ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ PHẢN VỆ Ở BỆNH VIỆN ĐA KHOA TÂM ANH HÀ NỘI

Abstract

Objectives: Study of clincical characteristics and evaluation of treatment results at Tam Anh Ha Noi hospital. Methods and Methodology: This is retrospective and cross-sectional descriptive study on 119 patients diagnosed with anaphylaxis according to 51/2017/TT-BYT about “Guidelines for prevention diagnosis and treatment anaphylaxis” at Tam Anh Ha Noi hospital from January 2018 to December 2022. Results: The rate of anaphylactic patients tends to increase, mainly due to drugs (53.8%), food (38.7%), and insect venom (2.5%). Among the most common drug causes are non-steroidal anti-inflammatory drugs (26.6%), followed by antibiotics 23.5%; The most common foods are seafood such as shrimp, crab... (40%). Anaphylactic clinical manifestations are diverse in many organs in the body, mainly in the skin and mucous membranes (92.4%), respiratory 67.2%), and digestion (29.4%). The level of anaphylaxis in the study group of patients ranged from level I to level IV, of which level II was the most common with a rate of 69.7%. The degree of anaphylaxis between the causes of anaphylaxis has a statistically significant difference (p=0.001). There were 76 patients using Adrenalin (61.3%). 89% of patients using Adrenalin were administered intramuscularly, 15.1% of patients had to switch to intravenous infusion. In addition, 92.4% of patients received corticosteroids and 90.8% received antihistamines, 1 patient required cardiopulmonary resuscitation. The cure rate is 97.5% of patients, no patients died, and 2.5% of patients were transferred to the hospital. Conclusions: The rate of anaphylactic patients tends to increase due to many causes. Anaphylactic clinical manifestations are diverse in many organs in the body. The cures rate is high.