221 patients with pleural effusion were treated in Bach Mai hospital from March 2002 to August 2003 were studied retrospectively in a cross-sectional investigation. Their 134 cases (60.6%) were tuberculosis plural effusion, 66 cases were pleural cancer and 17 cases (82.1%) undetermined. The common symptoms were cough, chest pain, dyspnoea and “3 reduce symdrome”, fever in 82.1% of tuberculosis pleural effusion. Biosy had determined the tuberculosis in 48.8% of cancer, cancer 19.4%, chronical inflammatory 31.9%. Pleural biopsy had got the sensitivity (Se)= 75% and specificity Sp = 97%. Biopsy in diagnosis of tuberculosis pleural effusion led to mild complication in 10% of patients
Diagnosis ; Biopsy ; Pleural Effusion ; Therapeutics

A retrospective survey conducted on 195 inpatients with bronchus asthma in Bach Mai hospital in 1999 – 2001 year period showed that: the disease was more common in female subjects than in male. The most were admitted in summer and spring. Severe symptoms were dyspnoea, crepital rale, snore, contraction of respiratory muscles, tachy cardia, anxious and stimulation 2-adrenergic and corticoids were used usualy was found to be efficient.
Asthma ; Diagnosis ; Therapeutics

3606 inpatients at the Department of Pneumology of Bach Mai Hospital from 1 Jan 1996 to 31 Dec 2000 were studied retrospectively. 904 patients accquired COPD, ie in the first rank, among them 142 with the chronical cardio-pulmonary complication male/female ratio was 2.13, age above 50 was 81.6%; 275/299 have had the smoking habit. The common symptoms were cough with sputum 80.75%, dyspnea 78.65%, rale 42%. 238 patients underwent an exam of ventilation function with FEV1 56.5  27.35% in comparing with theorical value, FEV1/FVC = 64  24.55%. 10/89 patients had FEV1/FVC > 75% but Tiffeneau index FEV1/VC < 70%. Average duration of hospital days was 12.9 days.
Pulmonary Disease, Chronic Obstructive ; disease ; epidemiology

1592 students from 1st class to 6th class in the school years 2000-2001 were enrolled into the study. Among student, general percentage of smoking were 14.10% (22.56% of male) and this percentage increased with the school grade, 1st class: 4.88%, 2nd class: 11.43%, 3rd class: 21.18%, with moderate smoker the mean consumption was 1.25 pack/year. The withdrawal percentage was 19.6%, among them 6.38% attempted to smoke again. In 95.9%, there was an awareness on the harm of smoking on health. 63% noted that teachers did not pay attention to tobacco control.
Smoke ; Students ; Tobacco Smoke Pollution ; epidemiology

Research on 101 patients files of lung abcess patients were treated in Respiratory department of Bach Mai hospital from 1999 to 2003, the results showed that: male patients: 63.3%, the age ≥30: 79.2%, manual labours: 72.3%. Being hospitalized reasons: high fever: 31.7%, chest pains: 29.75, pus spit: 26.7%. The most clinical patients: cough: 100%, chest pain: 91.1%, dyspnea: 57.4%; Absent frmitus, dullness and absent breath sound in: 60.4%, crackle: 57.4%. In chest xray, lessions on the right lung: 75.5%, lower lobe: 65.3%, 90.6% of patients had 1 lession. Air-fluid level was observered in 54.1%. Leukocyte in peripheral blood increase 79.2%, rate of neuter multikernel leukocyte increase 81.2%, blood deposit speed increase 100%.
Diagnosis ; Lung Abscess ; Therapeutics

Investigation on 257 patients with community-accquired pneumonia in respiratory deparment in Bach Mai hospital from 1/2002to 6/2003 showed that: 56% patients had test of bacterium; 38,9% of them found bacterium that caurse disease. About 80% patients catch negative Gram; 20% catch positive Gram. Bacteriums found with the highest rate were: S.pneumoniae (17%); K.pneumoniae (25,4%); P.aeruginosa (22,4%). The research also studied antibiotics resistant of that bacteriums.
Bacteria ; Pneumonia ; Community-Acquired Infections

284 patients with pleural effusion (PE) treated in A.D of Bach Mai Hospital from 1 Jan to 31 Dec 2001 were investigated retrospectively. The causes of PE weres determined as tuberculosis 32.7%, lung cancer 23.9%, parapneumonic effusion 8.1%, heart failure 7%, liver cirrhosis 3.5% and other causes 6.7%. 77.9% of cancer pleural effusion were aged above 50 and 66.7% of tuberculosis pleural effusion – under 50, common signs and symptoms were chest pain 76.7%, dypsnea 78.2%, cough 46.8%, expectoration 27.8%, fever 50.4%, weight loss 29.9% and pleural effusion syndrom 87%. Parachinical characteristics were: By chest Xray, free effusion in 78.6%. By pleural ultrasound, free pleural effusion 63.7%; lobulated pleural effusion 13.1%; pleural effusion with walls 20.2%. Rivalta test of pleural fluid(+) 83.8%, (-) 16.2%. Cytology of pleural fluid: malignant cells found in 23.6%. PCR MTB test of pleural fluid(+) in 34.4% of cases of tuberculous pleuritis. Histology of pleural needle biopsy – malignant in 23.4% of with 10.6% mesothelioma, pleural tuberculosis in 34.1%, other etiology in 42.5% of cases.
diagnosis ; Pleural Effusion ; Diagnostic Techniques, Respiratory System

Thoracoscopy is a new techique and it has not been widenly applied yet in Vietnam. During a period of time from 09/2003 to 08/2004, the researcher had thoracoscopied for 17 patients. Among them, 14 patients with pleural effusion (6males, 8 females, the ages from 20 to 80). The patients were bronchoscopy and pleural biopsy by Castelain needles for 2 to 3 times but not yet definitive diagnosis. Thoracoscopy biopsy has effective in histological diagnosis on 10/14 (72%) patients. Among the patients, cancer patients was 57%, tuberculars were 15%. There isn’t any complication.
Preliminary remark about the value of thoracoscopy in diagnosis and treatment recurrent

Study on clinical characteristics, X-ray and tidal volume in 48 patients (mean age: 66.7 ± 7.32) have co-morbid chronic obstructive pulmonary disease and bronchiectasis at Bach Mai Hospital from February to September 2004. Male to female ratio was 15 to 1. 89.6% patients were smoker. 73% of patients have smoked over 15 packs per year. 34 patients (70.8%) had bronchiectasis after 5 years having chronic obstructive pulmonary disease. 23 patients (47.3%) had this condition after 6 to 10 years of chronic obstructive pulmonary disease. Symptoms were breathing difficulty in 100% patients, barre form thorax in 72.9% patients, change in diaphragm form in plain X-ray in 100% patients. RV,RV/TLC increased by more than 20% SLT in 100% patients. 81.2% patients had disease at degree III, IV
Bronchiectasis ; Diagnosis ; X-Rays

Effect of hospital waste of Quang Nam Hospital on community health was studied in 315 people in studied place and 88 people in control place. People in studied place were more likely had history of dysentery syndrome than people in control place (p<0.001). The number of people with internal diseases in studied place was significantly was more than control place (p<0.001).These internal diseases were acute bronchitis (15.56%), gastrointestinal diseases (28.89%), nervous diseases (5.08%), urinary infection (4.13%) and anaemia. Skin and eye diseases were more common in people living in control place. Gynaecological diseases werethe same in two group
Medical Waste ; Hospitals