Đặc Điểm Lâm Sàng, Nguyên Nhân, Phân Loại Suy Hô Hấp Cấp Ở Trẻ Em Theo Khí Máu

Abstract

SUMMARY
 THE CLINICAL FEATURE, CAUSES AND CLASSIFICATION OF PEDIATRIC ACUTE RESPIRATORY FAILURE THROUGH ARTERIAL BLOOD GAS
 Pham Thi Que, Pham Van Thang
 Ha Noi Medical University
 
 Objectives: The study to describe clinical feature, causes and classification of acute respiratory failure in children through arterial blood gas in the Intensive Care Unit of Vietnam National Children's Hospital.
 Subjects and Methods: Aprospective descriptive study on 96 patients with acute respiratory failure in the Intensive Care Unit in Vietnam of National Children's Hospital from 10/2016 to 10/2017.
 Results: Type 2 acute respiratory failure was 55,2%, followed by type 1 with 25% and type 3 with 19,8%. Total patients with type 1 respiratory failure had tachypnea, cyanosis and SpO2 ˂ 90% and bilateral parenchymal lung injury. Type 2 acute respiratory failure can have symptoms like brachypnea, acynosis, SpO2 ≥ 90%. Wheezing is most common; emphysema and atelectasis with 37,2%. Bronchopneumonia is the most common cause of acute respiratory failure, including 61,1% type 2 acute respiratory failure.
 Conclusion: Based on the clinical feature of acute respiratory failure as a basis for assessing severe condition and appropriate treatment interventions.
 Key words: classification of acute respiratory failure, arterial blood gas.