Tìm hiểu sự khác biệt giữa các thành phần dịch rửa phế quản phế nang ở 2 nhóm trẻ viêm phế quản phổi do vi khuẩn Gram âm và Gram dương

• - Hoang sa ban dem chilm 50,0%.

- Can ty dpng nhu can quay chilm 28,1%; dgng tac

Igp chilm 25,0%.

Bang 8. Vj tri d nhdi mau

-—-BgQhnhgn

Vpfri—— __

Odi thj

Nhgn bgo

Nhgn dudi

Nhgn bgo-dudi trong

Bao ngogi

Thai duang

Tran

n

5

13

8

6

3

15

7

%

15,6

40,7

25,0

18,7

9,4

46,9

21,9

Cd 08 bgnh nhgn (chilm 25,0%) ed tren hai d nhdi

mau.

- Cd 46,9% bgnh nhan cd d nhdi mau viing thai

duang vg 40,7% cd d nhdi mau viing nhan beo. Do

bpnh nhan cd vj tri d nhdi mau viing thai duang chilm ty

Ip eao nen chu ylu cac tripu chirng lam sang bilu hign

la cae rdi logn tam thin, dae bipt la ao thj [7].

KtT LUAN '^'"

Nghign ciru 32 bpnh nhgn dpng kinh cgc bg phirc

tgp sau nhdi mau nao tudi s 18 chiing tdi thIy:

Tudi mic bpnh tren 55 tudi chilm ty lp 59,4%, ty lg

nam/nu' la 0,68. Ylu td nguy ea la rdi logn chuyin hoa

lipit chilm 46,9%; bgnh ly tim mgch chilm 37,5%; thdi

gian bj bgnh sau khi bj nhdi mau nao tir 01 din 02 nam

chilm 56,4%. Diu hipu bao trudc ciia can dpng kinh

cgc bg phii'c tgp xay ra dan dpc chilm 75,0% ; 100%

bpnh nhan ed rdi logn y thirc trong dd rdi logn y thirc

hoang hdn chilm 65,6%; 78,1% bpnh nhan cd ao thi.

Giai thi nhan each chilm 62,5%; kich dpng chilm 50%

sd bpnh nhan. So bgnh nhan cd hai trigu chung rdi logn

tgm thin nhu hoang tudng kit hpp kich dpng chiem

25,0% sd bpnh nhan; giai thi nhan each kit hpp hoang

tudng chilm 21,9%; thdi gian keo dai eua can dudi 05

phut chilm 63,3%; 25% bpnh nhan cd trgn 02 d nhdi

mau va 46,9% cd d nhdi mau d viing thai duang

TAI LIE U THAM KHA O

1. Nguyen Van Chuang (2002), "Dgng kinh - nhirng

thanh tyu nghien ciru mdi". Tgp chi Y hgc quin sw, so

2- 2002, trang 32-37.

2. Cao Tiln Dire (2005), "Dpng kinh tam thin va cgc

rdi logn tam thin trong dpng kinh", Bgnh hgc tim thin,

Nha xuit ban Quan dpi nhan dan, trang 111-132.

3. Phan Vigt Nga (2008), "Dpng kinh", Bgnh hgc

than kinh tgp 3, Nha xuit ban Y hpc, trang 95-120.

4. John Duncan (2004), The epilepsies. Clinical

guideline, October.

5. Panayitopoulos CP (2005), The epilepsies,

Bladon medical publishing.

6. WHO (1992), "The classification of mental and

behavioural disorders. F.00-F.09", "Episodic and

paroxysmal disorders. G.40-G.47", Geneva.

7. Xiao F (2009), "Proteomic analysis of

cerebrospinal fluid from patients with idiopathic temporal

lobe epilepsy". Brain Res, Feb 19; 1255:180-9.

8. Zhang Z., Lu G., Zhong Y (2009), "knpaired

perceptual networks in temporal lobe epilepsy revealed

by resting fMRI", J Neurol, Jun 2.

TIM HIEU Sir KHAC BIET GIQA CAC THANH PHA N DICH RUTA PH E QUAN PHE NANG

or 2 NHdM THE VIEM PHE QUAN PHOI DO VI KHUAN GRAM AM VA GRAM DUtTNG

: DATVANOI

Npi soi phe quan va bdm rCfa phe quan phe nang

la phyong phap tham dd va can thiep chan doan dieu

trj ed gia trj trong eac benh ly hd ha'p tre em.

Viem phe quan phdi do vi khuan gram am va vi

khuan gram duong d tre em cd sy khac biet gi ve

tha^h phan te bao sinh hda trong djch rCra phe quan

phe nang la van de rat can nghien cifu. Dieu nay giup

eho chan doan va dieu trj cd hieu qua. .' .

• Muc tieu nghien ciiru :

Tini hieu sU khae biet giOra cac thanh phan eua

dieh rCra phe quan phe nang b 2 nhdm tre viem phdi

do vi khuan gram am va gram dUdng.

_ o6'i TUONG VA PHUONG PHAP NGHIEN CLfu

1. Dd'i tyc>ng nghien ciiru :

Bao gdm 2 nhdm tre viem phe quan phdi do vi

khuan gram am va do vi khuan gram duong, dype

tien hanh soi phe quan bdm ol'a phe quan phe nang

vao dieu trj tai khoa Hd hap Benh vien Nhi Trung

i/dng tir 1/2008-^1/2010.

2. Phu'dng phap nghien ciiru

OAO MINH TUA'N

Bgnh vign Nhi Trung uong

• Thiet ke nghien ciru: Nghien ciru md ta, cat

ngang

• Thu thap sd lieu:

+ Cac ddi tLfdng nghien eifu dUdc chan doan xae

dinh la viem phe quan phdi theo tieu chuan eua

WHO.

+ Cac benh nhan di/dc ndi soi phe quan, bdm hut

rijfa phe nang, lay benh pham xet nghiem vi sinh, te

bao, sinh hda va miln dieh.

+ Cac benh nhan difdc chia lam 2 nhdm nghien

cifu dya vao cay djch rCfa phe quan phe nang cho ket

qua vi khuan gram am va gram difdng.

• Xii ly sd lieu : Diing phUdng phap thdng ke y

hpc vdi phan mem SPSS 15.0

KET QUA NGHlgN CCfU

Cd 64 benh nhan difdc chpn lam ddi tUdng nghien

cdu. 37 benh nhan trong nhdm 1 (viem phdi do vi

khuan gram am); 27 benh nhan b nhdm 2 (viem phdi^—

do vJ khuan gram duong). j j

- Tudi va gidi eua 2 nhdm nghien citu :

Nhdm 1 ed 20 tre trai va 17 tre gai. Ty le trai/aai=1.17

30