ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG TRẺ MẮC SỐT XUẤT HUYẾT DENGUE CÓ CHỈ ĐỊNH TRUYỀN DỊCH

Abstract

Research on Description clinical, laboratory of children with dengue hemorrhagic fever (DHF) with indicated infusion. Subjects: 136 patients from January to 16 years old were expected to have DHF with indicated infusion at the National Children's Hospital. Results: Children with dengue hemorrhagic fever with indicated infusion were most often children aged >5 - <13 years (53.7%); male/female ratio: 1.51/1. The most common symptoms were (89.7%), followed by abdominal pain (40.4%), vomiting (34.6%). Subcutaneous bleeding occurred in 16.2% of patients, mucosal bleeding occurred in 13.2%, of which the most common was nosebleed. 40.4% of patients had tachycardia, and decreased blood pressure was uncommon (2.2% of cases had decreased systolic blood pressure). 17.6% of cases had moderate platelet reduction of 5-<30 G/l; 3.6% had acute liver failure with AST or ALT above 1000 IU/l. The most common abnormality on abdominal ultrasound was free fluid in the abdominal cavity (29.4%), 19.1% of cases had free fluid in the pleural cavity detected on pleural ultrasound. Conclusion: The disease is common in older children. It is necessary to continuously monitor clinical symptoms, platelets, and Hematocrit to indicate timely fluid transfusion and monitor after fluid replacement. Therefore, it is necessary to combine clinical and laboratory tests to prescribe appropriate transfusion.