Nhân trường hợp ho gà có đồng nhiễm với Cytomegalovirus được phát hiện điều trị hiệu quả ở Bệnh viện Nhi Trung ương

cho thiy ty 1$ c6ng nhan c6 dau moi ca xuang khap

b cac vi tri khac nhau ia 83%. M£>t nghifen cuu Jin K,

Sorock GS, Courtney TK (2004) vA r6i loan ca xuang

trfen 383 nu c6ng nhan may a Trung Quoc cho ket

qua 50% c6 trifeu chung dau th lt lung kfeo dai s 24h,

ti Ife n^y hang nam vb’i c6ng nhan may c6ng nghifep

(74%) cao han so vdri nganh giao vifen (40%). Giai

thich nguyfen nhan do ngubi cbng nhan may cdng

nghifep phai duy tri tu thA lao dbng g6 b6 va tTnh tai

lifen tuc su6t ca lao dong, cong thfem nhung tu thA bit

lai. Tuy nhifen nhung trifeu chung dau moi chi ia tam

thdi trong luc lao ddng, c6 the mat di trong luc cong

nhSn nghi ngai, va trifeu chung dau moi chua du thai

gian de chuan doan iam sang. Su khac nhau a cac

nghifen clpu trfen c6 the do egonomi lao dbng duac cai

thifen nhieu, kham sue khoe dinh ki thubng xuyen,

hay do tuoi lao dong cua cong nhan cbn tre nen c6

the chiu duac tac dong cua cong viec. Nhung neu

<JiAu kien iam viec v in khong duac cai thifen, lau d in

cac trifeu chung dau moi rat dfe co the tra thanh bfenh

ly ca xuang khap sau nay. Chung ta can cb them

nghien clpu sau han ve van de nay.

Cac bfenh ve tifeu hoa cung chiem ti lfe tuang d6i

cao 13,2%. Ket qua nay giong vai nghien cuu cua

Nguyfen Dinh Dung ve danh gia ganh nang lao dong

a cong nhan la hai cua cac Cong ty May thuoc Tong

cong ty Dfet May Viet Nam cho ket qua tuang tu O’

(JSy tac gia da gia thich ia do dac thu cong nhan may

ia ngoi go b6 suAt ca lao dong, dfe gay ra bfenh tao

bon va ia nguyfen nhan keo theo mot so bfenh ve

du'frng tieu hoa.

Cac bfenh khac nhu tim mach, ho hap, mat, lieu

dAu cb ti le m ic thap, phu hap vai cac nghien cuu

tru’bc cua cac tac gia.

k £ t lu a n

Nhom bfenh thong thuang hay m ic cua cong

nhan chu yeu ia rang ham mat (37,3%), tai mui hpng

(23,2%).

Bfenh lifen quan dAn nghe nghifep cb bfenh ve ca

xuanjg khap chiAm ti Ife nho 8,8%.

TAI LIEU THAM KHAO

1 Le Tuan Anh (2000), "Mot so van de dieu kifen lao

dong va sue khoe cong nhan cong ty may 10-10 Ha

Noi”, Khoa lu$n tot nghiep Bac s i Y khoa, Tnrong Dei

hoc Y Ha NQi, tr. 35-41

2. Trjnh Hong Lan va cs (2008), "Roi loan ca xirang

nghe nghifep a cong nhan nganh may cong nghifep", Y

hoc thanh pho Ho Chi Minh, Chuyen de khoa hoc ccr

ban- Y te cdng CQng. so1/2010, tr. 217-221

3. Nguyen Thi Kim Dung Nguyfen Dinh Dung, Phung

Van Hoan, (2003), "Cac yeu to nguy co va dac diem tai

nan lao dong cua cong nhan sai cong ty Dfet 8-3, Ha Npi

4. Nguyen Dinh Dung va cs (2002), “Danh gia ganh

nang lao dong a cong nhan la hai cua cac Cong ty May

thupc Tong cong ty Dfet May Vifet Nam", Y hqc thi/c hanh

(602), tr. 29-30

5. Hoang Thj Thu Huyen (2012), Thuc tr$ng sue

khoe cua cong nhan cdng ty san xuat chi COATS Phong

Phu qua kham sue khoe djnh ky nam 2011, Khoa luan

tot nghifep bac sT Y khoa, Truang Dai hoc Y, Ha Npi

6. Nguyen Van Que (2002), Nghien ciru thuc tr$ng

ganh n$ng lao dQ ng cua cdng nhan la hoi cong ty may

Dux: Giang, Gia Lam, Ha N q i, Lufen van tot nghifep bac si

da khoa, Truang Dai hoc Y Ha Npi

7. Tran Thi Hai Thanh (2010), Thuc tr$ng moi tnrong

lao dQng va sux: khoe cong ty co phan Det cdng nghiep

Ha NQi nam 2009, Lufen van t6t nghifep bac sT da khoa,

Tru’Png Dai hpc Y Ha Npi

8. Luu Nguyen Thing (2012), Thi/c tr$ng mdi tnrong

va sux: khoe cdng nhan cdng ty co phan va djch vy may

Hung Long nam 2011, Khoa lufen tot nghifep bac sT Y

khoa, Truang Dai hpc Y, Ha Npi

9. Sorock GS Jin K, Courtney TK (2004),

"Prevalence of low back pain in three occupational

groups in Shanghai, People's Republic of China."

School of Public Health, Fudan University, Shanghai,

China.

NHAN TRirCTNG HOP HO GA CO DONG HHIEM VOI CYTOMEGALOVIRUS

DUOC PHAT HIEN DIEO TRI HIEU QUA Of BENH VIEN NHI TRUNG UONG

TOM TAT

Ho ga la benh truyen nhiem rat hay g$p d tre em.

Nhan mot trudng hap phat hien benh d mot tre trai bj

mSc benh ho ga co bien chung tang ap mach mau

phoi va co dong nhiim vdi Cytomegalovirus. Chung

tdi xin thdng bao ve chan doan dua tren lam sang,

sinh hoc, chan doan hinh anh va dieu trj cd ket qua

vdi Azithromycin va thuoc khang vi rut Ganciclovir.

TCr khoa: Ho ga; Cytomegalovirus.

SUMMARY

Case report on Whooping cough and co infection

with Cytomegalovirus: Diagnosis and effecally

treatment at National Hospital Of Pediatrics.

Whooping cough is a very common infectious

TRAN THANH TU, DOAN THI. MAI THANH

disease in children. A case of detecting the disease in

a young boy suffering from complications of pertussis

have increased pulmonary vascular pressure and

virus co-infection with cytomegalovirus. We are

pleased to announce the diagnosis based on clinical,

biological, diagnostic imaging and treatment with

good results by Zithromax and Ganciclovir.

Keyw ords: Whooping cough; Cytomegalovirus.

TONG QUAN

Benh ho ga xuat hien d moi noi tren the gidi va

thudng xay ra d tre em. Ho ga la mot trong cac benh

rat hay lay lam chet nhieu ngu’di nhat trong cac loai

benh co the phong ngi/a di/dc bing vic-xin [6], Moi

Y HOC THUC HANH (922) - SO 6/2014 83