ĐẶC ĐIỂM BỆNH NHI SỐC CHẤN THƯƠNG TẠI BỆNH VIỆN NHI ĐỒNG 1

Abstract

Introduction: Trauma has surpassed other diseases as the leading cause of death and morbidity among children. Traumatic shock remains a common and preventable cause of mortality in pediatric trauma patients. Objective: To investigate the epidemiological, clinical, paraclinical characteristics and outcomes of traumatic shock Children's hospital 1. Describe factors associated with mortality and sequelae in traumatic shock. Methods: Case series series report study on pediatric traumatic shock patients admitted to the Emergency Department of Nhi Dong 1 Hospital from July 2019 to June 2024. Results: A total of 32 traumatic shock cases were recorded, with 75% being male and 68.8% aged 11-<16 years. Traffic accidents were the most common cause, with blunt trauma as the primary mechanism (90.6%). Coma occurred in 9.4%, and respiratory failure in 28.1%. PTS ≤8 (severe and very severe) accounted for 56.2%, with abdominal injuries being the most common (68.8%). Most cases involved multi-organ injuries (≥ 2 organs). Lactate levels > 4 mmol were noted in 65.6% of cases. Among five cases under "Code Red" activation, four survived. The mortality rate was 6.2%. Factors associated with mortality and sequelae (p<0,05) included: CRT >2s, PTS ≤5, GCS ≤8, respiratory failure, traumatic brain injury, altered consciousness, pH <7,2, CPR during treatment, vasopressor use, and a high volume of fluid resuscitation. Conclusion: Early identification of associated factors and timely intervention play a critical role in improving prognosis.