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Số 56
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Date Published: 30/01/2023
Online Published: 30/01/2023
Abstract Views: 524
Views PDF: 250
DOI: https://doi.org/10.58490/ctump.2023i56.500
Issue
No. 56 (2023)
Section
Article
How to Cite
Do, H. N., Phan, V. H., & Vo, V. T. (2023). CLINICAL, PARACLINICAL CHARACTERISTICS AND TREATMENT RESULTS OF METABOLIC ACIDOSIS IN 2 MONTHS OLD TO 15 YEARS OLD TREATED IN THE INTENSIVE CARE UNIT AT CAN THO CHILDREN’S HOSPITAL FORM 2021-2022. Cantho Journal of Medicine and Pharmacy, 56, 59-64. https://doi.org/10.58490/ctump.2023i56.500

CLINICAL, PARACLINICAL CHARACTERISTICS AND TREATMENT RESULTS OF METABOLIC ACIDOSIS IN 2 MONTHS OLD TO 15 YEARS OLD TREATED IN THE INTENSIVE CARE UNIT AT CAN THO CHILDREN'S HOSPITAL FORM 2021-2022

Hoang Nam Do1,, Viet Hung Phan1, Van Thi Vo1
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Metabolic acidosis is very common in critically ill pediatric patients, demonstrating the poor response to treatment in the pediatric population. Objectives:(1) Describe clinical and subclinical characteristics, (2) describe the results of treatment for metabolic acidosis of children treated in the Intensive Care Unit at Can Tho Children's Hospital. Materials and methods: Retrospective study on 39 children diagnosed with metabolic acidosis treated at the Intensive Care Unit at Can Tho Children's Hospital. Results: The prevalence of metabolic acidosis was 10.4%, the mean age was: 2.76±3.52. Clinical characteristics: The percentage of children with cognitive disorders, changes in breathing rate, and heart rhythm disturbances accounted for 64.1%, 69.2%, and 61,5%, respectively. Subclinical characteristics: The percentage of children with pH<7.2 was 33.3%. A decrease in blood pH was related to disorders of organs such as nervous, cardiovascular, and respiratory organs. Treatment results: The sodium bicarbonate group had an improvement in pH, the rate of children with mechanical ventilation was 84.6%, the rate of children using vasopressors accounted for 69.2%, the mortality rate accounted for 74.4%. Conclusion: The rate of metabolic acidosis is 10.4%, the decrease in pH has an effect on the change of clinical symptoms, children with pH<7.2 is 33.3%.

Article Details

Keywords

Metabolic acidosis, children with metabolic acidosis, Can Tho Children's Hospital

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