Triệu trứng lâm sàng và cận lâm sàng của thẩm phân phúc mạc liên tục ngoại trú ở trẻ em bị bệnh thận mạn giai đoạn cuối

Nhu vay, sau 2 llin ti§m c6 13/15 th6 cho hi£u gia

kh^ng th i khang Vi <Jgt y£u c iu (86,7%), trong (36 c6

4/15 th6 (26,7%) cho hi$u gia khang th i khang Vi dat

tdi 1/8 va 2/15 tho cho khang the khang Vi kh6ng dat

y&u ciu_(13,3%).

2. K it qua kiim tra vo khuin khang th i khang

Vi

Sau 14 ngay theo d6i, cac 6ng c iy m iu huyet

thanh khang Vi tr&n hai moi trubng TSB va

Thioglycolate va u d 20 - 25°C va 30 - 35°C deu

khdng th iy c6 nim va vi khuin moc, dat yeu c iu ve

tinh v6 khuin [6],

Bang 3: K it qua kiim tra v6 khuin cac m iu huyet

L6 huy£t

thanh khdng

Vi

«£t qua theo d6i sau 14 ngay

TSB «£t Iu3n

(20 - 25°C)

Thioglycolate

(30 - 35°C)

1 Oat Oat Oat

2 Oat Oat Oat

3 Ogt Oat Oat

4 Oat Oat Oat

2. Ung dung trong kiim djnh v3c xin thu’O’ng

hdn Vi

Vdi so luong ia 100 lo huyet thanh khang Vi c6

the kiem djnh duoc khoang 100 loat v ie xin thuong

han Vi polysaccharide (bao gom thu nghiem nhan

dang va cong hieu v ie xin thuong han Vi

polysaccharide).

TAI LIEU THAM KHAO

1. Vu Trieu An, Jean Claude Homberg (1997), M iin

djch hQC, Nxb Y hpc, Ha Noi, tr 17-20, 26-40.

2 Pham Vdn Long (1989), Mien dich thu duxyc va

qua trinh nhiem khuan, Nxb Y Hoc, Ha Npi, tr 15-26,

204-211

3. Le Van Phung va cong su (2009), "Vi khuan y

hoc". Nha xuit ban Giao dye Viet Nam, Ha Npi, tr 220 -

232.

4. Qudc hpi nuoc cpng hoa xa hoi chu nghTa Viet

Nam (2007), "Lu$t phdng chong benh truyin nhiem so:

03/2007/QH12".

5. Phac do san xuit huyet thanh khang Vi cua My

(2005), Vien kiem djnh quoc gia vie xin va sinh pham y

te, Ha Npi.

6. SOP HL05-01 (2000), Kiem tra vd khuan vie xin

va sinh pham, Vien kiem djnh quoc gia vie xin va sinh

pham

7. SOP VK05-01 (2000), Xac djnh ham luxyng Vi

polysaccharide trong vie xin thuvng han Vi, Vien kiem

djnh qu6c gia vie xin va sinh phim y te, Ha Npi.y te, Ha

Npi.

8. SOP VK05-04 (2000), Nh$n dang vie xin thuvng

han Vi polysaccharide, Vien kiem djnh quoc gia vie xin

va sinh phim y te, Ha Npi

9. Ivanoff B. and el al (1994), Vaccination against

Typhoid fever, Who Bulletin, 72(6), pp 957 -971.

10. Simona Rondini, Francesca Micoli, [...], and

Laura B. Martin (2011), Evaluation of the

Immunogenicity and Biological Activity of the Citrobacter

freundii Vi-CRM197 Conjugate as a Vaccine for

Salmonella entehca Serovar Typhi, Clinical and vaccine

Immunology 18(3): 460 - 468.

11. World Health Organization (1994), Requirement

for Vi polysaccharide Typhoid vaccine, Technical report

series, No 840, pp 14-30.

TRIEU CHliNG LAM SANG VA CAN LAM SANG CUA THAM PHAN PHUC MAC LIEN TUC

NGOAI TRU Of TRE EM BI BENH THAN MAN GIAI DOAN CUOI

LUONG THI. PHUONG1, NGUYiN THI NGOC2, PHAM VAN DEM,5

DUONG THI THANH BINH2, NGUYEN THU HUONG2. NGUYiN THj QUYNH HUONG1.

1Truxyng dai hoc Y Ha N o i,2Benh vien Nhi Trung Wong,

3Khoa Y duxyc - Dai hqc quoc gia H i Noi

TOM TAT

Muc tieu: Nghien ciru trieu chirng lam sang va

c in lim sang cua tham phan phuc mac lien tuc ngoai

tru (TPPM) d tre bi benh than man giai doan cuoi. Doi

tuxyng v i phuxyng p h ip nghien cCru Nghien ciru

mo t i 22 tre bi benh than man giai doan cuoi duxyc

d iiu tri b in g TPPM va 21 benh nhan duxyc dieu tri

b ing th in n hin tao chu ky (TNT) tai khoa th in va loc

m iu tai bdnh vidn Nhi Trung Uong tir 1/1/2007 den

31/7/2013. Ket qua: Nhdm tre dieu tri b in g TNT cd ty

I§ tre bi th iiu m iu cao hon tre dieu tri b in g TPPM,

nguxyc lai ty le tre bi cao huyet ap lai g ip nhieu hon 6

nhdm tr i d iiu tri b in g TPPM. Roi loan dien giai, giam

hemoglobin, giam so luxyng hong c iu g ip nhieu hon

o nhdm bin h n h in d iiu tri b in g TNT. Ket luan:

TPPM la phuxyng phap hidu qua, an toan tuy nhien

c in theo ddi h u yit ip lau dai v i d iu din.

TCp khoa: Tham phan phuc mac (TPPM), than

n hin tao chu ky (TNT), benh th in man giai doan cuoi

SUMMARY

Objectives: Clinical and paraclinical signs of

Continuous Ambulatory Peritoneal Dialysis (CAPD) in

children with end stage chronic kidney disease.

Methods: Descriptive study of 22 patients were

received CAPD and 21 patients were received

hemodialysis (HD) from Jan, 2007 to July, 2013 at the

Nephrology Department of the National Hospital of

Pediatrics Results: Rate of patients with anemia in

CAPD group was higher than HD group but artenal

hypertension was more frequent In CAPD group.

Patients with HD treatment had a rate of electrolyte

disorder, hypohemoglobinemia were higher than

patients with CAPD treatment. Conclusion: CAPD

treatment is effective, safe but regularly control

V u n r THirr HANH (922) - SO 6/2014 33