Đặc điểm lâm sàng viêm phổi do virus ở trẻ em dưới 5 tuổi tại Bệnh viện Nhi Trung ương

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Tác giả: Thị Minh Hương Lê, Ngọc Văn Nguyễn

Ngôn ngữ: Vie

Ký hiệu phân loại:

Thông tin xuất bản: Nhi khoa 2023

Mô tả vật lý: 42-47

Bộ sưu tập: Metadata

ID: 407290

Thêm vào giỏ Liên kết toàn văn

Nghiên cứu về đặc điểm lâm sàng và nguyên nhân viêm phổi do virus ở trẻ em dưới 5 tuổi. Phương pháp: Nghiên cứu mô tả một loạt ca bệnh viêm phổi do virus tại Bệnh viện nhi Trung ương từ 01/06/2020 đến ngày 30/05/2021. Tất cả bệnh nhân được đánh giá lâm sàng, xét nghiệm công thức máu, CRP, X-quang tim phổi, xét nghiệm dịch tỵ hầu tìm nguyên nhân. Kết quả: Có 117 bệnh nhân viêm phổi do virus, 51,3% trẻ dưới 12 tháng tuổi, nam là chủ yếu. Một số virus được tìm thấy với tỉ lệ RSV chiếm 62,4% (73/117), cúm A/B 31,6%, Adenovirus và rhinovirus chiếm tỷ lệ như nhau là 5,1%. Triệu chứng lâm sàng hay gặp nhất trong viêm phổi do virus là: Ho 94,7%, khò khè 91,5%, sốt 89,7%, mệt, tím nhẹ quanh môi, thở nhanh, ran bệnh lý tại phổi, các trường hợp suy hô hấp vào viện hay gặp nhất là suy hô hấp nhẹ (mức độ 1 chiếm 46,2%). Cận lâm sàng: Hình ảnh tổn thương hay gặp trên X-quang của viêm phổi do virus không đặc hiệu và khó phân biệt được nguyên nhân, chủ yếu là hình ảnh tổn thương dạng đám mờ/nốt và hình ảnh tổn thương phổi kẽ. Xét nghiệm máu: 75,2% bệnh nhân có số lượng BC ≤ 10 G/L và 53% bệnh nhân có chỉ số CRP >
6mg/l., Tóm tắt tiếng anh, This research recruited all viral pneumonia inpatients in the International Department of the Vietnam National Children's Hospital from 1/6/2020 to 30/5/2021. All the patients was analysed based on clinical symptoms, complete blood count, CRP, chest X-ray, nasopharyngeal culture. Result: There were 117 inpateints acquiring viral pneumonia, 51,3% patients under 12 months and most of them were male. Several viruses can lead to viral pneumonia, including: RSV was 62,4% (73/117), Influenzae A/B 31,6%, Adenovirus- 5,1% and rhinovirus-5,1%, others virus in 3 cases. The most age of patients were less 12 months (51,3%). Commone Clinical symptoms of viral pneumonia are cough 94,7%, wheezing 91,5%, fever- 89,7%, fatigue and blueness of the lips, shortness of breath, rale in the lung and mild respiratory failure 46,2%. Laboratory: X-rey chest the radiologic manifestations of viral pneumonia are nonspecific and difficult to differentiate from those of other infections, most of them were intestinal inflamations. Blood test: 75,2% patients with WBC <
1OG/L and 53% patients had CRP>
6 mg/l.

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