Nghiên cứu đặc điểm lâm sàng liệt dây thần kinh IV bẩm sinh tại Bệnh viện Nhi Trung ương

51% cbn lai 49 % BA khdng TTT. So luang tuang tec

thu6c c6 y nghTa tem sang chiem 7,23% lidn quan

d in 13 cap tuang tec. Cung vdi CSDL nay k it qua

khao sat tuang tec thu6c tai Khoa hd Ndi - BVDK

Buu Oi$n-TPHCM thi ty Id BA cd TTT tuang duang

Ia 66,2% va 33,8% BA kh6ng tuang tec thuoc [5].

K it qua ty Id TTT kite cao mdt lln nua khSng dinh

tim quan trpng cua tuang tec thuoc trong dieu tri.

Cdng b6 trong y van cho thay ty le tuang tec gSp rlt

cao trong bdnh an cua nhom benh nhan suy tim,

bdnh nhan teng huylt ap, benh nhan su dung thuoc

dieu trj r6i loan lipid rrteu hay thuoc chong dong. Benh

nlten cao tuli, benh nhan he noi tim mach ia nhung

doi tuang c6 nhieu benh ly m lc kern va duac ke

nhilu thu6c trong dan Id nhung yeu to nguy ca chinh

lam teng kha nang xu it hidn tuang tec thuoc trong

dan d§ duac mo ta trong nghien c lp u [8],

k £t lu a n

Nghien c lp u da xac dinh duac ty le benh an cd

tuang tec theo 2 CSDL tra c l p u . Ty le benh an cd TTT

va cac TTT c6 YNLS ia kha cao so vai nghien c lpu

cua tec gia g in day. Cac tuang tec co y nghTa lam

sang thudng gap bao gom: tuang tec lpc che men

chuyen - muoi kali/thuoc lai tieu giu’ kali lam gia teng

nong do kali mau, dieu nay het sue nguy hiem. Phai

thudng xuyen theo doi nong do kali mau, chuc nang

than trong qua trinh dieu tri. Ket qua nay cho thiy

tim quan trong cua viec phoi hap giua bac sT dieu tri

va duac sT lam sang trong viec phat hidn, quan ly

tuang tec thuoc nhlm giam thieu den mCpc toi da cac

phan ung b it lai do tuang tec thuoc gay ra.

TAI LIEU THAM KHAO

1. Hoang Kim Huyen, Ngo Chi Dung, Vu Dinh Hoa

(2007), "Khao sat va danh gia mot so phan mem tra cuu

tuang tac thuoc online", Tap chi Duvc hpc, so 378 nam

47, pp. 3-7.

2 Hoang Van Ha (2012), “Nghien cuu xay dung

danh myc tuang tac thuoc can chu y trong thuc hanh

lam sang tai Benh vien Thanh Nhan”, Khoa lu$n tot

n ghipp Duxyc sy, D$i hQC Duxyc Ha Nqi.

3. Nguyen O lpc Phuang (2012) "Nghien cuu xay

dung danh muc tuang tac thuoc can chu y trong thuc

hanh tai Khoa Ca Xuang Khdp - Benh vien Bgch Mai”’

Khoa lu$n tot nghi$p Duxyc sy, Dai hpc Duxyc Ha Nqi

4. Nguydn Hoang Anh, Npuydn The Huy va cdng su

"Danh gia tuang tac thudc bat Ip’S trong benh an dieu tri

noi tru tai Benh vien Da khoa tinh Bic Giang” Tap chi

Dirpc hoc, so 3/ 2012 tr 90-94

5. Nguyin Thu Van (2012) “Danh gia mot sd ca sd

du lieu thudng dung trong thuc hanh tra cuu tuang tac

thudc tai Viet Nam” Trung tam Dl & ADR Khoa luan tot

nghi$p Duryc sy, Dai hpc Dirpc Ha Noi

6. Trln Nhan Thing, C in Tuyet Nga (2012), “Budc

dau ung dyng phan mdm duyet tuang tac thuoc tren

mot so benh an tai Vien Tim mach - Benh vien Bach

Mai", Tap chi Duyc hpc, so 431 thang 3/2012 - Bp Y te

tr 22-26.

7. Vu Dinh Hien - Hoang Thi Kim Huyen (2005), "So

sanh kha nang phat hien tuang tac trong dieu tri cua

mdt sd phan mem duyet tuang tac thuoc", Tap chi Dupre

hpc, 354, pp. 23-26.

8. Nguyen Thanh San va cdng su (2011), "Danh gia

muc do dong thuan giua cac ca sd du lieu duyet tuang

tac thudc trong thuc hanh lam sang", Tap chi thong tin Y

duoc , 11, tr 29-32.

NGHIEN Ctfll DAC DIEM LAM SANG LIET DAY THAN KINH IV DAM SINH

TAI DENH VIEN NHI TRUNG UONG

NGUYEN NGOC CHUNG

TOM TAT

Muc tieu: Nghien cuu dac diem lam sang cua liet

day than kinh IV tai Benh vien Nhi Trung uong tir

1/2011- 12/2013. D oi tu v n g va phuxyng phap

nghien ciru: N ghiin cuv tien ciru tren 45 BN va mo

t i d ie diem lam sang qua thSm kham: lac, song thi,

han chS v in nhan, lech dau veo co, m£t c in xirng

m it. Ket qua: Cd 20 BN nam, 25 BN n ir tat ca BN

deu bi mot m it, tat ca BN deu co lac dirng (100%),

100% BN cd tich d iu veo co,100% BN cd han ch6

v$n nhan c ic muc do tir nhe den liet hoan toan,

100% BN cd q u i hoat co cheo b i khdng cd BN nao

song thi (phin biet vdi liet m ic phai), 80% BN cd mat

c in xirng m it

T ir khda: Liet d iy TKIV, H it cheo Idn.

SUMMARY

Study clinical features congenital Fourth

cranical nerve palsy in NHP

Purpose: Observe clinical features of congenital

Fourth nerve palsy in NHP from 1/2011 to 12/2013.

Methods: Retrospective chart review of 45 patients

with congenital superior oblique palsy. All patients

had a completed eye examination: diplopia vertical,

hypertropia, abnormal head posture, head tilt toward,

underaction o f the superior oblique muscle,

overaction of antagonistic inferior oblique muscle.

Three steep Test o f Pack, Bielschowsky Test for

diagnosis. Results: 20 Male and 25 Female, 100%

fourth cranical nerve in unilateral. 100% patients with

hypertropia, 100% patients without diplopia vertical.

100% patients with underaction superior oblique

muscle. 100% patients with head tilt (abnormal head

posture). Overaction infenor oblique muscle in 100%.

80% patients with facial asymmetry

Keywords Trochlear palsy, supenor oblique

palsy, fourth cranical nerve palsy, diplopia vertical,

hypertropia, headtilt.

V u n r TH ifr HANH (922) - SO 6/2014 11