NHẬN XÉT MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG CỦA BỆNH NHÂN ĐỢT CẤP BỆNH PHỔI TẮC NGHẼN MÃN TÍNH TẠI THỜI ĐIỂM VÀO KHOA HỒI SỨC TÍCH CỰC – CHỐNG ĐỘC BỆNH VIỆN ĐA KHOA XANH PÔN

Abstract

Objective: The study aims to describe some clinical characteristics of patients with acute exacerbations of chronic obstructive pulmonary disease at the time of admission to the Department of Intensive Care - Anti-Poison, Xanh Pon General Hospital. Method: A cross-sectional description study, data was collected on 53 patients was diagnosed acute exacerbations of COPD who were treated with antibiotics at the Department of Intensive Care - Anti-Poison, Xanh Pon General Hospital from January, 2025 to August, 2025. Results: A 53 patients study in which the male/female patient ratio is 10/1, the median age is 73 years old with 90,6% of patient over 60 years old. Hypertension and diabetes are 2 common comorbidities with 45.2% and 20.8%. Heart rate was relatively fast with a median of 114 beats/minute, heart rate of 100-150 beats/minute was common with 71.7%. Median temperature was 37^oC, common temperature was 36^oC -37.5^oC  with 81.1%. Systolic and diastolic blood pressure were within normal limits with a median of 130 mmHg and 80 mmHg, of which 9.4% of patients used vasopressors. Most patients received respiratory support with 60.4% using oxygen therapy, invasive mechanical ventilation accounted for 24.5%. Common respiratory symptoms were increased bronchial secretions with 93.1%, changes in sputum color and properties with 67.9% and wheezing with 77.4%. Conclusion: Chronic obstructive pulmonary disease is common in male patients, elderly patients and patients with a history of tobacco use. Common clinical symptoms in patients with acute exacerbations of chronic obstructive pulmonary disease are increased sputum secretions, wheezing and fever.