Đặc điểm lâm sàng và cận lâm sàng bệnh nhân mắc dị vật đường thở tại Khoa Nội soi - Bệnh viện Tai Mũi Họng Trung ương từ tháng 8 năm 2018 đến tháng 02 năm 2020

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Tác giả: Tiến Thành Bùi, Đình Thi Đào, Thị Khánh Vân Nguyễn, Tuấn Sơn Nguyễn, Thanh Quang Võ

Ngôn ngữ: vie

Ký hiệu phân loại: 617.8 Otology and audiology

Thông tin xuất bản: TC Khoa học Y dược - Đại học Quốc gia Hà Nội, 2020

Mô tả vật lý: 79-84

Bộ sưu tập: Metadata

ID: 492608

Thêm vào giỏ

Mô tả đặc điểm lâm sàng, cận lâm sàng bệnh nhân dị vật đường thở. Đối tượng và phương pháp: gồm 30 bệnh nhân, được chẩn đoán và điều trị dị vật đường thở (DVĐT) tại Khoa Nội soi - Bệnh viện Tai Mũi Họng Trung ương (TMHTW) từ tháng 8 năm 2018 đến tháng 02 năm 2020. Kết quả: dị vật hay gặp ở độ tuổi >
18 tuổi (43,33%), tỉ lệ nam nhiều hơn nữ (1,7/1). Ho và khó thở là 2 triệu chứng cơ năng thường gặp nhất của DVĐT với tỷ lệ lần lượt là 96,67% và 73,33%. Hội chứng xâm nhập (HCXN) là biểu hiện lâm sàng đặc trưng (93,33%). Chỉ có 20% bệnh nhân DVĐT có hình ảnh tổn thương trên phim Xquang ngực. Nội soi thanh khí phế quản là phương pháp chẩn đoán xác định 100% các trường hợp mắc dị vật đường thở. Thời gian nằm viện trung bình là 1 ngày (53,33%). 93,33% bệnh nhân có kết quả điều trị khá và tốt. Kết luận: dị vật đường thở gặp ở mọi lứa tuổi, nam nhiều hơn nữ. Hội chứng xâm nhập cùng các dấu hiệu ho, khó thở cho phép gợi ý chẩn đoán dị vật đường thở. Nội soi thanh khí phế quản là phương pháp hiệu quả chẩn đoán và điều trị DVĐT.This study describes clinical and subclinical features of 30 patients with airway foreign body at the Endoscopy Department, National Otorhinolaryngology Hospital of Vietnam from August 2018 to February 2020. The study results show that airway foreign body was commonly found in patients aged over 18 (43.33%)
male-female ratio was 1.7:1
cough and shortness of breath were two common symptoms with 96.67% and 73.33%, respectively
penetration syndrome was the common clinical symptom with 93.33%
20% of the airway foreign body cases were detected by X-ray
100% of the airway foreign body cases were diagnosed by endoscopy
53.33% of the cases were cured in one day
and 93.33% of the cases showed good treatment results. The study concludes that airway foreign bodies can be detected in all ages with more men than women
penetration syndrome with cough and shortness of breath suggests symptoms of airway foreign bodies
and endoscopy of bronchial airways is the leading method to diagnose and remove airway foreign bodies.

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