Đặc điểm lâm sàng, kết quả điều trị viêm phổi nặng cần hỗ trợ oxy ở trẻ từ 2 tháng đến 5 tuổi tại Bệnh viện Nhi đồng 1 thành phố Hồ Chí Minh=Clinical features, results of treatment of severe pneumoniae treated with oxygen support in children from 2 months to 5 years old at children's hospital 1 Ho Chi Minh city

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Quang Nghĩa Bùi, Chí Quang Ngô, Thị Thanh Nhàn Nguyễn, Thúy Duy Nguyễn, Văn Trình Nguyễn, Hữu Nguyệt Diễm Phan, Văn Thi Võ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y dược học Cần Thơ, 2024

Mô tả vật lý: tr.155-161

Bộ sưu tập: Metadata

ID: 245038

Thêm vào giỏ

Pneumonia is one of the leading causes of death in children under 5 years old in the world. Detection of clinical symptoms greatly supports early diagnosis, treatment and monitoring of treatment effectiveness of the disease. Objectives: 1). To describe the clinical characteristics of severe pneumonia requiring oxygen support in children from 2 months to 5 years old at Children's Hospital 1
2). To evaluate the treatment results of severe pneumonia requiring oxygen support in children from 2 months to 5 years old at Children's Hospital 1. Materials and methods: A descriptive cross-sectional study was conducted on 78 children with severe pneumonia requiring oxygen support from 2 months to 5 years old at Children's Hospital 1. Results: Severe pneumonia in children requiring oxygen support occurs mainly in children from 2 months to 12 months old (accounting for 65.4%), males account for 58.9%. Common symptoms of the disease include cough (100%), fever (66.7%), chest indrawing (100%), and moist/explosive lung rales (98.7%). All children had respiratory failure of grade 2 or higher and received initial antibiotic treatment, mainly C3G group with 71.8%. However, the non-response rate is quite high (70.5%), requiring a change/addition of antibiotics. After a median treatment period of 10 days, all cases were cured and discharged from the hospital. Conclusion: Severe pneumonia requiring oxygen support mainly occurs in children from 2 months to 12 months old, with a high rate of unrespone to initial antibiotics. However, all cases recovered and were discharged from the hospital after changing/adding proper antibiotics.Viêm phổi là một trong những nguyên nhân gây tử vong hàng đầu ở trẻ em dưới 5 tuổi trên thế giới. Việc phát hiện các triệu chứng lâm sàng hỗ trợ rất nhiều trong chẩn đoán sớm, điều trị và theo dõi hiệu quả điều trị của bệnh. Mục tiêu nghiên cứu: 1. Mô tả đặc điểm lâm sàng của bệnh viêm phổi nặng cần hỗ trợ oxy ở trẻ từ 2 tháng tuổi đến 5 tuổi tại bệnh viện Nhi Đồng 1
2. Đánh giá kết quả điều trị của bệnh viêm phổi nặng cần hỗ trợ oxy ở trẻ từ 2 tháng đến 5 tuổi tại bệnh viện Nhi Đồng 1. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang được tiến hành trên 78 trẻ viêm phổi nặng cần hỗ trợ oxy từ 2 tháng đến 5 tuổi tại bệnh viện Nhi Đồng 1. Kết quả: Nghiên cứu ghi nhận bệnh viêm phổi nặng cần hỗ trợ oxy ở trẻ em chủ yếu gặp ở nhóm trẻ từ 2 tháng đến 12 tháng tuổi (chiếm 65,4%), nam chiếm 58,9%. Các triệu chứng thường gặp của bệnh bao gồm ho (100%), sốt (66,7%), rút lõm lồng ngực (100%) và phổi ran ẩm/nổ (98,7%). Tất cả các trẻ đều có suy hô hấp từ độ 2 trở lên, được điều trị kháng sinh ban đầu chủ yếu là nhóm C3G với 71,8%. Tuy nhiên, tỉ lệ không đáp ứng khá cao (70,5%), cần phải đổi/thêm kháng sinh. Sau thời gian điều trị với trung vị là 10 ngày thì tất cả các trường hợp đều ghi nhận khỏi bệnh, xuất viện. Kết luận: Bệnh viêm phổi nặng cần hỗ trợ oxy chủ yếu gặp ở trẻ từ 2 tháng đến 12 tháng tuổi với tỉ lệ không đáp ứng kháng sinh điều trị ban đầu khá cao. Tuy nhiên sau khi được thêm/đổi kháng sinh thích hợp, tất cả các ca bệnh đều khỏi bệnh, xuất viện.

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