ĐẶC ĐIỂM LÂM SÀNG, CHẨN ĐOÁN HÌNH ẢNH VIÊM PHỔI NẶNG Ở TRẺ DƯỚI 5 TUỔI TẠI BỆNH VIỆN SẢN NHI HƯNG YÊN NĂM 2023 – 2024

Abstract

A study of children with severe pneumonia was conducted at Hung Yen Provincial Obstetrics and Pediatrics Hospital. Objective: To describe the clinical and chest X-ray images and CT scan of children under 5 years old with severe pneumonia. Study subjects: 46 patients aged 2 months to 5 years diagnosed with severe pneumonia from April 1, 2023 to March 30, 2024. Methods: There were a case series study. Results: The highest cases of  hospitalized children were under 1 year old (28.3%), with males accounting for 63%. The common functional signs were fever (91.3%), cough (91.3%), wheezing (78.3%), and runny nose (78.3%). Physical signs were chest retraction (80.4%), moist rales (93.5%), and wheezing (76.1%). Chest X-ray images showed lesions mainly in the upper and lower lung lobes, with opacities (13.0%), scattered opacities (15.2%), and combinations (50.0%). The lesion density accounted for 76.1%, which were consolidation lesions, ground-glass opacities (17.4%) with clear lesion margins accounting for 93.5%. Recommendation: It is necessary to assess both  clinical symptoms and chest images to early diagnose severe pneumonia in children in order to recommend an appropriate treatment.