tailieunhanh - Nghiên cứu đặc điểm lâm sàng, cận lâm sàng của viêm tụy hoại tử được điều trị bằng can thiệp dẫn lưu qua da

Viêm tụy hoại tử (VTHT) là thể lâm sàng diễn tiến nặng đe dọa tử vong của viêm tụy cấp (VTC). Quan niệm điều trị VTHT hiện nay đã có nhiều thay đổi, thường là phải bảo tồn tối đa. Bài viết trình bày mô tả đặc điểm lâm sàng, cận lâm sàng của VTHT được điều trị bằng DLQD. | Vietnam Journal of Community Medicine Vol. 65 No. 3 247-257 INSTITUTE OF COMMUNITY HEALTH STUDY ON CLINICAL AND PARACLINICAL FEATURES OF NECROTIZING PANCREASITIS TREATED WITH PERCUTANEOUS DRAINAGE Huynh Thanh Long1 2 Vo Van Hung3 Nguyen Hoang Van4 Nguyen Manh Khiem2 1 Nguyen Tat Thanh University - 300A Nguyen Tat Thanh Ward 13 District 4 City. Ho Chi Minh Vietnam 2 Nguyen Tri Phuong Hospital - 468 Nguyen Trai Ward 8 District 5 Ho Chi Minh City Vietnam 3 Binh Dan Hospital - 371 Dien Bien Phu Ward 4 District 3 Ho Chi Minh City Vietnam 4 7A Hospital - 466 Nguyen Trai Ward 8 District 5 Ho Chi Minh City Vietnam Received 15 03 2024 Revised 29 03 2024 Accepted 13 04 2024 ABSTRACT Background Necrotizing pancreatitis is a severe death-threatening clinical form of acute pancreatitis. The current concept of treatment for necrotizing pancreatitis has changed. Treatment of necrotizing pancreatitis with percutaneous drainage intervention is gradually being applied at large centers. Objective This study describes the clinical and paraclinical characteristics of necrotizing pancreatitis treated with percutaneous drainage. Subjects and methods Retrospective descriptive study of cases diagnosed with necrotizing pancreatitis that were treated with percutaneous drainage at Binh Dan Hospital from October 2019 to September 2022. Results There were 36 cases of necrotizing pancreatitis treated with percutaneous drainage that met the sampling criteria with the following characteristics 26 male patients and 10 female patients On average years old the group under 50 years old accounts for the majority with a history of pancreatitis accounting for the highest proportion . The main reason for hospitalization is abdominal pain accounting for . Symptoms include vomiting and fever accounting for . There were 3 patients with severe symptoms accounting for . The rate of organ failure when hospitalized in the first 48 hours is high accounting for