Kết quả điều trị bệnh sốt xuất huyết Dengue ở trẻ em tại Bệnh viện Sản Nhi Nghệ An=Results of treatment of Dengue hemorrhagic fever in children at Nghe An Obstructions and Pediatrics Hospital

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Tác giả: Đặng Hiền Thương Nguyễn, Thị Kiều Anh Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.147-152

Bộ sưu tập: Metadata

ID: 477985

Thêm vào giỏ

Nhận xét kết quả điều trị bệnh sốt xuất huyết Dengue ở trẻ tại khoa Bệnh Nhiệt đới Bệnh viện Sản Nhi Nghệ An năm 2022-2023. Phương pháp: Nghiên cứu mô tả mô tả cắt ngang có phân tích. Kết quả: Nghiên cứu 150 trẻ được chẩn đoán xác định sốt xuất huyết tại BV Sản nhi Nghệ An. Thông tin được thu thập bằng thăm khám và mẫu bệnh án thiết kế sẵn. Kết quả: Thời gian điều trị trung bình là 5,8 ngày
Tất cả bệnh nhi sốc sốt xuất huyết Dengue được truyền khối tiều cầu và truyền dịch cao phân tử trong đó có 3/7 bệnh nhi phải truyền khối tiều cầu lần 2, tỷ lệ tiểu cầu trung bình sau truyền máu lần 2 tăng 35 ± 21,86 x109/l lên 54 ± 16,46 x109/l, không có trường hợp nào phải truyền khối tiểu cầu lần 3
Tỷ lệ sử dụng thuốc hạ sốt là 78,7%. Bù dịch bằng Oresol chiếm 99,3%, đường truyền tĩnh mạch là 32,7%
Kết quả quá trình điều trị có 3,3% trẻ diễn biến nặng chuyển đơn vị hồi sức cấp cứu và không ghi nhận trường hợp nào tử vong. 100% trẻ ổn định xuất viện. Kết luận: Phát hiện và điều trị sớm sốt xuất huyết Dengue giai đoạn chưa có biểu hiện lâm sàng hoặc biểu hiện mức độ nhẹ, tập trung điều trị bù nước và điện giải bằng truyền dịch kết hợp đường uống
điều trị triệu chứng hạ sốt, giảm đau, hạn chế thẩm thấu thành mạch thoát huyết tương gây sốc giảm thể tích, hạn chế nguy cơ dẫn đến trụy tim mạch, sốc suy tạng nặng hay xuất huyết nặng.To evaluate the treatment outcomes of Dengue fever in children at the Department of Tropical Diseases, Nghe An Obstetrics and Pediatrics Hospital, during 2022- 2023. Methods: A cross-sectional descriptive study with analysis was conducted. Results: The study included 150 children diagnosed with Dengue fever at Nghe An Obstetrics and Pediatrics Hospital. Data were collected through clinical examination and pre-designed medical records. The average treatment duration was 5.8 days. All children with Dengue shock syndrome received platelet transfusion and high molecular weight fluid therapy, with 3 out of 7 requiring a second platelet transfusion. The average platelet count after the second transfusion increased from 35 ± 21.86 x10^9/L to 54 ± 16.46 x10^9/L, with no cases requiring a third transfusion. The rate of antipyretic use was 78.7%, while 99.3% of patients received oral rehydration therapy with Oresol, and 32.7% required intravenous fluid therapy. Of the children treated, 3.3% developed severe symptoms and were transferred to the intensive care unit, with no reported deaths. All patients were discharged in stable condition. Conclusion: Early detection and treatment of Dengue fever in the asymptomatic or mild phase, with a focus on fluid and electrolyte replacement through oral and intravenous methods, as well as symptomatic treatment (antipyretics, pain management), can prevent complications such as vascular permeability, plasma leakage, hypovolemic shock, cardiovascular collapse, severe organ failure, and hemorrhage.

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