Nghiên cứu một số đặ điểm lâm sàng, cận lâm sàng ở bệnh nhân sốt xuất huyết Dengue được điều trị tại Bệnh viện 198 (2008-2011)

NGHIEN ClJfU MOT SO DAC DIEM LAM SANG, CAN LAM SANG

d BENH NHA N SOT XUAT HUYET DENGUE DtiOC DIEU TR!

TAI BENH VIEN 198 (2008-2011)

Nguyin Tudn Binh', Nguyen Quoc Dinh^.

Tien hanh nghien cmi tren 434 benh nhan sot xuit huy^t va 178 benh nhan sdt Dengue eo dien,

ket qua cho thay: Benh sot xuat huyet Dengue va sot Dengue co df mpi thang trong nam nhimg

tang len vao eac thang tir 6 den thang 11 va giam di tir thang 12 d6n thang 5. Cac dau hieu lam

sang bao gom: It nhat la nghiem phap day that duong tinh, ban, cham xuat huyet rai rac hay timg

dam va co the thay nhiing mang bam tim nhung chay mau cam, ehay mau chan rang, gan to, dich

mang phoi, mang bung va hpi chiing soc chi co 6 benh nhan sot xuat huyet Dengue. Dau hieu

can lam sang: Tieu cSu 100.000 mm' hoac it hofn, eo dae mau Hematocrit tang 20% hoac nhilu

horn, hoi chiing soc (Bao gom t^t ca eac tieu chuan tren, huySt ap ha, ket (20 mmHg) hoac it hem).

Tir khoa: Sot xuit huy6t dengue (DHF).

DAT VAN DE

Sdt Dengue va sdt xuat huyet Dengue la mgt benh

tmyen nhiem gay djch luon du'dc cac nha y hpc du" phong

va dieu trj quan tam dac biet. Bdi le no de lai nhiJtig hau

qua nang ne cho ban than ngudi benh va toan xa hpi ve

tinh chat phufc tap, da dang khdng chi ve phu'dng dien

dich te ma cdn ve phu'dng dien sinh benh hpc ciia nd. Vdi

ty le tir vong kha cao tiiy tiitig vu djch nhutig trung binh

la 2,5%.

Benh do vi rut Dengue gay nen bao gom 4 type huyet

tiianh: DEN -1 , DEN - 2, DEN - 3 va DEN - 4. Vi njt tnjyen

tif benh sang ngu'di lanh do muoi dot. Muoi Aedes aegypti

la con biing tiung gian duyen benh chii yeu. Benh gap d

hau het cac nUdc Dong Nam A va Tay Thai Binh Du'dng

nhu" Philippine, Malaysia, Sngapore, An Do, AustiBlia, Thai

Lan va mot phan phia Nam Tmng Quoc. Tai Viet Nam chii

yeu cac vung dong bang Bac Bp, Nam Bg va cac viing

Duyen hai mien Tmng.

"•Benh viftt Y hpc CO truyen. BQ Cong an: '-'Bfnh vien 198. Bg Cong an

Nea> nit^nhky.0S4:0l5

Ngat phan bifD xang: 18/6/2015.

>gfl> duyft Mng: 31/7/2015

Ngirti chiu tric h nhifm n^i dung khoa hpc: Nguyen Tuan Binh. Benh

vifn ¥h(>cc6 tru}-en. Bp Cong an

Difn ihodi: 0904010468. E-mail: t

Benh xay ra quanh nam, nhutig djch thu'dng xay ra

vao miia mu^, cac thang 5, 6, 7, 8, 9 va 10, mifc dd cua

dich tiiy theo tirng nam. Benh sdt xuat huyet Dengue cd

cac bieu hien lam sang dac trutig nhi/ sdt, xuat huyet va

thoat huyet tu'dng dSn tdi soc giam the tich tuan hoan va

roi loan chu'c nang ddng mau thuf phat. Neu khdng du'dc

chan doan va dieu tri kip thdi se dan den tir vong. Tuy

vay, nhutig trieu chutig ve lam sang, can lam sang dien

bien kha phiJc tap theo tiitig giai doan, de ciili song ngu'di

benh va gdp phan lam giam ty le tir vong thi viec nghien

aid ve dac diem lam sang, can lam sang d giai doan sdm

nhat giiip cho viec chan doan va dieu trj kjp thdi la vd

ciing du'c thiet. Xuat phat tii* nhutig yeu cau thu'c tien tren,

chung tdi tien hanh de tai nay nham muc tieu: Nghien ciilJ

dac ^em lam sang, can lam sang va djch te hpc ciia benh

sot xuat huyet Dengue.

f>dl TUONG VA PHUONG PHAP

Doi tu'dng nghien cihi: Benh nhan vao dieu trj vdi cac

trieu chiing lam sang, can lam sang ciia sdt xuat huyet

Dengue tai Benh vien 198, Bp Cdng an.

Phu'dng phap: Nghien ciili hdi cirlj.

Bja diem va thdi gian nghien ciht: Nghien culj du'dc

tien hanh trong Oicfi gian ti^ nam 2008 den nam 2011tai

Benh vien 198, Bp Cdng an.

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