ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ CỦA NGƯỜI BỆNH VIÊM PHỔI MẮC PHẢI CỘNG ĐỒNG PHẢI THÔNG KHÍ NHÂN TẠO XÂM NHẬP TẠI BỆNH VIỆN ĐA KHOA ĐỨC GIANG

Abstract

Objective: Describe the clinical and para-clinical characteristics and treatment outcomes of patients with community-acquired pneumonia requiring invasive mechanical ventilation at Duc Giang General Hospital. Methods: A descriptive cross-sectional study was conducted on 42 patients with community-acquired pneumonia requiring invasive mechanical ventilation, treated at Duc Giang General Hospital from August 2024 to April 2025. Results: 88,1% of patients were aged 65 years or older, male/female ratio was 2,8; 38,9% smoked and 11,9% were alcoholics. Chronic comorbidities: cardiovascular disease 59,5%, stroke 28,6%. Common respiratory symptoms were dyspnea 90,5%, cough 81,0%, crackles 92,9%. The average white blood cell count was 15,6 ± 11,6 G/L. The average CRP concentration was 123,6 ± 96,7 mg/L. 81% of patients received a combination of 2 groups of antibiotics from the beginning. The mortality/exacerbation rate was 28,6%. Factors associated with mortality risk were septic shock, PaO2/FiO2 ≤ 250, and multilobar lung lesions (p<0,05). Conclusion: The study showed that the majority of patients were elderly, had a history of smoking and had chronic diseases: chronic respiratory disease, chronic cardiovascular disease, etc. Common clinical symptoms were fever, shortness of breath, cough, moist rales, and crackles in the lungs. The inflammatory index was high. X-rays often showed multi-lobar lung lesions. Treatment often combined two antibiotics from the beginning, but the mortality rate was still high. Factors such as septic shock, PaO2/FiO2 ≤ 250 and multi-lobar lung lesions increased the risk of death in patients.