Đánh giá kết quả bước đầu điều trị bảo tồn chấn thương lách tại Bệnh viện Quân y 110

Y iu t6 t i i p x u c n g h i g d y tib u c h a y c i p d o thu'C

p h im c h ie m ty Ip c a o n h it Id th u ’c p h im t u o i s6ng

(16,2%), n u b c Id, n u b c d d (12,4%), th y c p h im

kh& ng n iu c h in k y (11,5%), th u ’c d n t u tiec, lid n h o a n

(9,7%), k h d n g d d c diem ddc biet (11,5%), k h b n g n h b

rb (17,7%), th u ’C d n d u b n g p h o (9,6%). Tuy n h ie n ,

trb n 11% tr u b n g h p p k h o n g co ddc dilm tre n Id d o

dn tai nhd.

k £t lu a n

Ty lb TCC nghi do thyc phim trong 2 tuin dieu tra

Id 0,5%. Da so cdc trubng hpp tieu chay c ip dupe

qui cho nguybn nhdn do thyc phim, chiem 112/160=

70,0%. Ty lb mbi mdc tieu chay c ip do thyc phim

thay doi theo dia phuong: th ip n hit la tai TP. Ninh

Binh (0,36%), cao n hit Id D ik L ik (1,04%).

Ty le m ic benh nu cao hon nam, nhbm < 5 tu6i

cb ty le m ic cao nhit, tiep theo Id nhbm > 60 tu6i. Sy

khdc biet ndy cb y nghTa thbng ke p<0,001.

Y lu to tiep xuc nghi gdy tieu chay c ip do thyc

phim chiem ty le cao n h it Id thyc phim tuoi song

(16,2%).

Kl£N NGHj

C in tang cubng cbng tdc truyen thbng gido due

ve an todn thyc phim de ngubi dan hieu dupe nguy

co vd tdc hai cua o nhiim thyc phim, ddc bibt Id

nguy co m ic tieu chay c ip do dn thyc phim tuoi

song khbng dam bao an todn.

Tiep tuc nghien cuu nhdm xdc dinh ty le mbi m ic

TCC do thyc phim trong cong dong Idm bdng chung

khoa hpc ve ganh ndng benh tdt vd chi phi cua TCC

nbi rieng vd benh truyen qua thyc phim nbi chung.

TAI LIEU THAM KHAO

1. WHO. Guidelines for the Control of Shigellosis,

including Epidemics due to Shigella dysentenae

Geneva, Switzerland: World Health Organization, 2005

2. WHO. The global bursen of disease 2004 update

WHO Press. Geneva, 2008

3. CDC. CDC Estimates of Foodbome lllnessin the

United States. 2011 estimates.

4. Scallan E. National Burden of Foodborne

Diseases Studies -Current Country Protocols CDC,

Geneva (2006).

5. Gargouri N, Walke H, Belbeisi A, Hadadin

A, Salah S, Ellis A, Braam HP, Angulo FJ Estimated

burden of human Salmonella, Shigella, and Brucella

infections in Jordan, 2003-2004 Foodbome Pathog

Dis. 2009 May;6(4):481-6.

6. Lorenz von Seidlein, Kim DR, Ali, M. Lee H, Wang

XY, et al. A Multicentre Study of Shigella Diarrhoea in

Six Asian Countries: Disease Burden, Clinical

Manifestations, and Microbiology (2006) PLoS Med

3(9): e353 DOI: 10.1371/journal pmed 0030353

7. Kotloff KL, Winickoff JP, Ivanoff B, Clemens JD,

Swerdlow DL, Sansonetti PJ, Adak JK, Levine, MM.

Global burden of Shigella infections: implications for

vaccine development and implementation of control

strategies. Bulletin of the World Health Organization,

1999, 77 (8): 651-666.HSID.

8. Vu ke hoach-tai chinh, Bq Y Te Nien giam th6ng

ke y te 2008.

9. Scallan E, Jones T.Cronquist A, Thomas S,

Frenzen P, Hoefer D, Medus C, Angulo FJ, and the

Foodnet Working Group. Factors Associated with

Seeking Medical Care and Submitting a Stool Sample in

Estimating the Burden of Foodborne Illness Foodbome

Pathogens and Disease. (2006) 3(4): 432-439 /.

DANH GIA KET QUA BltiC DAU DIEU TRj BAO TON CHAN THUONG LACH

TAI BENH VIEN QUAN Y 110

DIEM BANG THANH - Benh vien Quin y 110

TOM TAT

Muc tieu: C hin thuxyng Idch la mot cap ciru ngoai

khoa thudng gap do chan thuxyng bung kin v&i tan

s u it thudng gdp 20-30%. Dieu tri bao ton da trd

thanh mot phuvng phdp dieu tri chuan trong chan

thuxyng Idch. Nghien ciru nhdm danh gia chi dinh va

ket qua cua dieu tri bao tdn khong mo trong chan

thuxyng Idch tai Benh vidn Quan y 110. Doi tuxyng va

phuxyng phap nghien c l p u : Nghien cuu tien cuv tren

18 benh nhan chan thuxyng Idch vao dieu tri tai Khoa

Ngoai chung va Khoa Hoi sisc - Benh vien Quan Y

110 tCr thdng 5/2013 den thdng 3/2014. Cdc ddc diem

nghien c&u bao gom ddc diem chung, lam sang, cdn

lam sang va ket q u i dieu tri bao ton khdng mo chan

thuxyng Idch. Ket qua: Tuoi benh nhan trung binh

32,5 ± 11,2 tuoi (8 tuoi - 64 tuoi). Ti le gdp d nam

n hiiu hon n ir (8/1), trong dd cd 66.67% 6 nhdm tuoi

(20-40 tuoi). Nguyen nhdn thudng gap la tai nan giao

thdng vd tai nan sinh hoat (72,22 %) Da s6 b$nh

nhan den vien tm dc 12 gid (66,67%) Bieu hien Idm

sang 100% benh nhan cd trieu chung dau bung.

Theo phan loai Hiep hdi Chan thuxyng Hoa Ky ddnh

gid mux: do ton thuxyng giai doan benh b in g hinh dnh

CT cho thay ton thuxyng Idch do I va do II chiem da

so vdi 83,33%. Vi tri ton thuxyng hay gdp n h it /d cuc

dudi lach chiem ti le 50%. Chu yeu la cdc ton thuxyng

tu mdu dudi bao va rdch bao va nhu md Ngay d iiu

trj trung binh: 11,3 ± 4,5. Ket luan D iiu tn bao tdn

khdng md trong ch in thuvng Idch Id mot phuxyng

phdp an toan, hidu qud duxyc chi dinh cho nhung

trudng hop ch in thuxyng Idch do I, II, III cd tinh trang

h u yit ddng dn dinh.

OAT VAN 0£

Vp Idch do chin thuang Id mot cdp ciru ngoai

khoa thuang gdp, cb xu hubng gia tdng cung vbi sy

phdt trien cua xd hoi hien dai Vi nguyen nhdn ton

60 Y HOC THUC HANH (922) - SO 6 2014