Nghiên cứu rối loạn đông cầm máu trên bệnh nhân điều trị tại khoa nội II Bệnh viện đa khoa Trung ương Thái Nguyên

Y HOC VIET NAM THAN G 5 - s6 OAC BIET / 2011

NGHIEN Ciru ROI LOAN DONG CAM MAU TREN BENH NHAN DIEU TRI • • •

TAI KHOA NOI II BENH VIEN DA KHOA TRUNG UONG THAI NGUYEN « • • •

Cao Minh Phirong', Vu Bich Vdn', Cao Dijrc Phuong',

Nguydn Kieu Giang\ Nguydn ThdTung^ Pham Thi La^

Nguydn Minh Nguyet\ Hoang Thu Soan^

Nguydn Thu Hanh', Hoang Thi Lan',

Nguydn Thu Phuong', Dinh Thi Thu Hudng'.

TOM TAT

Chung tdi tid'n hdnh nghidn edu trdn 954 li/pt

bdnh nhan didu tn tai khoa ndi 2, Bdnh vidn da khoa

Trung uong Thdi Nguydn cd cdc rdi loan ddng edm

mdu trdn Idm sdng vd xdt nghidm nhu sau: T9 Id xuat

huydt trdn lam sdng Id 11,30%. Rdi loan xet nghidm

ddng mdu co ban gap nhidu nhat la APTT kdo ddi

80,5%. thap nhat la PT keo dai 35,20%.100% cdc

trifdng hpp sd lupng tieu cau dudi 100 G/l ddu cd

xuat huyet trdn lam sang. DIC chid'm 1,88% trong

tdng sd bdnh nhan vao vidn va chid'm 16,67% trong

sd bdnh nhan cd bieu hidn xuat huyet trdn Idm sang.

SUMMARY

STUDY HEMOSTASIS DISORDERS IN INTERNAL

MEDICINE 2, THAI NGUYEN HOSPITAL CENTRAL

We conducted research on 954 patients treated

at internal medicine 2, Central Hospital of Thai

Nguyen. Results showed that: The rate of clinical

hemon-hage was 11.3%. Clotting disorder tests

prolonged APTT was 80.50%, the lowest PT % was

35.20%. The rate of cases platelet counts below 100

G/l are bleeding on clinical. DIC was 1.88% of

hospitalized patients and account for 16.67% of

patients with clinical manifestations of bleeding.

I. OAT VAN OE

Rdi loan ddng edm mau la mpt linh vuc rdt

rpng va khd chdn doan. cac bdnh ly rd'i loan

ddng edm mau ed thd nguydn phat hoae thd

phat sau eae bdnh ly khac. Benh vien da khoa

Trung uong Thai Nguydn (BVDKTUTN) la

noi tid'p nhdn benh nhdn eua mpt sd benh vidn

mye'n tinh, huyen trong khu vuc, ddi tupng

benh nhdn da dang. Cac rdi loan ddng edm mdu

xay ra hang nam rdt nhieu, Udn quan den hang

loat cdc khoa Idm sang trong do cd ea he Ndi

va he Ngoai.

Khoa Npi 2 la khoa didu tri bdnh tidu

hod, tid't nieu va huyd't hpc, cac benh nhdn

didu tri tai ddy hang nam gap kha nhidu eac

rdi loan ve ddng edm mau, tuy nhidn chua cd

mdt nghidn curu nao danh gid tdng quan vd

eac rd'i loan ddng edm mau tai khoa cung nhu

toan benh vidn. Vi vdy ehung tdi tid'n hanh

di tdi nay nhdm danh gid mpt each tdng quat

vd rdi loan ddng edm mau tren toan bp bdnh

nhdn va ndng eao kha nang sii dung hidu qua

eae xet nghiem ddng edm mau tren Idm sang

vdi mue tidu:

Ddnh gid rdi loan dong cam mdu ve Idm

sdng vd xet nghiem d cdc benh nhdn dieu tri

tai khoa Ngi 2 Benh vien da khoa Tiung

uong Thdi Nguyen.

'Benh vien da khoa trung Kong Thdi Nguyen

^Cuc qudn ly khdm chita benh - B6 y te

trudng Dai hpc Y - Dupc Thdi Nguyen

39