Sốt xuất huyết Dengue là một trong những bệnh truyền nhiễm quan trọng ở Việt Nam, trong đó Sốt xuất huyết Dengue cảnh báo là thể lâm sàng dễ dẫn đến bệnh nặng. Bài viết trình bày xác định đặc điểm lâm sàng, cận lâm sàng, thời gian nằm viện của bệnh Sốt xuất huyết Dengue cảnh báo ở người lớn.
222 ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG SỐT XUẤT HUYẾT DENGUE CẢNH BÁO Ở NGƯỜI LỚN Dương Quốc Hiền, Đồn Cơng Du, Nguyễn Văn Minh, Lâm Thái Châu SUMMARY CLINICAL, PARACLINICAL FEATURES TO LOOK FOR IN A WARNING SIGN DENGUE HEMORRHAGIC FEVER IN ADULTS Background: Dengue haemorrhagic fever (DHF) is oneof the important infectious diseases in Vietnam DHF warning sign has been reported to be clinically susceptible to severe illness Studying DHF warning sign in adults helps clinicians knowing the clinical, paraclinical characteristics for early treatment in order to reduce the mortality of patients Ojective: To determine the paraclinical, clinical characteristics and time in hospital to DHF warning sign in adults Patients and Method: Patients: All patients aged 15 years or older with DHF warning sign according to the WHO criteria for 2009 and one of the following diagnostic tests for Dengue: NS1, ELISA, IgM and IgG positive, were admitted to Angiang General Hospital from January 2017 to December 2017 Method: A cross-sectional hospitalbased study Result:A study of 81 patients with DHF warning sign in adults at the Angiang General Hospital from January 2017 to December 2017 showed: 100% of patients with sudden high fever, the number of days fever is ± 1.2 days (minimum days, maximum days) Petechiae 22.2%, nose bleeding 4.9%, tooth bleeding 48.1%, gastrointestinal hemorrhage 3.7%, vaginal hemorrhage 6.2%, microhematuria 33.3% hepatomegaly 44.4%, abdoman pain 55.5%, vomiting 17.3% Hematocrit from 42