NEW DELHI: With each passing day,
the condition of Nirbhaya — as TOI
has symbolically named the victim — is
deteriorating. Doctors say internal
bleeding started on Sunday night due
to clotting of blood vessels.
Her platelet count and white blood cell
(WBC) count have shot up. Doctors,
however, say it is due to the
supplementation.
On Sunday, there was severe bleeding
in her abdominal cavity. Doctors
attribute it to Disseminated
Intravascular Coagulopathy, a
condition in which clots are formed in
blood vessels. As these clots consume
the coagulation proteins and platelets,
normal coagulation is disrupted.
"There is bleeding in the abdominal
cavity. DIC has happened due to the
infection and repeated blood
transfusion . This was the prime
reason for the sharp fall in her
platelet count on Sunday. We are
trying to control the bleeding.
Compared to Sunday, her condition is
not good today,'' said Dr M C Misra,
chief of AIIMS Trauma Centre .
She has been given fresh frozen
plasma, single donor plasma and
platelet rich plasma to increase her
platelet level. "The platelet count has
gone up due to supplementation.
Though her bilirubin level has come
down to 5.5, white blood cell count has
increased to 6,000 and urine output is
normal, she continues to be critical
because of internal bleeding. She also
has high fever. We have not tried to
take her off the ventilator,'' said Dr B
D Athani, medical superintendent,
Safdarjung Hospital.
On Monday, doctors carried out
another psychiatric evaluation of the
victim. They also spoke to the family to
assess their condition. "She is
psychologically composed. We asked
her a lot of questions but there was no
sign of anxiety or depression. We have
started supportive psychotherapy. We
are also providing psychiatric help to
the family,'' said a senior psychiatric
with Safdarjung Hospital.
Despite her deteriorating medical
condition, doctors are still hopeful she
will come through. "We have put her
on a high dose of broad spectrum
antibiotics. Once the infection is under
control, she will recover fast,'' said a
senior doctor.
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