Bé 4 tuổi nặng 60kg suýt chết vì nhiễm cúm A/H1

Bé trai 4 tuổi nặng 60 kg suýt chết vì mắc bệnh cúm A/H1- Ảnh: Bệnh viện cung cấp

Theo thông tin từ Bệnh viện Bệnh Nhiệt Đới TP.HCM, các bác sĩ bệnh viện này vừa cứu sống bé trai 4 tuổi béo phì nặng suýt chết vì bị nhiễm cúm A/H1.</p> <p>Bé tên H.T.N, 4 tuổi, ngụ ở Quận Bình Tân. TP.HCM. Bé nhập viện vì khó thở.</p> <p>Ba ngày trước nhập viện, bé ho đàm, sổ mũi vàng xanh, sốt vài lần 38.5 độ C. Ba bé tự mua thuốc về cho bé uống.</p> <p>Đến ngày 3 của bệnh, bé ngủ nhiều, li bì, thở nặng nhọc, được mẹ đưa đến nhập viện Bệnh viện Bệnh Nhiệt đới.</p> <p>Bé nhập viện trong tình trạng rối loạn tri giác, lơ mơ, nhịp thở nhanh 50 lần/phút, lồng ngực co kéo, môi tím, nồng độ oxy máu tụt sâu, huyết áp tụt…</p> <p>Bác sĩ đặt nội khí quản, thở máy thông số cao, truyền dịch chống sốc và thêm thuốc trợ tim mạch nhằm nâng huyết áp lên mức an toàn.</p> <p>Sau 1 giờ, tình trạng huyết áp bé cải thiện, tuy nhiên tình trạng oxy của bé cải thiện chậm cần phải điểu chỉnh các thông số máy thở tối đa để duy trì đủ lượng oxy cho cơ thể. </p> <p>Sau khi đánh giá toàn diện các triệu chứng, các xét nghiệm, diễn tiến và hội chẩn chuyên gia, các bác sĩ nhận định đây là trường hợp viêm phổi nặng diễn tiến nhanh tới suy hô hấp và gây ra hội chứng suy hô hấp cấp tiến triển. Các bác sĩ đã quyết định lọc máu để loại bỏ các chất gây viêm có thể gây ra hội chứng này ra khỏi cơ thể bé.</p> <p>Bé được lọc máu, truyền kháng sinh và uống thuốc kháng siêu vi cúm, làm các xét nghiệm chuyên sâu tìm tác nhân viêm phổi. Kết quả PCR mẫu bệnh phẩm dương tính với Cúm A/H1.</p> <p>Sau một ngày điều trị tích cực, trình trạng oxy trong máu của bệnh nhi được ổn định. Bệnh nhi được điều chỉnh giảm các thông số máy thở cũng như giảm liều các thuốc hỗ trợ tim mạch.</p> <p>Sau một tuần điều trị tích cực, bệnh nhi cải thiện dần, tỉnh táo, ngưng lọc máu, ngưng thở máy, tập vật lý trị liệu phục hồi vận động và hô hấp tại khoa.</p> <div class="VCSortableInPreviewMode alignCenter" data-back="#FFFBF2" data-border="#F2D1AA" data-text-color="#333333" style="background-color:#FFFBF2;border-color:#F2D1AA;display:block;color:#333333;" id="ObjectBoxContent_1726574267593" type="content"> <div placeholder="Nhập nội dung..."> <h2>Tăng 35 kg trong vòng 6 tháng </h2> <p>Mẹ bé trai cho biết, trong 6 tháng gần đây, bé tăng cân nhanh chóng từ 25kg lên 60kg, hạn chế vận động, gặp khó khăn khi ngủ thường trực, bé chưa được tiêm ngừa cúm. Trong đợt bệnh này, gia đình có hai bé khác có triệu chứng ho, sốt tương tự, tự cải thiện.</p> <p>Theo y văn cũng như hướng dẫn của Bộ Y tế, béo phì là một trong những yếu tố tiên lượng nặng của cúm. </p> <p>Bệnh nhân béo phì nhiễm cúm có thể dẫn đến viêm phổi, suy hô hấp diễn tiến nhanh, cần can thiệp điều trị tích cực, kịp thời. Do đó, việc phòng ngừa cúm trên các đối tượng này rất quan trọng.</p> </div></div> </p></div> <p><a href="https://tuoitre.vn/be-4-tuoi-nang-60-kg-suyt-chet-vi-nhiem-cum-a-h1-20240917190248057.htm">Source link </a></p> <div class="addtoany_share_save_container addtoany_content addtoany_content_bottom"><div class="a2a_kit a2a_kit_size_32 addtoany_list" data-a2a-url="https://cachgi.com/be-4-tuoi-nang-60kg-suyt-chet-vi-nhiem-cum-a-h1/" data-a2a-title="Bé 4 tuổi nặng 60kg suýt chết vì nhiễm cúm A/H1"><a class="a2a_button_facebook" href="https://www.addtoany.com/add_to/facebook?linkurl=https%3A%2F%2Fcachgi.com%2Fbe-4-tuoi-nang-60kg-suyt-chet-vi-nhiem-cum-a-h1%2F&linkname=B%C3%A9%204%20tu%E1%BB%95i%20n%E1%BA%B7ng%2060kg%20su%C3%BDt%20ch%E1%BA%BFt%20v%C3%AC%20nhi%E1%BB%85m%20c%C3%BAm%20A%2FH1" title="Facebook" rel="nofollow noopener" target="_blank"></a><a class="a2a_button_twitter" 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