ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ VIÊM PHỔI MẮC PHẢI CỘNG ĐỒNG Ở NGƯỜI LỚN TẠI BỆNH VIỆN PHỔI THÁI NGUYÊN

Abstract

Background: Community-acquired pneumonia (CAP) is a common disease. Nowadays, although there have been many advances in the diagnosis and treatment of CAP, the mortality rate is still high. Objectives: Describe clinical and paraclinical characteristics, treatment results of CAP in adults and some relevances. Methods: Descriptive study. Subjects are adult CAP patients treated at Thai Nguyen Lung Hospital from January 1, 2023 to March 30, 2023. Sample size is the whole population. Results and discussions: the study included 82 eligible patients. The largest percentage of patients was in the age group > 65 years old with 67.1%. 54.9% of the sample were male . Common symptoms were cough, difficulty breathing and fever, comprising 95.1%, 85.4% and 85.4%, respectively. While 78% of patients had increased neutrophils, more than half showed the symptoms of chest pain and rales in the lungs followed byconsolidation syndrome (34.1%), , and increased blood urea (32.9%). X-ray images showingmultilobe lesions accounted for 35.4%. The percentage of patients with CURB 65 score from 0 - 1 point was only 17.1%. 86.6% of patients showed positive treatment results. Factors related to poor treatment results are patients with symptoms of chest pain, difficulty breathing, CURB65 scores from 2 - 5 points, lung X-ray with multilobe lesions and increased blood urea with p<0.05 and 0.01. Conclusions: Community-acquired pneumonia in adults is common in elderly people >65 years old. Typical symptoms are cough, fever, difficulty breathing, crackles, and freezing syndrome. There was a great correlation between poor treatment results and patients with CURB 65 of 2 - 5 points, and Chest X-ray with multilobe lesions.