ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG BỆNH NHI DƯỚI 5 TUỔI MẮC TIÊU CHẢY CẤP TẠI KHOA NHI TIÊU HÓA – DINH DƯỠNG – LÂY BỆNH VIỆN ĐA KHOA XANH PÔN

Abstract

Objectives: Description of clinical and subclinical characteristics of children under 5 years of age with acute diarrhea at the Department of Pediatrics - Gastroenterology - Nutrition - Infectious Diseases, Saint Paul General Hospital. Subjects and study methods: 131 children under 5 years old with acute diarrhea met the selection criteria (30.5% were girls and 69.5% were boys). Prospective descriptive study. Results: 29.8% of children are malnourished. Clinical symptoms: systemic abnormalities (1^st day 43.5%; 5^th day 0%); fever (1^st day 47.3%; 5^th day 2.6%); anorexia (1^st day 36.6%; 5^th day 4.3%); abdominal distension (1^st day 17.6%; 5^th day 7.8%). On 1^st day: 61.1% of pediatric patients showed signs of dehydration, gradually decreasing to 1.7% on 5^th day. Subclinical symptoms: leukocytosis (1^st day 34.4%; 5^th day 19.8%); hyponatremia (1^st day 18.3%; 5^th day 4.3%); Hyperchloremia (1^st day 22.1%; 5^th day 19.0%). Stool test results show that: 16% of pediatric patients have leukocytes in stool; 8.4% of pediatric patients had red blood cells in the stool. Conclusion: Common clinical symptoms: systemic abnormalities (mild irritability/ lethargy, coma); fever; anorexic; dehydration. Common subclinical symptoms: leukocytosis, hyponatremia, hyperchloremia. Stool examination showed that few pediatric patients had red blood cells and white blood cells in the stool.