NGHIÊN CỨU ĐẶC ĐIỂM DỊCH TỄ, LÂM SÀNG VÀ CẬN LÂM SÀNG SỐT XUẤT HUYẾT DENGUE Ở TRẺ EM TẠI BỆNH VIỆN SẢN NHI TỈNH HẬU GIANG NĂM 2023

Abstract

Objective: The study has objectives: Describe the epidemiological, clinical, and paraclinical characteristics of children with dengue hemorrhagic fever, find out some factors related to the condition. Severe dengue hemorrhagic fever in children at Hau Giang Obstetrics and Pediatrics Hospital in 2023. Methods: Cross-sectional descriptive study on 85 pediatric patients ≤15 years old with a confirmed diagnosis of Dengue hemorrhagic fever treated at Hau Giang Provincial Obstetrics and Pediatrics Hospital in 2023. Result: In the study, the percentage of severe dengue fever accounted for 5,88%. Among them, 3 patients had shock syndrome and no patient multiple organ failure. The proportion of men accounts for 60%, women accounts for 40%. The age group with <1 age 4,7%; 1 - <5 age 17,6%; 5 - 10 age 37,6% và >10 age 40%. Some common clinical symptoms: fever accounts for 100%, nausea 54,1%, vomiting 42,4%, anorexia 36.5%, abdominal pain 35.3%. Symptoms of bleeding: congestion, rash 14.2%, subcutaneous bleeding 42,4 (mainly dot-like bleeding 100%). Paraclinical results: platelet count <100 000/mm3 accounts for 58,8% (children with platelet count <50 000/mm3 accounts for 12,9%), Hct ≥40% accounts for 48,2%. Liver enzyme test: AST increased in 8,2%, ALT increased in 7,1%.