Continuous blood filtration saves the life of a patient with necrotizing pancreatitis

(Baonghean.vn)- On July 24, patient Lau Chong Vu (57 years old, residing in Muong Xen Town, Ky Son District) with pneumonia and acute necrotizing pancreatitis has overcome the critical stage and is being actively treated at Nghe An General Hospital.

Doctor CKI Vu Ngoc Lan - Head of the Department of Intensive Care - Anti-Poison, Nghe An General Hospital, said that patient Lau Chong Vu entered the Emergency Department - Nghe An General Hospital on July 11 with severe abdominal pain in the epigastric region, pain spreading to the back, then gradually spreading to the entire abdomen, accompanied by shortness of breath, intermittent breathing, mild fever, pale, pale skin, distended abdomen... the prognosis is very poor.

The patient's ultrasound and CT scan results showed acute necrotizing pancreatitis, with many large necrotic foci of fluid accumulation in the pancreatic parenchyma, accounting for 40% of the area, the head of the pancreas was almost completely necrotic; fat infiltration and fluid accumulation around the pancreas spread to the retroperitoneal cavity, and a lot of free fluid in the abdominal cavity. Blood tests showed very high levels of pancreatic enzymes.

Doctor CK1 Vu Ngoc Lan is examining patient Vu.

Immediately, the patient was consulted by the doctors of the whole hospital and diagnosed with acute necrotizing pancreatitis with pneumonia. Given the critical situation, the patient was transferred to the Intensive Care - Anti-Poison Department.

At the department, doctors quickly handled the emergency by emergency intubation, artificial ventilation, placing a central venous catheter, using high doses of vasopressors to maintain blood pressure, continuous infusion to control blood sugar, and draining abdominal fluid. In particular, the patient was prescribed continuous blood filtration by intravenous method for 6 days.

Dr. Vu Ngoc Lan - Head of the Department of Intensive Care and Anti-Poisoning said: “After 6 days of emergency care, intensive resuscitation, and continuous blood filtration, patient Vu's blood pressure has gradually stabilized, and his kidney and blood clotting functions have begun to be controlled. We gradually weaned the patient off the ventilator. By the 10th day, the patient was weaned off the ventilator, his blood pressure was stable, and the endotracheal tube was removed and the vasopressor was removed. Currently, patient Vu is awake, stable, and has no fever. The patient's critical period has passed. However, we will coordinate with the doctors of the Hepatobiliary Surgery Department to continue monitoring and treating him until he has fully recovered before he can be discharged.”

Hoang Yen