Hội chứng tiết bất hợp lý hormon chống bài niệu và hội chứng mất muối não trong nhiễm khuẩn thần kinh cấp ở trẻ em

ao xo gan, d sy khOc biet nong dp BNP ft bOnh

Iihan xo gan ChiM-Pugh A va Chlki-Pugh C (25 45 +

1 ,% vO 108,16 ± 66,94 vft, p<0,05)^Kat quO nav

ttJong dong vfti nghiOn cuu cua Yiimaz (2010)16^

Jl.n.'S.S? ^ "^ ^ P*' ^ vfti nghien cuu cOa Shi LY

HMO i^„"°u""'"" ' ' ^ (2016X4], chi ra ning do

BNP bOnh nhOn xo gan ChikH>ugh C cao hon Chiid￾Pugh B VOI p<0,05.

Blim ChM-Pugh duyc dOnh gia dya tten 5 thOng

so. nnh ttang hoi chftng nao gan, muc do c i ttuong

myc giam albumin, giam prottirombin va tOnrJ

^I'lh^n. B i taoi ttft anh huong cua ttnh tt?ng £

ttftftng ten vise danh giO liOn quan gifta BNP va mftc

S '^»9an theo phOn tool Child-Pugh, chung toi da

lien hOnh danh giO mOi ilOn quan glua BNP vfti

ajumin, prottirombin va biiinibin. Ki l qua cho thav

BNP tOng ttieo myc Hng bilirabin, mftc glam albumin

i j prothrombin ttry sy khac blot chya d j nghra

S?,i^ 'P*?'°^'' ° ° Hi cft thi nhOn thiy BNP Bng

nnh J^' " S^P * "*"9 xo gan d lien qian din c l

tlnh ttang tang ap lyc trnh mach cfta vO suy chftc

nang gan.

„• !i*"lf ^ ^^'' "^"9 ''P^ng chi lien quan din mftc

dy ttam ttyng bOnh gan theo phOn ioai Child-Pugh vO

sy xuOt hiOn d ttuftng mO d n liOn quan vfti d c biin

dOi hinh ttiOi vO chftc nOng ttm. dOc blot ia rii loan

Kr„ f "Ssil"' "^" 9 UlSttOtl]. Bo dO, cin quin

10m ain^rii toan tm mach ft nhftng binh nhOn d

KSTLUAN

« , ; ^ 9an IOm tang BNP huyit lyong (39,10 i

67,30 so vfti 25,50 ± 15,83 pg/ml) vfti p<0,001.

- BNP lOng cao hon ft blnh nhOn d c i tn/ftng

albumin giam. prothrombin giam vO bilirubin tOng.

- CO moi lien quan gK/a BNP vO myc dy nOng xo

gan theo phOn toai ChiktPugh: BNP 4 bOnh nhOn xy

gan Chid-Pugh C d ning do BNP cao hon so vol

bynh nhan xo gan ChiM-Pugh A

TAI Llf u THAM KHAo

VlelTli°r3?l2 ?NI"K"I "^' "'^" 9 Oinh Anh, Trin

,™T , 1 * .5' ."I'l* " P*" 'V thay dii chftc nang IOm

truong thOt irOi a bOnh nhan xo gan". Tap chi Ydiia-

"TNaS^^S-^y ' ""^ °^^ " aoi^hon dan " " si MF!^^ S ' f^ "T" 9 2011), Wg/iiBn Klu oflf si MELD trong bdn fupng OOnfi nfiOn xo gin-, LuOn vOn thac SI y hoc, Dai hyc Y HO NOi.

3. Figueiredo A,, F. Bemiejo (2012), "The End

-^^T^^r^n^ll'arg^SySS?<S2S S \

1984 1993 ^"^onnatKe: Electmn Physkslan, 8(2)™ ,

'X^si,cs-,'?srr^^'Se;ir^«^, ;

„A uA, ^urV."-' ^^^^ ? " ' " ""P " "'""" ™ ™»NG BAI NIEU

M HSl CHUNG MAI MUOI NAO TRONG NHIEM KHUAN THAN KINHCAP 4 THE EM

TOM TAT

„,.-?'*' i."?"?,,?*'^" "*'• ^ ll^KH "Hin SIADH vi 22 ^nb nhin CSWS tmng nhUm bung thin k/nf, cip

nitn2007 din biing 12 nim 2008. Phuong phio

nghiin dru: Nghiin cuu miti theo loat caiSihbTn

ttf uc ij o V*, dih khi ra viin hoic ta vong - xin X

CSWS fa 5,33. Binh nhin vtim nao (VN) viim mina

mo nhiim khuin (VMNNK) cd SIADH bUTmhliS,

t-irtB. MOf noOc 63.6%. g/Om kaff mOu 36454 cfii!

yiu tmng CSWS.Natri niju 125 ± 9.0.3mFn An „ P^"

Chiu It*^ nhiim: Twang Tht Mai Hdng

Dm chi Binh viin Nhi Tnjng uong

Emai: [email protected]

Ngiy nhin: 05/8/2016

Ngiy phin biin: 23/8/2016

Ngiyduyilbil: 0519/2016

Ngiy xuit bin: 20/9/2016

TRUONG THI MAI HONG - B^nh vi^n Nhi Trung uong

CSWS so SIADH li 83tS,5mEqA. Biiu tri CSWS

ZIL"!:£'/"Pi' " "*° """9 "111 « 8,5mmoM.

??Sn^/"°.'!°J™9 P'"P '^ ]S0mlMg/ngiy. Biiu

ha, ' ^ *'!,°nL't* P^*'9 Hit tlii hftp If bonnone chdng

I'^niiuADH (syridmum of Inapptopriate secmtlon ot

=ntid,uretic horinone - SIADH): hil chOng mit muH

nao (cerebial salt wasbng syndrome - CSWSI

SUMMARY

fubiect: A describtive sbidy was coriducled In the

yioljyam National hospital tor Chlklmn Imm January

2007 to December 2008 tor 60 pabents with cerebial

mlections Including 58 children with SADH ami 22

chMmn with CSWS. Methodology: A prospective slatty

following up 80 hospHailzabon patlerils. Results- lbs

age ofpatferits with SIADH Is 4.27. lower man Ihe asB

ot those with CSWS (5.33). Pabenls with encephsm

and meningitis with SIADH have the cllnicel syntems

such as vomile (43.1%), convtMon (67.2%) which ate

higher than those with CSWS. However, dehydration

(63.6%) arid hypokalemia (36.4%) are nx/ra likely

Y HOC THUC HANH (1021)..Sti 9/2016 1 'Boci