ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG TIÊU CHẢY CẤP PHÂN MÁU Ở TRẺ EM TẠI BỆNH VIỆN ĐA KHOA ĐỨC GIANG

Abstract

Acute bloody diarrhea commonly is associated with pathogenic bacteria in pediatric patients, affecting the child's development. Aim: describe the clinical and laboratory characteristics of acute bloody diarrhea in young children. Materials and methods: a case series included 64 patients diagnosed with acute diarrhea stool blood in treatment at Duc Giang General Hospital from August 2020 to May 2021. Results: The mean age of patients was 16.6±14.6 (2-64) months, of which 79.6% happened in children less than two years old. Morbidity rate of male/female is 1,7:1. Children with bloody mucus accounted for 100%. Common clinical symptoms were anorexia 79.7%, fever 76.6%, dehydration 35.9%, abdominal pain 35.9% and vomiting 34.4%. Other accompanying symptoms such as anal swelling and redness 45.3%, pain when defecating 40.6%, anemia 37.5% and abdominal distension 18.8%. Blood test showed increased leukocytocis and CRP, decreased Kali and Natri with the rates of 54.7%, 70.3%, 17.1%, 1.6%, respectively. The percentage of white blood cells, red blood cells in the stool is 100% and 78.1%. Fecal culture positive with Salmonella was 4.7%. Conclusion: Children with bloody diarrhea often manifest of anorexia, fever, anal redness, pain when defecating. Blood tests usually show increased leukocytosis and CRP. Positive bacterial culture was low.