and was switched from intravenous insulin to subcutaneous insulin at regular intervals. Gradually, the child overcame the critical stage and was transferred to traditional medicine combined with endocrinology.
Many people often think of diabetes as an adult disease, but in fact diabetes can occur at any age and tends to increase in children.
According to doctors: Diabetes is a condition of high blood sugar: Fasting blood sugar > 7 mmol/l and after meals > 11 mmol/l. Diabetes has 2 common types: type 1 and type 2.
In children, it is mainly type 1 diabetes, also known as insulin-dependent diabetes, because the pancreas is no longer able to produce enough insulin.
Common symptoms in children with diabetes are thirst, drinking a lot of water, urinating a lot, frequent urination at night, weight loss, fatigue, and emotional changes.
Therefore, if parents detect that their children have the above symptoms, they need to take them to a medical facility with an endocrinology specialist for examination and timely treatment to avoid unfortunate complications.
-a56ed3e15e70f7927de587a27383c7f0.jpg "Nghệ An mít tinh hưởng ứng Ngày Đái tháo đường thế giới, ngày toàn dân mua và sử dụng muối i-ốt")
