ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VIÊM PHẾ QUẢN PHỔI Ở BỆNH NHI TỪ 2 THÁNG ĐẾN 24 THÁNG TUỔI TẠI BỆNH VIỆN ĐA KHOA TỈNH LẠNG SƠN

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Tác giả: Ngọc Huân Hoàng, Bích Hoàng Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Thái Nguyên, 2023

Mô tả vật lý: tr.145-150

Bộ sưu tập: Báo, Tạp chí

ID: 334307

Thêm vào giỏ Liên kết toàn văn

Nghiên cứu nhằm mô tả đặc điểm lâm sàng, cận lâm sàng viêm phế quản phổi ở trẻ từ 2-24 tháng tuổi tại Bệnh viện Đa khoa tỉnh Lạng Sơn. Phương pháp nghiên cứu mô tả trên 155 trẻ được chẩn đoán viêm phế quản phổi điều trị tại Bệnh viện Đa khoa tỉnh Lạng Sơn từ 8/2021 - 02/2022, phỏng vấn trực tiếp kết hợp với thăm khám. Kết quả: 63,2% trai, 36,8% gái, tỷ lệ giới tính trai/gái: 2/1
tháng tuổi trung bình 12,2±6,9, trong đó 42,6% ở nhóm 2-<
12 tháng, 57,4% ở nhóm 12-24 tháng
64% viêm phế quản phổi mức độ trung bình, 76,1% trẻ chưa dùng kháng sinh trước. Triệu chứng lâm sàng hay gặp: viêm long đường hô hấp (95,5%), ho (93,5%), ăn kém (76,8%), khò khè (67,7%), ran phổi (83,2%), thở nhanh (36,1%), rút lõm lồng ngực (33,5%). Cận lâm sàng có tình trạng thiếu máu, 43,8% hemoglobin giảm, 65,1% số lượng bạch cầu tăng, 54,1% bạch cầu trung tính tăng, 71,2% tăng CRP, 76,2% Xquang ngực có tổn thương chủ yếu là thâm nhiễm theo giải phẫu - rốn phổi. Kết luận: Tỉ lệ viêm phế quản phổi ở nam nhiều hơn nữ và chủ yếu nhóm 12-24 tháng tuổi với đặc điểm lâm sàng ho, sốt, khò khè, thở nhanh, ăn kém bỏ bú, ran ở phổi là những dấu hiệu chính trong chẩn đoán trẻ viêm phế quản phổi. Cận lâm sàng có tỉ lệ bạch cầu tăng, bạch cầu đa nhân trung tính tăng, CRP tăng và Xquang phổi có ảnh tổn thương thâm nhiễm theo giải phẫu - rốn phổi.The objective of this research is to describe characteristics of clinical and subclinical broncho-pneumonia of children from 2 months to 24 months at Lang Son general hospital. A cross-sectional description was used on 155 pediatric patients diagnosed with broncho-pneumonia treated at Lang Son Provincial General Hospital from August 2021 to February 2022, face-to-face interviews combined with patient inquiry and medical examination. There were 63.2% boys, 36.8% girls, rate male/girl: 2/1
the average age of 12.2±6.9 months, of which 42.6% age group of 2-<
12 months, 57.4% age group of 12-24 months
64% Bronchopneumonia were moderate, 35.5% Bronchopneumonia were severe, 76.1% has not used antibiotics before. Common clinical symptoms: respiratory tract inflammation (95.5%), cough (93.5%), poor appetite (76.8%), wheezing (67.7%), pulmonary rales (83.2%), rapid breathing (36.1%), chest indrawing (33.5%). Subclinical anemia were 43.8% Hb decreased, 65.1% white blood cell increased, 54.1% NEU increased, 71.2% increased CRP, and 76,2% chest X-ray showed major lesions were an anatomical infiltration of the lung hilum. The rate of bronchopneumonia in men was higher than in women, which was more common at 12-24 months of age. Common clinical symptoms include cough, fever, wheezing, rapid breathing, poor feeding, and rales in the lungs which are the main signs in the diagnosis of pediatric bronchopneumonia. The subclinical increased the rate of leukocytosis, %NEU, CRP, and infiltrative lesions according to the anatomical umbilical cord on the chest X-ray.

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