DỊCH TẾ HỌC LÂM SÀNG, CẬN LÂM SÀNG BỆNH NHÂN SỐT XUẤT HUYẾT DENGUE CÓ DẤU HIỆU CẢNH BÁO TẠI BỆNH VIỆN HỮU NGHỊ VIỆT TIỆP 2024

Abstract

Objectives: The study was conducted to describe clinical and paraclinical epidemiology features of patients with Dengue fever with warning signs at Viettiep Friendship hospital in 2024. Subjects and Methods: A series case study was performed on 316 patients with Dengue fever having warning signs. Results and conclusions: Average age was 46.04 ± 0.84 (16-91 years old), the disease affected both sex (male/female ratio was 0.83.  The number of patients strongly increased in raining season particularly from June to November (97.2%). Mucosal bleeding accounted for the highest rate of 77.2 including nose bleeding 11,4%, vaginal bleeding 16.7. In addition, right hypochondriac pain was 31.6%, vomiting 36.7%, impaired perception 3,2%, enlarged liver >2 cm 1,3% and oliguria 0.3%.  Platelet degreased gradually and increased again on day 7-10. Hct peaked on day 5 and then returned to normal on day 10. AST and ALT peaked on day 5-6 and lasted to day 8-10.