On September 15, under the chairmanship of Assoc.Dao Xuan Co, director of Bach Mai Hospital, doctors who consulted the whole hospital to find the most effective treatment to save 11 -year -old girl, victim in the flash flood of Nu village.Joining the consultation, on Japan, there were Prof. Dr. Hashimoto, respiratory expert from the respiratory department, National Center for Global Health and Medicine Tokyo - Japan.

Pediatric patients M.H.T.N., (female, 11 years old), the Tay ethnic group is a victim in the landslide caused by flash floods in the village of Nu village, Phuc Khanh commune, Bao Yen district, Lao Cai province.Pediatric parents work as a mason in Hanoi, the brother of the child goes to school, so he escapes.

When going to Bach Mai Hospital, the child is diagnosed: pneumonia caused by drowning and mud inhalation, ARDS complications, multiple trauma, right collarbone fractures, right liver folding, damage to software in many places, monitoringInfections of multi -organ failure, coagulation disorders, dic, acute muscle pepper syndrome.Currently, pediatric patients are being actively treated at the pediatric center, Bach Mai Hospital.

The case report at the consultation, Dr. Nguyen Cong Khac, the Pediatric Center, said that after 4 days, it was transferred to treatment at Bach Mai Hospital, currently the condition of edema and blood clotting disorders of the patient decreased..Children are still sedated, mechanical ventilation, pupils reflect weak light, but the problem of pneumonia of children is very serious due to water retention, inhaling a lot of mud in the flash flood.

"During 4 days of washing the lungs, the epidemic of children still muddy muddy. Today, bronchoscopy has bleeding, it is very difficult to clean the mud in the lungs," Dr. Khac shared.

Assoc.It is recommended to continue washing lunar bronchial via regular endoscopy.At the same time, supplement the whole body corticosteroids to treat edema.When washing the bronchi, if bleeding, add a small adrenalin to stop bleeding.This stage should not wash the whole lung (Whole Lung Lavage) with large amounts of fluid.Regarding Surfactan in ARDS treatment in children, the child should consider using, using it will be decided by the center.In soil environment, dirty water, there is a risk of blood infection through respiratory lesions is very high, Assoc.Prof.

In the perspective of hematology, Assoc.Prof.Dr. Nguyen Tuan Tung, Deputy Director of Hospital, Director of the Center for Hematology and Blood Transfusion said: The time of bronchial endoscopy has bleeding, thrombocytopenic reduction.After the platelet transmission, platelets have risen.Proposing to continue washing bronchial.The Center for Hematology - Blood Transfusion will coordinate with blood products, ensuring blood clotting when performing the procedure.Testing for monitoring blood formulas, clotting all regularly, especially before doing the procedure to compensate for appropriate blood products.

Prof. Dr. Hashimoto proposes to find more mushrooms, especially in the following important treatment days.

Prof. Dr. Hahimoto said that according to the recommendations of the Japanese and American CDC, the victim could inhale the objects and the causes such as mushrooms and NTM bacteria in soil and water.Therefore, it is important to pay attention to these causes that can attack the patient's lungs.Proposing to find more mushrooms, especially in the following days of treatment.

After listening to the consultation of specialties, Assoc.Prof.Dr. Dao Xuan Co, Director of Bach Mai Hospital directed: On September 15, he will endoscopy digest in bed for children.Pediatric patients also need to perform respiratory endoscopy, epidemic to find bacteria, find mushrooms ... Besides, drug treatment strategy, nutrition ... also need to be calculated, how to have a regimenBest treatment for children.

In addition, children need to continue breathing with low anesthesia to protect the lungs.In particular, the options are considered to be forced to wash the lungs for children, pushing mud and sand from the lungs, because the longer it is left, the more the object "eats" into the lungs will not be handled,Causes a series of serious reactions that cause necrosis, serious inflammation.

Associate Professor Co also directed: "The family of children in panic, all losses. In addition to the care of the pediatric patients, they will support both parents to eat.The best force to treat and treat children, is a practical contribution to a part of the pain of loss for people in flood areas. "