Đánh giá mật độ xương, tình trạng loãng xương và một số yếu tố ảnh hưởng ở bệnh nhân suy thận mạn từ 50 tuổi trở lên

TCNCYH 68 (3) - 2010

abscess. Data regarding: age, sex, ethnicity, number of patients per year, seasonality, prior history of

tonsillar infection, prior antibiotic treatment, length of hospitalization, surgical treatment, bacterial results

and in hospital antibiotic treatment was collected the patients. Results: 34.78% of the patients were from

15-3 0 years of age. 66.67 % have a general infection. 69.56 % of the patients have complication.

95.65% have surgerieal treatments. The bacterial culture was negative in 2 (8.7%) patients. In 23 patients

we have 14 typs of bacterias, 6 typs were positive for anaerobes. 96.1 5% of the patients were treated with

Ampeillin/ Sulbactam. Conclusion: Peritonsillar abscess, a potentially life threatening infection, is in every

ages, has many complications and need to do surgery. Based on our review we conclude that peritonsillar

abscess in can be effectively treated byAmpeillin/Sulbactam.

Keywords: paratonsillar abscess, high dose antibiotics

DANH GIA MAT DO XUONG, TIN H TRANG LOANG XUONG

VA MOT SO YEU TO ANH HU6N G 6 BENH NHAN

SUY THAN M/\N TL/ 50 TUOI TR6 LEN

Nguyin Minh Thuy \ D6 Thj Khanh Hy^ Pham Thang'

'Benh vien E Trung dang, '^Trddng dai hoe Y Ha Noi; ^Benh vien Lao khoa Trung dang

Ciing vdi sd tien tnen cua suy than man, nhdng rdi loan ve chuyen hda chat khodng cung se xay ra

ddn den cdc rdi loan vd chu chuyen xddng, lam giam mat do xddng. Muc tieu: (1) Md ta ty le giam mat do

xdang va loang xddng d benh nhan suy than man giai doan 4 vd 5 td 50 tudi trd len. (2) Xdc dinh mdt sd yeu

to anh hddng de'n mat do xdang d nhdm benh nhan nay. Ddi tUgng va phuang phap nghien cdu: 66 benh

nhdn suy than man td 50 tudi trd len ddac do mat do xddng theo phdang phdp hap thu tia X nang Idang kep

d hai vi td cd xdang dui va cot sd'ng thdt Idng. Ke't qud: ty le gidm mat do xdang, lodng xdang theo vi tn:

45,5%; 28,8% tai cd xdang dui; 34,8%; 36,4% tai cot sdng that Idng. Ndng do PTH huyet thanh cd mdi lien

quan nghich vdi mat do xdang tai ca hai vi tn. Ndng do calci ion hda cd mdi lien quan thuan vdi MDX tai cd

xddng dui. Benh nhan nd cd ty le lodng xddng cao han so vdi benh nhdn nam. Cd mdi tdang quan thudn

gida mdc loc cau than vdi mat do xdang d ca hai vi td. Ke't luan: giam mdt do xddng thddng gap d benh

nhan suy than man. Nhdng benh nhdn cd mdc loc cau than cdng giam, ndng do PTH > 20U/L vd ndng do

calci ion hda tha'p cd mat do xdang thap han so vdi benh nhdn cd ndng do PTH < 19,9 U/L, nong do calci

ion hda binh thddng.

Tii khoa: suy than man, mat dp xUdng, loang xUdng

I. DA T VA N D E ra cddng can giap thd phdt va eae benh ly v l

Khi than bj suy man tinh, td ehdc nhu md than xddng. Ta't ea nhdng rdi loan nay ed the dan den

bj xd hda din , mde lpc el u than giam sdt, than tde dp huy xUOng manh hdn tao xddng va kit qua

khdng edn du khi nang duy tri can bing chuyen la gay nen tinh trang thda xUdng, loang xddng va

hda calci va phospho trong huye't thanh di n den tang nguy cd gay xUdng d nhdng benh nhan STM

hang loat cde bien logn xl y ra ma hau qui la gay [9]. Nghien edu eua Rix M va cpng sd eho tha'y

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