NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ VIÊM PHỔI Ở TRẺ THÔNG LIÊN THẤT

Abstract

Objectives: Describe the clinical, paraclinical characteristics and treatment result of pneumonia in children with Ventricular septal defect. Materials and Methods: A case series study was conducted on 48 children with Ventricular septal defect who was diagnosed pneumonia at Can Tho City Children's Hospital and Soc Trang Hospital for women and children. Results: In 48 cases, 34 were from Can Tho Children's Hospital and 14 were from Soc Trang Hospital for Women and Children. The average age of children is 23.7±34.5 months. The most common functional symptoms are cough 81.3% (pneumonia), 90.6% (severe pneumonia). Fever of accounting for 75% (pneumonia), 84.4% (severe pneumonia). Common physical symptoms are chest concave retraction 68.8% (pneumonia), 90.6% (severe pneumonia). Tachypnea 37.5% (pneumonia), 75% (severe pneumonia). The lungs have moist and fine crackles 93.8% (pneumonia), 100% (severe pneumonia). Radiographic findings are alveolar syndrome 100% (pneumonia), 68.8%  (severe pneumonia). Perimembranous 62.5% (pneumonia), 78.1% (severe pneumonia). Children with pneumonia accounted for 33.3% and severe pneumonia accounted for 66.7%. Children under 12 months of age have pneumonia at 37.5%, severe pneumonia at 75%. 79.2% full recovery. The medium time of hospitalized was 14 days. Conclusion: Pneumonia in children with ventricular septal defect is often severe pneumonia and the successful treatment is high if patient diagnosed and treated promptly.