Nhận xét đặc điểm lâm sàng và cận lâm sàng ở các bệnh nhân chửa ngoài tử cung tại bệnh viện phụ sản trung ương

KI^N NGH!

Ty nhO'ng kit qua nghien eiru vd kit lugn tren,

Chung tdi thiy kit qua diu tri theo chiln lypc DOTS rat

tot, ty lp am hda cao, bd tri thip, khuyin nghj ein phai

tilp tyc triln khai vd duy tri chiln lypc DOTS cho nhyng

bpnh nhdn lao phdi mdi cd vi khuIn lao trong ddm. Cin

tdng cydng phdt hipn, di ddi vdi dilu tri sdm sao cho dm

hda tdi da vd sdm elt ngudn Idy.

^ Hipn nay tinh hinh bpnh lao d Ddng Thdp dang ed

dien biln rat phdc tgp, do dd tuyen truyln gido dye v l

lao sdu rpng bing nhilu hinh thirc khde nhau d l ngydi

dan hiiu rd cdch phdng vd dilu tri lao.

Tdng cu'dng nhdn lyc eho cdng tdc chdng lao, cdng

tdc truyen thdng gido dye sdc khde, ndng cao hiiu bilt

v l lao. Bdi dydng kiln thirc eho cdn bp nhdn vien y t l

hipn dang khong cdng tdc trong hp thdng chuyen khoa

lao d l hp hiiu rd v l vipc phdt hipn, chin dodn vd dilu tri

de cung vdi CTCL tinh Dong Thdp tdng bydc khdng ehi

va ngan chgn bpnh lao.

TAI LIEU THAM KHAO

1. Trgm chdng lao Ddng Thdp. Bdo cao tdng kit

chdng lao 5 ndm 1996-2000 vd Phu'Ong hydng hogt

dpng ndm 2001-2005.

2. Vipn Lao va Bpnh phdi Trung yang. Oanh gid

CTCLQG giai dogn 1996-2000 vd phuong hydng hogt

dpng gigi dogn 2001-2005. Ha Npi, (2000).

3. I.Bastian, L. Rigout, A.Van DEUN, & f. Portaels.

Directly observed treatment, short-course strategy and

multidrug-resistant tuberculosis: are and modifications

required Bulletin of the worid Health organization, 2000-

78.82.

4. Christopher Dye, Geoffey P Garnett, Karen

Sleeman. Prospects for Wordwide Tuberculosis control

under the WHO DOTS strategy.

5. Marcos A, Sang Jae Kim, Kai man Kam. Standard

short-Course Chemothrapy for Drug-Resistant

Tuberculosis.JAMA.2000;2537-2545.

NHAN XET DAC DIEM LAM SANG VA CAN LAM SANG

0 CAC BENH NHAN CHlTA NGOAI TUT CUNG

TAI BENH VIEN PHU SAN TRUNG ITONG

TOM TAT

Nghien ciru duac thi/c hien tren 402 benh nhan

cCia nim 2003 va 404 benh nhan cCia nim 2008 daac

chan doan la (chCra ngoai tCf cung) CNTC dugc dieu

tn tai benh vien Phu san Trung aang nhdm so sanh

cac die diSm lam sang va cac dSc diim can lam

sang cQa cac benh nhan CNTC tai benh vien PSTW

giCra 2 nSm. Ket qua cho thay Biiu hien lam sang cua

cac benh nhan CNTC den dieu tri tai benh vien

PSTW trong nim 2008 thay doi han so vdi nim 2003

: Cac trieu chimg thac thi it han va so benh nhim bi

choang giim han hin trong nim 2008 so vdi nim

2003. Cac xdt nghiem can lam sang ngay cang daac

ap dung pho bien va co hieu qua han trong chan

doan dung cung nha chan doan sdm CNTC.

Tdkhda: chira ngoai tCfcung

SUMMARY

The study was carried out in 402 patients in 2003

and 404 others in 2008 with ectopic pregnancy at

National Obstetric and Gynecological Hospital to

compare the clinical and paraclinical features

between two groups. Results showed that: in 2008,

the physical symptoms and number of patients in

shock are less than that in 2003. Paraclinical tests

have been increasingly widely applied and are more

effective for correct and early ectopic pregnancy

diagnosis.

Keywords; ectopic pregnancy, National Obstetric

and Gynecological Hospital

OAT VA'N OE

Chufa ngoai iCt cung (CNTC) la mot benh 1^ cap

CLfU san khoa gay chay mau neu khdng dupc chan

CUNG TH! THU THUY - Dai hpc Y Ha Ngi

doan va dieu tri kip thdi cd the gay nguy hiem de'n

tinh mang do vd khdi chCra gay ehay mau trong d

bung. Day la mot benh bat bupc phai phlu thuat.

Ty le benh dang ngay eang tang len, tai cac benh

vien Viet Nam tang ti/ 30,7% (2000) len 40,1% sd ca

ed thai 2002) [1].

Ciing vdi sii tien bp trong tham kham lam sang va

can lam sang, y thifc cua ngUdi dan trong quan tam

cham sdc sife khde, ed the lam thay ddi hinh anh bieu

hien cua benh ONTO. Cae bieu hien lam sang ehinh

cua CNTC la dau bung, dau dOf doi viing tieu khung,

dac biet xay ra tren phu nCrdang mang thai hoac nghi

ngd ed thai. Chan doan hien nay di/a ca vao Idm

sang va sieu dm.

Hien nay da ed mpt sd nghien ciHi ve dac diem

lam sang va can lam sang cua CNTC nhung chu'a ed

nghien cuTu so sanh lam sang va can lam sang theo

thdi gian de xem xet lieu cd sy thayddi theo thdi gian

hay khdng . Do vdy, chung tdi thife hien de tai nay vdi

mue tieu: So sanh eae dac diem lam sang va can Idm

sang eua edc benh nhan CNTC tai benh vien PSTW

trong ndm 2008 va nam 2003.

OOI TLTONG VA PHaONG PHA P NGHIEN CLfU

Phuong phap nghien ciru md ta ed so sanh giiJa 2

thdi diem khac nhau. Dua theo ty le cd hinh anh ro

rang tren sieu am cua 2 nam chiing tdi tinh dUde 400

benh nhan. Sd lieu dUdc nhap vao may vi tinh va xCf

ly tren phan mem SPSS 10.0. Kiem dinh thdng ke, so

sanh si/ khac nhau ddi vdi ket qua phan tram sif

dung; x^ test ddi vdi mlu Idn va test chinh xac eua

Fisher dd'i vdi mau nhd.

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