NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ GIÁ TRỊ ADENOSIN DEAMINASE Ở BỆNH NHÂN LAO MÀNG PHỔI TẠI BỆNH VIỆN LAO VÀ BỆNH PHỔI THÀNH PHỐ CẦN THƠ NĂM 2023-2025

Abstract

Background: Tuberculous pleural effusion is the leading cause of exudative effusion in countries with hight tuberculosis prevalence, including Vietnam. Research clinical, subcinical and value of Adenosin Deaminase in patient tuberculous pleural effusion help us clearly understand about this disease and make diagnosis easier. Objectives: To describe clinical, subclinical and value of Adenosin Deaminase in tuberculous pleurisy. Materials and method: A cross-sectional descriptive study was conducted on 42 patients diagnosed with tuberculous pleural efusion at Can Tho Tuberculosis and Lung Disease Hospital. Results: The male rate was 78.6% and female was 21.6%, male/female ratio was 3.6/1. The age of group 40-60 had the highest proportion (<40 years old was 11.9%; 40-60 years old was 45.2%; >60 years old was 42.9%). Symptoms were dry cough (76.2%), coughing up phlegm (14.3%), chest pain (90.5%), dyspnea (71.4%), weight loss (64.3%), fever (50%). Signs were triple hypo syndrome (97.6%), consolidation syndrome (2.4%). A straight chest X-ray with right (50%), left (38.1%), bilaterial (11.9%). Pleural effusion amount was small (2.4%), moderate (73.8%), and large (23.8%). Distribution of free fluid (90.5%), septate (9.5%). Characteristics of pleural fluid, the predominance was yellow (100%). The cell formula in the pleural fluid was 1336.05±1008.12 cells/mm³ and lymphocyte was 100%. Adenosine Deaminase value was 60.06±19.37 UI/L. Conclusions: Tuberculous pleurisy was predominanted in men, 40-60 years old. Common symptoms were chest pain, dry cough, dyspnea, triple hypo syndrome. The common location of pleural effusion was right, moderate level, free fluid distribution. Lymphocyte was dominanted cell formula. Adenosine Deaminase value was 60.06±19.37 UI/L.