Introducing high-tech eye surgery services at
district-level hospitals
In recent years, Dinh Quan district General Hospital
has made a great impression with its successful surgery for patient Nguyen Van
Phu, whose heart was seriously stabbed. After 1 day of surgery, the patient’s
biological parameters returned to normal. According to Dr. Ta Quang Tri, Deputy
Director of Dinh Quan Regional General Hospital, who is directly involved in
emergency surgery, patient Phu was hospitalized with a 3-cm cut into heart. The
patient then was drowsy, had a pale skin, sweated, slightly breathed, light
pulse that is difficult to catch, and blood pressure of 60/40 mgHg via monitor;
meanwhile, it was difficult to hear the patient’s heartbeats lungs were clear.
Through diagnosis, doctors identified that the patient was shocked due to blood
loss and suffered cardiac tamponade. After resuscitation, testing results showed
that the patient suffered pericardial effusion with a right ventricular wound
and intercostal artery rupture and that an emergency surgery was needed. A team
of surgeons applied positive resuscitation measures in the operating room
combined with assisted blood transfusion, myocardial sutures, intercostal
artery, left pleural drainage and so on. After nearly 100 minutes of surgery and
transfusion of 8 blood units, the patient passed his critical conditions. After
surgery, the hospital continued to apply medical support and special care
measures to stabilize the patient’s health as well as monitored and prevented
possible complications for a patient with a serious heart injury.
Patient Nguyen Manh, aged 53, living in Madagui
town, Da Hoai district, Lam Dong province, was rushed to Dinh Quan Regional
General Hospital for emergency and he had a slow contact; sweated; had a pale
skin, unconsciousness, rapid pulse, low blood pressure, and swollen abdomen, and
so on. After their examination, doctors at Dinh Quan Regional General Hospital
identified this was a case of severe traumatic shock suspected by a liver
rupture. If the patient had been transferred, he would have been at risk of
death.
Dr. Ta Quang Tri, Deputy Director of Dinh Quan
Regional General Hospital, who directly operated the patient, said that the
patient suffered a serious blood loss and had to be transfused with 27 blood
units or 9.5 liters of blood. The hospital’s blood reserve was not enough, so it
had to mobilize the medical staff’s blood and those who took care of their
family members in the hospital that day. After surgery and treatment, the
patient recovered and was discharged from the hospital.
Thanks to the implementation of many difficult
techniques and being proactive enough to cope with emergency cases, if the
golden time is not taken an advantage of, it is difficult for a patient to
survive. Therefore, many district hospitals have successfully applied many
difficult techniques to help many patients through their critical conditions.
High-tech surgery is carried out at Dinh Quan
General Hospital
At district-level hospitals, many high technologies
have also received technologies transferred from higher-level hospitals through
Project 1816. Ho Chi Minh city Eye Hospital has transferred the technique of
cataract surgery by phaco method to the doctors of Dau Giay General Hospital.
Under the guidance of a team of doctors from Ho Chi Minh city Eye Hospital, Dau
Giay General Hospital performed its surgery for 8 patients in Thong Nhat and Cam
My districts with new methods. Doctor Hoang Nghia Dai, Director of Dau Giay
General Hospital, said, cataract surgery by phaco method is a modern ophthalmic
surgery with small incisions and no sutures, patients do not bleed, enjoy a fast
recovery time after surgery, and can see things right in the first days after
surgery. Dau Giay General Hospital is the first district hospital in the
province to implement this technique.
In order to build trust for patients, many hospitals
have also invested heavily in modern equipment and techniques, and changed their
medical examination and treatment process to aim to simplify medical procedures.
Doctor Nguyen Duc Phuoc, Director of Trang Bom General Hospital, said, the
hospital now receives 800 to 1,000 patients a day. Therefore, the hospital has
offered medical examination to health insurance card holders even on Saturday to
reduce the load and solve the patients who need medical examination on their
holidays. In recent years, the hospital has also purchased such new equipment as
ultrasound machines, and machines to do immune tests and brain power tests.
Also, the hospital has implemented appendicostomy
technique and it has received some techniques that are transferred from Thong
Nhat General Hospital in Dong Nai province.
Duy Minh (An Nhien)