Nghiên cứu đặc điểm lâm sàng, cận lâm sàng của bệnh nhân viêm tụy cấp vào cấp cứu tại bệnh viện bạch mai / Nghiên cứu đặc điểm lâm sàng, cận lâm sàng của hồng ban nút tại bệnh viện da liễu trung ương từ 2007 - 2011 / Nghiên cứu đặc điểm lâm sàng, cận lâm sàng của ung thư bàng quang tại bệnh viện K

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Tác giả: Anh Tuấn Đỗ, Hữu Sáu Nguyễn, Huy Ngọc Nguyễn, Quang Ân Nguyễn, Thu Hương Nguyễn, Văn Chi Nguyễn, Văn Bình Phạm

Ngôn ngữ: vie; Vie

Ký hiệu phân loại: 610610 Medicine and health

Thông tin xuất bản: Y học việt nam, Y học việt nam, Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam) 201520122021

Mô tả vật lý: 57-61, 19-22, 268-272

Bộ sưu tập: Metadata

ID: 485590

Thêm vào giỏ

Objective: Investigation the clinical et biological feagures of erythema nodosum at the National Hospital of Dermatology and Venerology from 1/2007 to 12/2011. Materiel and Method : The crosssectional study basing on data of patients hospitalized with erythema nodosum from 1/2007 to 12/2011. Result: It was more frequent in woman than man with ratio 6/1(84.6 percent versus 15.4 percent). The peak incidence of Erythema nodosum was between 20-39 years of age with 53.8 percent. The clinical manifestration of erythema nodosum were nodule (61.5 percent), hyperpigmented macule (46.2 percent) located at pretibial area (76.9 percent). Other symptoms were fever (61.5 percent), cough (23.1 percent), arthralgias (46.2 percent), itch (7.7 percent), edema (15.4 percent), and painful (69.2 percent). Hyperleukocytosis was frequent (46.2 percent), elevated transaminases with 23.1 percent. The suspected causes were tubercolosis (15,4 percent), Streptocccus (23,1 percent) and unidentification (46.2 percent). Conclusion: Erythema nodosum was more frequent in woman than man, the peak incidence was between 20-39 years of age. The dinicals and paraclinicals symptoms had value diagnostics.Nghiên cứu đặc điểm lâm sàng, cận lâm sàng của bệnh nhân ung thư bàng quang. Đối tượng và phương pháp nghiên cứu: Nghiên cứu can thiệp lâm sàng không đối chứng tiến hành trên các bệnh nhân ung thư biểu mổ bàng quang đã được phẫu thuật cắt bàng quang toàn bộ và chuyển lưu dòng tiểu tại Bệnh viện K. Kết quả: Đa số các bệnh nhân là nam giới trong độ tuổi 50-70
14 bệnh nhân từng có tiền sử mổ nội soi cắt u và mổ cắt bán phần bàng quang. 77,4% bệnh nhân được phẫu thuật nội soi chẩn đoán giai đoạn trước mổ.Bệnh nhân nghiện thuốc lá (80,6%) và nghiện rượu (64,5%). Đái máu là triệu chứng lâm sàng chủ yếu (80,6%) Tổng phân tích nước tiểu: 90,3% hồng cầu niệu, 71% có bạch cầu niệu, 71% có protein niệu. Bệnh nhân có tổn thương u đơn độc 61,3%
kích thước u từ 3-5 cm. Vị trí u hay gặp nhiều vị trí 29%
thành bên và thành sau tương đương nhau 22,6%
thành trước 16,1% và có 3 trường hợp 9,7% u chèn ép lỗ niệu quản gây giãn thận. Gia đoạn U: T2 58,2%, T3 chiếm 19,4% và T4 chiếm 6,5%. Bệnh nhân giai đoạn II 77,4%. Giải phẫu bệnh ung thư biểu mô chuyển tiếp 96,8%. Kết luận: Ung thư bàng quang hay gặp ở nam hơn ở nữ, hút thuốc lá và nghiện rượu là yếu tố nguy cơ cao, đái máu là dấu hiệu lâm sàng phổ biến, giải phẫu bệnh chủ yếu là ung thư biểu mô chuyển tiếp.

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