A 3-year-old boy was playing when he was attacked by two Beagle dogs from a neighbor’s house, each weighing about 25 kg, causing his right kidney to rupture and his condition to be critical.
On April 1, Doctor Nguyen Duc Lan, Head of Pediatric Surgery Department, Phu Tho Obstetrics and Pediatrics Hospital, said that the patient was admitted to the hospital in a state of panic, with many wounds on his head, face, groin, back, and legs. bloody urine.
Children receive first aid, wound cleaning, tetanus vaccination, and rabies vaccination. Ultrasound and X-ray assessed the extent of the damage, and doctors determined that the baby had a ruptured right kidney. A computed tomography scan showed that the baby’s right kidney broke into two pieces.
The patient was placed with a urinary catheter to monitor the color and quantity of urine, used three types of antibiotics in combination, and monitored hemodynamics and blood oxygen saturation. On the second day of hospitalization, the child received a transfusion of 150 ml of packed red blood cells.
After 4 days, the child is now awake, without fever, the soft tissue wounds still have a little fluid seeping through the bandage, the abdomen is not distended, there is pain in the right flank area, and the urine is clear.
Dr. Lan assessed that this was a complicated case, the soft skin injuries were not too severe, but the blunt abdominal trauma and kidney rupture were serious. The baby needs to be closely monitored and treated with emergency surgery if conservative treatment is not effective.
One week earlier, on March 23, the Department of General Pediatric Surgery received a 4-year-old patient who was bitten by a domestic dog on the head and right arm, scratched at many places on the body, including two lacerations to the scalp. bleed a lot.
Doctors recommend that parents and caregivers should not let children play with dogs or cats, especially strange dogs or large dogs or cats. When a child is injured by a dog, cat or wild animal, the child should be quickly taken to a medical facility for treatment and vaccination.
Dog and cat owners also need to have their pets fully vaccinated and re-vaccinated annually as recommended by the veterinary industry. Dogs and pets are not allowed to roam freely on the street. Dogs and pets taken out on the street must wear a muzzle to avoid attacking others.