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Kız bebek, trafik kazasında ender rastlanan bir deri kopması yaşamasının ardından altı aylık bir tedavi sürecinden geçti.

Kız bebek, trafik kazasında ender rastlanan bir deri kopması yaşamasının ardından altı aylık bir tedavi sürecinden geçti.

23 Ocak'ta, Ho Chi Minh City Children's Hospital Assistant Director Dr. Nguyen Minh Tien announced that a severe multiple injury case, caused by a traffic accident and involving extensive skin lacerations, was successfully treated by the hospital. The child underwent treatment for 6 months in the Surgical Intensive Care Unit and Orthopedic Trauma Department (Photo: Hospital). On August 5, 2025, at 18:24, a 9-year-old girl named NNMT from Duc Lap commune in Tay Ninh province was transferred to the hospital an hour after sustaining severe multiple injuries, hemorrhagic shock, and being involved in a traffic accident. According to medical records, on the same day around 16:30, the child was riding a motorcycle with her grandmother when she was hit from behind by a dump truck, dragging her under the vehicle. Following the accident, the child was unconscious for about 5 minutes and suffered multiple injuries to her pelvis and lower extremities. The hospital provided immediate medical attention upon the child's arrival, which included intubation, shock treatment, erythrocyte suspension transfusion, and an urgent referral to the City Children's Hospital. Upon arrival at the hospital, the child was pale, with a weak pulse that was difficult to detect, challenging to measure blood pressure, and presented with numerous bruises and abrasions on the abdominal area. Particularly concerning was the complete skin loss on the hip, perineum, left thigh, and lower leg, exposing fat and muscle tissue. The wounds were bandaged, bleeding, and oozing from gauze. A CT scan revealed paravertebral emphysema originating from the cervical base, contusion of the left dorsal lung lobe, left pleural effusion, and subcutaneous emphysema on both sides of the back. Retroperitoneal pneumothorax, bilateral pelvic muscle injuries, intraspinal pneumothorax, bilateral pubic and ischium fractures, complex sacrococcygeal fracture, and extensive soft tissue damage extending from the lumbar region to the thigh were detected in the abdominal cavity. The hospital promptly issued a code red, administered 1.5 liters of blood, 300 ml of fresh frozen plasma, 6 units of platelet transfusion, and vasoactive drugs. After initial stabilization, the child was taken to the operating room to stop bleeding, perform wound debridement, create a temporary colostomy, and stabilize the fractured pelvis. Two days after the surgery, the child developed a fever, and significant fluid accumulation with reduced blood supply and swollen skin in the left sacrococcygeal-lumbar-hip area was observed. After multidisciplinary consultation, doctors diagnosed the child with a widespread Morel-Lavallée skin injury, a rare and challenging type of skin lesion to treat. The child continued to undergo comprehensive debridement and continuous irrigation with a negative pressure wound system from the hip and back to the perineum, left thigh, and lower leg. Over approximately six weeks, the child received meticulous wound care under maximum sterile conditions, accompanied by resuscitation, respiratory support, antibiotics, painkillers, and high-energy nutrition. After developing good granulation tissue in the wound, an mesh-like skin graft was applied to expand the coverage area. Following around six months of treatment in the Surgical Intensive Care Unit and Orthopedic Trauma Department, the child's condition gradually improved, the skin graft successfully developed, the child was conscious, the wound healed, and eventually discharged from the hospital. According to the doctors, this was a rare and successfully treated extensive Morel-Lavallée skin injury case thanks to multidisciplinary collaboration. The treatment process also included several modern techniques such as continuous negative pressure irrigation system, painless debridement using special ultrasound devices, and the application of high-quality gauze and wound care solutions. The total cost of treatment amounted to approximately 500 million VND. Due to the family's challenging situation, the hospital sought help from benefactors to cover the child's medical expenses. [Source: https://dantri.com.vn/suc-khoe/hanh-trinh-6-thang-cuu-be-gai-loc-da-hiem-gap-do-tai-nan-giao-thong-20260123121321198.htm]

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