Đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị bệnh nhân sốt xuất huyết Dengue tại Khu Dã chiến điều trị sốt xuất huyết, Bệnh viện Trung ương Quân đội 108 năm 2017

Abstract

Objective: Assess the clinical, paraclinical characteristics and results of treatment in Dengue haemorrhagic fever in adults at field combat, in 108 Military Central Hospital in 2017. Subject and method: A restrospective, descriptive, cross-sectional study was conducted on 520 cases of Dengue haemorrhagic fever (DHF) in adults at the Institute of Clinical Infectious Diseases, in 108 Military Central Hospital in 2017. Result: In 520 patients with DHF, 302 patients (58.1%) were males. Almost patients at the age of 16 - 30 years old (45.2%). Clinical features: Most patients admitted to our department at the severe stage, account for 61.7% and were diagnosed as fiver, account for  61.7%, severe DHF rate is not. Almost patients have a sudden high. 100% of DHF patients have a headache, myalgia, arthalgia and congested skin. The skin hemorrhages (Petechia) rate is 49.4%. The proportion of patients with mucosal bleeding and organ bleeding are 17.7%. Lethargy or restlessness is the most common warning sign, account for 5.6%, signs of nausea and vomiting, abdominal pain and hepatomegaly account for 4.2%, 3.8% and 3.3%, respectively. Paraclinical characteristics: Leucopenia, increasing in hematocrit and concurrent with rapid decreasing of platelet count were the most clearly in severe stage. The proportion of patients with elevated liver enzymes is low. Conclusion: Recovery 100%, averaged days of the treatment were 3.98 ± 0.92 days.