MỘT SỐ NGUYÊN NHÂN NGỪNG TIM Ở TRẺ TẠI TRUNG TÂM SƠ SINH VÀ KHOA CẤP CỨU VÀ CHỐNG ĐỘC, BỆNH VIỆN NHI TRUNG ƯƠNG

Abstract

Pediatric cardiac arrest is a emergency situation with high mortality or severe neurological sequelae, finding and treating according to the cause is very important. Objective: to identify some causes of cardiac arrest at the Neonatal Center and the Emergency and Poison Control Department, National Children's Hospital in the period of 2019 - 2021. Methods: retrospectively described from January 2019 to September 2020 and prospectively described from October 2020 to June 2021. There were 203 patients who were eligible for the study according to the American Resuscitation Association 2015 cardiac arrest criteria. Results: The cause of cardiac arrest in our study was respiratory, which accounted for the highest rate of 53.7%, in which airway obstruction was 14.7% and pleural diseases was 39%. Then there was the shock group (20.2%), in which septic shock had a high rate of 12.3%, hypovolemic shock was 6.4%, anaphylaxis was 1.5%. Next is cardiovascular disease (16.3%), of which the most common are severe pulmonary hypertension, congenital heart disease with cardiogenic shock or severe heart failure, myocarditis. Followed by endocrine diseases (4%), neurological diseases (3.5%), trauma (2%). Conclusion: cardiac arrest mainly occurs in children under 1 year old, especially in premature babies. The most common causes of cardiac arrest were respiratory (53.7%), shock (20.2%), cardiovascular (16.3%).