ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG CỦA BỆNH MÀNG TRONG Ở TRẺ SƠ SINH NON THÁNG ĐIỀU TRỊ TẠI BỆNH VIỆN A THÁI NGUYÊN

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Tác giả: Thị Phương Dương, Hải Yến Lê, Thành Trung Nguyễn, Thị Hoa 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.278-284

Bộ sưu tập: Metadata

ID: 339679

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Bệnh màng trong cũng là một trong những nguyên nhân hàng đầu gây suy hô hấp ở trẻ sơ sinh, nếu không được điều trị nhanh chóng và đúng mức có thể dẫn đến tử vong. Bài báo này nhằm mô tả đặc điểm lâm sàng và cận lâm sàng của bệnh màng trong ở trẻ sơ sinh non tháng điều trị tại Khoa Nhi Bệnh viện A Thái Nguyên năm 2022. Nghiên cứu sử dụng thiết kế nghiên cứu mô tả cắt ngang, thu thập thông tin từ 51 trẻ sơ sinh non tháng được chẩn đoán mắc bệnh màng trong tại Bệnh viện A Thái Nguyên từ tháng 8/2021 đến tháng 7/2022. Kết quả cho thấy, phần lớn trẻ có tuổi thai dưới 32 tuần (51,0%), tuổi thai trung bình ở trẻ nam (32,0±2,69 tuần) cao hơn trẻ nữ (30,4±1,4 tuần), cân nặng trung bình của trẻ là 1527,25±419,6g. Triệu chứng lâm sàng gặp nhiều nhất ở các trẻ sơ sinh non tháng là tím (98%) và thở rên (86,3%). Các chỉ số khí máu đều ở dưới mức độ bình thường và 100% trẻ có mức độ III và độ IV trên phim X-quang. Sau điều trị surfactant 01 giờ, chỉ số khí máu, SpO2 và FiO2 đều ở mức giới hạn bình thường. Sau ít nhất 6 giờ điều trị chỉ còn 13,7% trẻ có phân độ X-quang độ III và không có trẻ nào có phân độ IV. Do vậy, sử dụng surfactant ở trẻ sơ sinh non tháng mắc bệnh màng trong đem lại hiệu quả rõ rệt, chỉ số khí máu, SpO2, FiO2, X-quang phổi đều được cải thiện.Hyaline membrane disease is also one of the leading causes of respiratory failure in infants, which, if not treated quickly and properly, can lead to death. This paper aims to describe the clinical and paraclinical characteristics of Hyaline membrane disease in premature neonates at Thai Nguyen hospital A in 2022. The study used a cross-sectional descriptive study design, collected information from 51 premature neonates diagnosed with Hyaline membrane disease at Thai Nguyen Hospital A from August 2021 to July 2022. The results showed that most of the children had a gestational age of less than 32 weeks (51.0%), the mean gestational age in boys (32.0±2.69) was higher than that of girls (30.4±1.4), weighing the average weight of children is 1527.25g. The most common clinical symptoms in pediatric patients were cyanosis (98%) and groaning (86.3%). The blood gas indexes are all below normal and 100% of children have grade 3 and grade 4 on Radiography. After 1 hour surfactant treatment, blood gas index, SpO2 and FiO2 were within normal limits. After at least 6 hours surfactant treatment, 13.7% of the children had X-ray grades 3 and none of the children had X-ray grades 4. Therefore, using surfactant in preterm infants with endothelial disease brought about a significant effect, blood gas index, SpO2, FiO2, chest X-ray were all improved.

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