The characteristics of heart failure in the elderly were studied on 100 patients over 50 years old treated at Thanh Nhan Hospital in 2001. Heart failure is a common condition occurs in the elderly, it increases progressively with the age, it is more common in female than in male subjects. Patients are hospitalized in all months of the year but the patients are most numerous in March, April and May. The most common causes of heart failure are the value diseases, hypertension and ischemic heart diseases. Paraclinic changes dramatically are electrocardiogram, large heart X-ray radiograph, high level of creatimine urea high level of blood cholesterol, triglycerides and blood glucose. A part from classic medications such as diuretics and digoxine, most cases needed conversed enzyme inhibitors, some cases needed beta blocking agents with limited efficacy on young subjects with heart failure
Heart Failure, Congestive ; Aged ; Heart Diseases

Study on the whole case reports of patients with acute poisoning have been treated at Thanh Nhan hospital in Hanoi during the past 3 years (from January 1996 to December 1998). The results: acute poisoning were more frequently at Thanh Nhan hospital. There were 1230 acute intoxicated patients acquired 2% in comparison with the total patients of the Internal Pediatric Emergency and acquired 13.23% in comparison with the total inpatients at the hospitals. Relative factors and the main causes of acute poisoning: most of patients were inhabitants in Hanoi, in which those in town. The majority of cases were between 16-29 years old, then 30-49 years and over 60 years. Males were distinctly more than females. The major in these patients were free labourers. Suicide was the most causes of acute poisoning. The poisons were entered essentially in the gastro-intestinal tract by oral route 80.1%, intravenous penetration acquired 17.86%, by respiratory route 1.79%, skin and mucosal. The major toxic substances were opium, opiates, seduxen, alcohol, gacdenan, ratpoisons and insecticide
Poisoning ; Epidemiology ; Therapeutics

Investigating 103 intoxicated patients admitted to our dep. Reanimation and Emergency from 1st Jan1998 to 31stNov 1999, we remarked almost were males, aged between 16-30 years. Main drugs using were opium or opium residue by intravenous use. The frequent symptoms of acute drug poisoning were miotic 100%, coma status 79.61%, respiratory arrest 66.99%, and bradycardia 41.75%. Positive HIV in 12 persons (11.56%). Narcotic poisoning was severe. Early, active, appropriate treatments rapidly eliminated poisoning status after 1-3 hours with the death rate of 6.8%.
Narcotics ; Poisoning ; therapy ; emergencies

We have studied about weight in 199,770 children aged 1-60 months in 100% the localities of Hanoi, there are 59,093 children suffer from malnutrition (29.58%). Malnutrition rates of rural children (34.77%) are significantly higher than those of urban children (21.85%). Age groups 12-57 months suffer from malnutrition the more the higher (23.3-40.5%). Malnutrition rates is Socson district are very high (59.28%). On the contrary in Hoankiem district there are only 14.5% malnutrition
Malnutrition ; Feeding and Eating Disorders of Childhood ; child

Acute poisoning was more frequently in the Internal - Pediatric pathology. During the past 3 years (1996-1998), there were 392 acute intoxicated patients hospitalized at the Department of Reanimation and Emergency (13.23% of total patients treated at the department). The degree of toxicity in severe and fatal situations accounts for 36.03%. The Department of Reanimation - Emergency in Hai Ba Trung Hospital have applied many methods of intensive care such as isotonic solution perfusion 77.3%, stomach washing 50.51%, active charcoal drinking 36.73%, specific medicine drinking 32%, diuretic, supportive respiration, nausea provoking... Therapeutic results were high (complete recovery 89.8%), the average therapeutic day with acute poisoning was only 1.28 days. Mortality rate was higher in the later comers (especially late after 6 hours), insecticides have provoked high death rate (10%) and by opium poisoning (9.78%), then the rest percentages were by Gardenal, alcohol, Seduxen...
Poisoning ; therapy

After investigating 645 case reports on urinary tract infection (UTI) hospitalized and treated at Nephrology Department at Hai Ba Trung Hospital from 1996 to 1999. The authors note that UTI is most common problem among nephro urinary diseases. The incidence in female is twice more than in male. Common clinical manifestations are polyuria (72.9%), urodynia (71.1%), uronephralgia (64.5%), turbid and dark colour urine (60.2%). Pathogens include E. coli, Klebsiella, Pseudomonas and Enterobacter. Therapeutic duration with antibiotics was almost longer than a week, with 11-14 days on average (37.2%). 34.9% of patients were treated with antibiotics for more than 15 days.
Urinary Tract Infections ; Therapeutics

Introducing some advantages of cardiac ultrasound (through chest wall and trans-esophagus) in diagnosis of mitral stenosis. In Vietnam, Some kinds of cardiac ultrasound were applied since 1973 including M-mode ultrasound, 2D ultrasound, Doppler, and color ultrasound. Internal treatment and surgical treatment (including in closed or opened cardiac surgery, percutaneous mitral balloon valvotomy) are very efficient
Mitral Valve Stenosis ; ultrasonography ; Heart Diseases ; diagnosis ; Therapeutics

The study was carried out on 50 patients with anthracosis treated from from 1stJanuary 2001 to November 31st 2001 at Thanh nhan hospital.anthracosis was the most frequent to be met among the whole occupational dust-related diseases. The patients have been got diseases, essentailly related to the long duration in contact with various dusts or by having histories that easy to be got diverse diseases of respiratory tract. The commonest symptoms in anthracosis are dyspnoea 70%, cough 62%, sputum excretion 40%, modifications or pulmonary and X-rays, eletrocardiogram, especially respiratory function deficiency. Diseases and complications frequently met of anthracosis were bronchitis, pneumonia, cardiac insufficiency, chronic cardiopulmonary diseases, cardio arrhythmia, pulmonary infarction and hemoptysis
Pneumoconiosis ; Occupational Diseases ; Respiratory System ; diagnosis ;

All patients with acute myocardial infarction at Thanh Nhan Hospital in the period from January 2000 to December 2002 were studied. Acute myocardiac infarctus was one of the most common internal emergency, accounted for 2.41% of all admitted patients at the Department of Cardiology. Dysrythmia accounted for 88.7%, sinusal arythmia, atrial extrasystolae and ventricle extrasystolae, cardiac fibrillation… were usual symptoms. The average duration of treatment was 15.6 and 8.5 days. Immobilization, light diet, pain relief, anti-arythmia, assisted respiratory, anticoagulant, antidilator,… were usual measures for management. In severe cases, shock, heart failure, acute edema of the lung must be managed actively. Death rate reached to 40%. Only 45% of cases could be recovered.
Heart Rate ; Therapeutics ; Acute Disease

Studying on 93 children from 6 to 15 years old who had Rheumatic fever, were injected to prevent rheumatic fever at 2nd level in Thanh Nhan Hospital from 1999 to 2003. The result showed that: in polyarthritic and chorea type, symptoms gradually decreased and disappeared, but common valvular lesions of severe carditis almost still existed. The recurrent rate was very low. The complications of disease were few and might, include: pain and hardening at injected site accounted for 12.9% of total patients and 2.56% of the times of injection. There were 5.38% of patients with mild allergy, accounted for 0.27% of the injection times. It must be on the alert against some dangerous complications as: embolism, anaphylactic shock, mortality… after injection benzathin penicillin
Rheumatic Fever ; Preventive Medicine ; Child