Dengue Hemorrhagic Fever at Pathum Thani Hospital : 2006 - โรคไข้เลือดออกเดงกี่ ที่โรงพยาบาลปทุมธานี พ.ศ.2549

บทคัดย่อ

                A retrospective study of 285 patients with virologically or serologically positive results for dengue virus was done at Pathum Thani hospital from January to December 2006.  The case rate peaked duing July - September.  Most of the patients (65.6%) were 10-14 years old.  The WHO criteria for dengue hemorrhagic fever (DHF) were fullfilled in 174 cases, including 31 cases of dengue shock syndrome (DSS) (10.9%).  Hemorrhagic manifestations were noted in 24.2 percent of the patients.  There was no unusual manifestation. Dengue viruses were identified in 207 cases (72.9%). DEN-1 was the predominant serotype found in 37.3 percent. DEN-4 was found in 28.9 percent of the cases, DEN-3 in 3.9 percent and DEN-2 in 2.8 percent. Dextran-40 were used in 48.4 percent and 1.4 percent of the DSS and DHF patients, while transfusion was needed in 19.4 and 0.7 percent of the DSS and DHF patients.  Fluid overload was found in 8 percent of all DHF patients.  Bleeding and platelet less than 50,000/cu.mm indicated severity.

Key words:      dengue hemorrhagic fever, dengue virus, fluid overload, dengue shock syndrome.