ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHÂN SỐT XUẤT HUYẾT DENGUE ĐIỀU TRỊ TẠI KHOA HÔ HẤP – TIM MẠCH, BỆNH VIỆN ĐẠI HỌC Y HẢI PHÒNG NĂM 2024 – 2025

Abstract

A cross-sectional study on 70 patients aimed to describe the clinical and paraclinical characteristics of Dengue fever (DF) patients treated at the Department of Pulmonary & Cardiovascular Diseases, Hai Phong Medical University Hospital from October 2024 to April 2025. The results showed that women accounted for 67.1%, the average age was 53 ± 15.25, the average visit was on day 2.91 ± 1.37 of the disease, the average number of days in hospital was 7.28 ± 1.75. The most common clinical symptoms were fever (95.7%), fatigue (84.5%), body aches (75.7%), subcutaneous hemorrhage (44.3%), petechiae, and nodules accounted for 93.55%, and mucosal hemorrhage accounted for 20%. Paraclinical results showed leukopenia 57.1%, neutropenia 41.1%, increased hematocrit (HCT), thrombocytopenia on the day of admission 65.7%, average platelet count on the day of admission 122.69 ± 65.6 G/l, lowest measured platelets around day 6.12 ± 1.19 of the disease with 95.7% of patients having thrombocytopenia, average count 48.78 ± 43.84 G/l. Increased GOT 64.3%, increased GPT 51.4%, increased CRP 82.9%, abnormal serum indices urea 17.1%, creatinine 24.3%. The rate of mucosal bleeding in patients without chronic disease was higher than that in the group with chronic disease. Other symptoms did not show statistically significant differences between the two groups of patients.