- Viem tuy cap the chay mau Viem tuy cap the hoai t
8. TRIEU CHL/NG VA CHAN DOAN
8.1.3. Trieu chung th ut the
- Bung triidng: Deu, co khi triidng d vung tren ron nhieu hdn, go trong, khong co quai ruot noi, r in bo nhii trong tic ruot cd hoc, cac tac gia goi la gia tac ruot, khi o bung co dich co the go due d v in g thap.
- Dau va phan in g vung thiidng vi: La trieu ch in g thiidng gap trong viem tuy cap, xuat hien d ha siidn phai khi nguyen nhan gay viem tuy cap la soi mat, phan in g thanh bung co khi manh nhii co c in g thanh bung, do la ly do co the nham v6i th in g o loet da day- ta trang.
- Mang c in g tren ron (Mass): Co the sd thay mang c in g d tren ron, co khi lan sang hai v in g diidi stfdn, an dau, khong di dong.
- Diem 811611 liing dau:
Co 6 hau het cac benh nhan viem tuy cap, diem dau nay diidc Mayo Robson va Korte mo ta tit nam 1906, diidc Ton That Tung cho la mot trieu c h in g quan trong cua viem tuy cap
- Co the kem theo gan to, tui mat to
- Co the gap cac mang bam tim 6 2 ben mang siidn (dau hieu Cullen) hoac quanh ron (dau hieu Grey) nhat la trong viem tuy cap the hoai tii day la dau hieu rat dac hieu, bieu hien s i chay mau 6 vung tuy va quanh tuy.
- Tran dich mang phoi: mot hoac ca hai ben tuy, de tranh triidng hdp cac trieu c h in g cua viem tuy cap bi che lap bdi benh canh cua benh soi giun diidng mat
Ket qua nghien c iu cua chung toi thay cac trieu c h in g cua viem tuy cap do soi giun diidng mat - tuy hay gap la: Dau thiidng vi hoac ha siidn phai gap d tat ca cac benh nhan nghien c iu (100%), trieu c h in g non (84%), bi trung tien (20,5%), bung chiidng (63,9%), dau va co phan i n g vung thiidng vi hoac ha siidn phai(89,l% ), rat it gap cac dau hieu: sd thay khoi cf tren ron (Mass) chi co 1,3%, mot dieu c h in g toi nhan thay la: dau hieu bam tim diidi da va diem siidn liing dau hau nhii khong thay mo ta trong benh an, phai chang hau nhii cac benh nhan deu diidc chan doan sdm vi dau hieu bam tim diidi da hay dau diem siidn liing la hau qua cua hien tiling xuat tiet dich nang va hay gap d n h in g triidng hdp VTC the nang.