MỘT SỐ ĐẶC ĐIỂM LÂM SÀNG SUY HÔ HẤP CẤP THEO KHÍ MÁU Ở TRẺ EM TẠI KHOA HỒI SỨC TÍCH CỰC CHỐNG ĐỘC BỆNH VIỆN SẢN NHI NGHỆ AN

Abstract

Objectives: To describe the clinical characteristics of acute respiratory distress in children according according to blood gases at the Intensive Care and Anti-toxic department of the Nghe An Obstetrics and Pediatrics Hospital. Research subjects and methods: prospective description, convenience sampling on 102 patients diagnosed with acute respiratory distress in the Intensive Care and Anti-toxic department. Results: Patients with respiratory distress type 1 accounted for 57.8%, type 2 accounted for 27.5%, type 3 accounted for 14.7%. Regarding respiratory symptoms, respiratory distress types 1, 2, 3 all have tachypnea and chest indrawing, in which type 1 often has signs of moist rales in the lungs, type 2 has abnormal breathing sounds. Most types of respiratory distress have symptoms of tachycardia with the rates from 89.3% - 100%. Signs of altered consciousness ranged from 33.3% to 46.4%. The most common respiratory distress in bronchopneumonia patients is type 1, followed by type 2 and type 3. 80% of cases have cardiovascular disease and 60% of cases of acute pulmonary edema have respiratory distress of type 1. Conclusion: Type 1 respiratory distress accounted for the highest rate. Clinical manifestations of respiratory distress type 1 are mainly moist rales in the lungs, type 2 are mainly abnormal breathing sounds. Types of respiratory distress primarily affect the cardiovascular and nervous systems with tachycardia and altered consciousness. In terms of causes, acute respiratory distress due to respiratory diseases accounts for the highest rate, in which bronchopneumonia is the most common cause.