CHẨN ĐOÁN & ĐIỀU TRỊ
SỐT XUẤT HUYẾT DENGUE
Ở TRẺ EM
TS. BS. Nguyễn Thanh Hùng
Khoâng trieäu
chöùng
(95%)
Hoäi chöùng soác Dengue (DSS)
SXH Dengue (DHF)
Soát Dengue (DF)
Soát khoâng phaân bieät ñöôïc
* Dengue virus
* Truyeàn beänh bôûi
Aedes- aegypti
5%
1. Muoãi ñoát ngöôøi laønh
truyeàn virus töø tuyeán
nöôùc boït muoãi sang
2. Virus nhaân leân trong
cô quan ñích
3. Virus gaây nhieãm
teá baøo baïch caàu vaø
heä baïch huyeát
4. Virus ñöôïc phoùng
thích vaø löu haønh
trong maùu
Biểu hiện lâm sàng chính nhiễm Dengue
SỐT DENGUE SXH DENGUE
Có
hoặc
Không
Xuất
huyết
Sốc
(Sốc SXH)
Thất thoát
huyết tương
Có
hoặc
Không
*Coâ ñaëc maùu
*TDMP
*Baùng buïng
Nhieãm virus Dengue
Thaát thoaùt huyeát töông Roái loaïn ñoâng maùu
Giaûm TC
DIC Beänh lyù
thaønh maïch
Xuaát huyeát
Soác theå
tích
Töû vong
Töông quan giöaõ sinh beänh hoïc vaø
trieäu chöùng laâm saøng trong SXH Dengue
(Hung and Thanh, 2002)
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