Đặc điểm lâm sàng, cận lâm sàng và căn nguyên vi khuẩn gây viêm phổi thùy ở trẻ em tại Khoa Nội Nhi tổng hợp, Bệnh viện E=Clinical, sub-clinical characteristics and bacterial etiology of lobar pneumonia in children at the Department of General Pediatrics, E Hospital

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Tác giả: Thị Thanh Hoa Chu, Thúy Quỳnh Đào, Văn Mạnh Lê, Thị Hường Nguyễn, Văn Quý Trương

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.80-88

Bộ sưu tập: Metadata

ID: 244622

Thêm vào giỏ

Lobar pneumonia is a common disease in children and can cause serious complications if not detected and treated timely. This was a prospective descriptive study on 125 patients from 2 months to 15 years old diagnosed with lobar pneumonia treated at the Department of General Pediatrics, E Hospital. Results: The average age of the study subjects was 62.4 ± 35.68 months. The male/female ratio was 1/1. The most common clinical symptoms were cough, fever, tachypnea, and rales. The location of damage on chest X-ray was usually the lower lobe of the right lung. Lobar pneumonia due to Mycoplasma pneumoniae was 70.4%, followed by pneumococcus at 12%. Conclusion: Lobar pneumonia is a common disease in older children and is difficult to diagnose. Chest X-ray should be performed in all suspected cases to avoid missed diagnosis. The main causes of lobar pneumonia are Mycoplasma pneumoniae and Streptococcus pneumoniae. Therefore, treatment with antibiotics should be the focusViêm phổi thùy là bệnh lý khá thường gặp ở trẻ em và có thể gây ra các biến chứng nặng nếu không được phát hiện và điều trị sớm. Nghiên cứu mô tả tiến cứu trên 125 bệnh nhân từ 2 tháng đến 15 tuổi chẩn đoán viêm phổi thùy điều trị nội trú tại Khoa Nội Nhi Tổng hợp Bệnh viện E. Kết quả: Tuổi trung bình của các đối tượng nghiên cứu là: 62,4 ± 35,68 tháng. Tỷ lệ nam/nữ là 1/1. Triệu chứng lâm sàng thường gặp nhất là: ho, sốt, thở nhanh, ran tại phổi. Vị trí tổn thương trên phim X-quang phổi thường là thùy dưới phổi phải. Căn nguyên gây viêm phổi thùy chiếm tỷ lệ cao nhất là Mycoplasma pneumoniae với 70,4%, tiếp theo là Streptococcus pneumoniae với 12%. Kết luận: Viêm phổi thùy là bệnh lý khá phổ biến và khó chẩn đoán, hay gặp ở nhóm trẻ lớn hơn. Nên chụp Xquang tim phổi với tất cả các trường hợp nghi ngờ tránh bỏ sót bệnh nhân. Căn nguyên hay gây viêm phổi thùy chủ yếu là Mycoplasma pneumoniae, Streptococcus pneumoniae. Vì vậy, kháng sinh để điều trị nên tập trung vào căn nguyên này.

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