Them 1 ca tu vong do viem nao cap o TP HCM

Thứ tư, 09 Tháng tư 2003, 09:00 GMT+7


Them 1 ca tu vong do viem nao cap o TP HCM
Bac si BV Nhi Dong 1 dang kham cho 1 chau be bi viem nao.

Trua 8/4, mot chau be 6 thang tuoi duoc chuyen tu Benh vien Tien Giang len Benh vien Nhi Dong 1 trong tinh trang sot 42 do C, kho tho, nguoi tim ngat. Ngay sau do chau len con co giat, suy ho hap va tu vong sau hon 4 gio nhap vien. Nhu vay, tai TP HCM hien da co 11 tre bi tu vong voi cac bieu hien viem nao.

Benh nhi tren bi sot va kho tho tu ngay 5/3, phai vao benh vien Tien Giang de dieu tri (lan thu 2). Den dem 7/3, chau bat dau tieu chay o at. Cac bac si nghi ngo chau be mac hoi chung viem nao cap.

Vien Pasteur TP HCM van dang tien hanh cac xet nghiem nham nhan dang thu pham gay benh. Neu khong thanh cong, co quan nay se nho Vien Pasteur Paris (Phap) hoac cac chuyen gia Dai Loan ho tro. Dai Loan tung co may tram ca viem nao va cac bac si o day da phan lap duoc virus Entero 71 - "nghi pham" gay 11 ca tu vong ke tren.


Ngay Tu vong
8/4 11(+1)
7/4 10 (+3)
31/3 7 (+2)
10/3 5 (+1)
9/3 4 (+1)
5/3 3 (+1)
4/3 2 (+1)
2/3 1

Tuy khong coi nhung ca viem nao dan den tu vong vua qua la dich, nhung cac bac si o Benh vien Nhi Dong 1 cho rang dien bien cua benh va nhung van de nan giai quanh no van can duoc thong bao cong khai de tao y thuc phong ngua trong cong dong. Su cong khai nay cung giup cho nhung no luc trong dieu tri cua cac bac si duoc nhin nhan dung muc.

Sau day la y kien cua mot so chuyen gia y te ve hoi chung viem nao cap o TP HCM:

- Tien si Pham Hung Van, bo mon Vi sinh, Dai hoc Y Duoc TP HCM: Trong boi canh khong co dau hieu cua tac nhan vi khuan, viec Benh vien Nhi Dong 1 nghi den kha nang viem nao do virus la dung. Co nhieu loai virus gay benh nay, nhung o tre em, tac nhan thuong gap nhat la Entero, lan truyen chu yeu qua duong tieu hoa. No duoc thai qua phan va xam nhap co the nguoi qua duong mieng. Sau do, virus di vao mau, den he than kinh trung uong va gay benh. Entero cung lay qua duong ho hap va gay ra benh canh o he thong nay. Phan lon truong hop nhiem Entero chi bi sot nhe hoac tieu chay thoang qua, truong hop nang moi gay viem nao.

Theo toi, viec xac dinh virus Entero bang phuong phap cay khong co gia tri huu ich ve mat lam sang vi no doi hoi quy trinh chuyen cho dung phuong phap va phai co labo nuoi cay te bao. Vien Pasteur TP HCM co the lam duoc, nhung can co su phoi hop nhip nhang voi Benh vien Nhi Dong 1. Tuy nhien, dieu bat loi cua phuong phap nay la tu luc cay cho den luc xac dinh virus phai mat toi thieu 3 tuan. Phuong phap nen lam hien nay la ky thuat PCR. Ky thuat nay don gian, chi mat 24 gio, Benh vien Nhi Dong 1 cung co the trien khai duoc. Voi PCR, ta co the xac dinh thu pham gay benh co dung la Entero hay khong, sau do phan biet no thuoc tuyp nao.

- Bac si Phan Van Tu, Truong phong Cac virus duong ruot va ho hap, Vien Pasteur TP HCM: Cho den nay, chua the khang dinh thu pham cua cac ca tu vong noi tren ma chi co the nghi den virus Entero 71. Cac tran dich truoc day o Dai Loan, My, Malaysia cho thay, ty le tu vong ma virus nay gay ra la kha cao. Doi tuong nhiem nhieu nhat la tre em duoi 3 tuoi (trong vu dich o Dai Loan, doi tuong nay chiem den 72%). Hien vien Pasteur TP HCM da co kha nang dinh danh virus nay nhung phai mat khoang 1 thang moi khang dinh duoc.

Benh viem nao do Entero thuong xay ra vao mua he va hien chua co nuoc nao che duoc thuoc dac tri va vacxin. Vi vay, viec dieu tri rat kho khan, chu yeu la ho tro ho hap, tang suc de khang. De han che tu vong do can benh nay, cach tot nhat la ngan ngua virus xam nhap co the bang cach giu ve sinh tot. Khi tre co cac trieu chung cua viem nao cap (sot, co giat, hon me) kem theo co mun nuoc trong mieng, ban tay, ban chan, cha me can phai khan truong dua ngay tre den co so y te de cuu chua.

(Theo Nguoi Lao Dong)


Theo dong su kien:
Hoi chung nao cap o TP HCM (08/04/2003)
Da co 10 tre tu vong do hoi chung nao cap o TP HCM (08/04/2003)
Thu pham gay dich viem nao o TP HCM co the la virus Entero (05/04/2003)
Them mot benh nhi tu vong do viem nao (15/03/2003)
Them mot chau be chet do viem nao o BV Nhi Dong 1 (12/03/2003)
4 ngay 3 chau tu vong vi viem nao tai Benh vien Nhi Dong 1 (11/03/2003)

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