ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG TRẺ SƠ SINH THỞ MÁY TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

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Tác giả: Thu Hằng Đỗ, Ngọc Triệu Đồng, Bích Hoàng Nguyễn, Thu Minh Nguyễn, Vân Nhi Tống

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.491-497

Bộ sưu tập: Metadata

ID: 339722

Thêm vào giỏ Liên kết toàn văn

Nghiên cứu này nhằm mô tả đặc điểm lâm sàng, cận lâm sàng ở trẻ sơ sinh thở máy tại Bệnh viện Trung ương Thái Nguyên. Phương pháp nghiên cứu mô tả cắt ngang trên 187 trẻ sơ sinh thở máy tại Trung tâm Nhi khoa - Bệnh viện Trung ương Thái Nguyên từ tháng 7 năm 2021 đến tháng 6 năm 2022. Kết quả cho thấy, tỷ lệ trẻ sơ sinh nam 57,8%, 90,4% trẻ ≤ 1 ngày tuổi
tuổi thai <
37 tuần (74,9%), cân nặng khi sinh <
2500 gram (62,6%). Dấu hiệu hay gặp: Tím (100%)
thở nhanh (84,5%)
thở rên (77,5%)
rút lõm lồng ngực nặng (58,3%)
rối loạn đông máu (86,1%), giảm albumin máu (79,1)
hạ glucose máu (41,7%). Trẻ sơ sinh suy hô hấp có cân nặng càng thấp và tuổi thai càng nhỏ thì nguy cơ cần hỗ trợ thở máy xâm nhập cao hơn. Trẻ thở máy xâm nhập có các dấu hiệu thở chậm, cơn ngừng thở bệnh lý, SpO2 (có oxy) <
90%, hạ thân nhiệt, giảm trương lực cơ, giảm albumin máu, giảm calci ion và các rối loạn đông máu chiếm tỷ lệ cao hơn so với trẻ thở máy không xâm nhập, sự khác biệt này có ý nghĩa thống kê (p <
0,05).This study described clinical and paraclinical characteristics in mechanically ventilated neonates at Thai Nguyen National Hospital. Descriptive and cross – sectional study were performed on 187 mechanically ventilated neonates at Centre for Paediatric Medicine - Thai Nguyen National Hospital from July 2021 to June 2022. The results showed that the rate of male infants 57.8%, 90.4% of children ≤ 1 day old
gestational age <
37 weeks (74.9%), birthweight <
2500 grams (62.6%). Commonly seen signs included: Cyanosis (100%)
tachypnea (84.5%)
grunting (77.5%)
severe retractions (58.3%)
coagulation disorders (86.1%)
hypoalbuminemia (79.1%) and hypoglycemia (41.7%). Neonatal respiratory distress with lower the birth weight and the smaller the gestational age, the higher the risk of requiring invasive mechanical ventilation. Invasive mechanical ventilation neonates have signs of bradypnea, apnea, SpO2 (oxygen supplementation) <
90%, hypothermia, hypotonia, hypoalbuminemia, hypocalcemia and coagulation disorders were higher than those in non-invasive mechanically ventilated, the difference was statistically significant (p <
0.05).

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