ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ BỆNH SỐT XUẤT HUYẾT DENGUE TẠI BỆNH VIỆN ĐA KHOA KIÊN GIANG NĂM 2021-2022

Abstract

Background: In Vietnam, the number of Dengue hemorrhagic fever (DHF) epidemics is increasing in some localities, in the first 6 months of 2022, the whole country recorded 89,120 cases and 34 deaths. Objectives: To describe clinical characteristics and evaluate the results of treatment of DHF at Kien Giang general hospital. Materials and methods: A cross-sectional descriptive study on 65 patients with confirmed diagnosis of Dengue hemorrhagic fever treated at Kien Giang General Hospital from May 2021 to May 2022. Results: Of the 65 patients enrolled in the study, 18.5% had dengue with warning signs and 9.2% had severe dengue. Up to 89.2% of patients had a high fever above 39⁰C, 100% of patients had signs of bleeding, and hepatomegaly was 26.2%, 12.3% of patients had Shock. many clinical symptoms were recorded such as headache (98.5%), nausea (96.9%), arthralgia (93.8%), right upper quadrant pain (49.2%), fatigue (32.3%) and diarrhea (3.1%). Treatment results: the average treatment time was 5.5 ± 1.9 days; There were 2 patients who returned to shock and none of them received blood transfusion during the course of treatment. A total of 4/65 (6.1%) patients changed to more severe disease. 63/65 (96.9%) patients were cured at the hospital; 2/65 (3.1%) failed treatment cases, referred to higher level due to re-shock 3 times each case. Conclusion: There are not many patients with Dengue hemorrhagic fever hospitalized at Kien Giang General Hospital (65 cases) but there were still patients with severe level, 9.2%. The clinical signs of the patients were quite diverse and the cure rate was high (96.9%).