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

Health status of 263 people living in area near by Viet Tri province hospital (study group) was compared to that of 75 people in non-impacted area (control group). The result showed that weight and height of people in the study group was lower significantly than that of people in control group (45.84 +/- 6.28 and 1.53 +/- 0.07 compared with 49.18+/-7.03 and 1.56+/- 0.08, respectively). The number of people in the study group having history of dysentery symptom was higher than people in the control group (9.8% vs 15.9%). Due to impacts of environmental pollution, water and air pollution, the rate of people in study group with dermatophytosis diseases was higher clearly than people in control group. The dermatophytosis diseases included infected eczema, tinea pedis and tinea unguium
Medical Waste ; Health ; Epidemiology

Retrospective description on 438 COPD patients showed that the disease occurs in male than in female subjects (male/female = 3.7 times), commonly in the year > 55 (85.3%). 153/210 patients (72.9%) have an obstructive ventilation disturbance. 142/210 patients (68.5%) have both Tiffeneau index and VC index decreasing and the Tiffeneau index decreased more dramatically than Gaensler index
Pulmonary Disease, Chronic Obstructive ; Diseases ; Patients ; Therapeutics

The article introduced two approaches for diagnosis of chronic obstructed pulmonary disease (COPD): definitive diagnosis by pulmometry with bronchial dilation maneuver and staging diagnosis. 4 current treatments include: reducing risk factors, drug treatment in stable periods (treatment regimen, bronchodilators, glucocorticoid and other medication), non-drug treatment (rehabilitation, long-term oxygen therapy, surgical treatment) and treatment for exacerbation.
Pulmonary Disease, Chronic Obstructive ; diagnosis ; therapeutics

The purpose of this study is to compare prospectively the role of transthoracic fine needle aspiration lung biopsy (TFNAB), bronchoscope, sputum cytology in the diagnosis of lung tumors and evaluate the method of small lesion in basing only on chest radiography. We performed 120 TFNAB on 102 in patients with mass lesion visible on chest radiography. The needle of 21 gauge was used. 86 patients with lung cancer, 58 had rigid bronchoscope, 66 had 1 sputum cytological exam, 60 had 2 sputum cytological exams. TFNAB had a highest sensitivity (84.4% for the first time) with a rate of correct cytological typing in 76.7% of cases suffering from lung cancer. It was complicated with pneumothorax in 4 cases (3.3%), hemoptysis in 4 cases with small lesions, two rules in aluminum sawed at interval of 5mm were fixed on the chest wall then the chest radiography was taken to determine the site and the distance of puncture for the TFNAB with good success
Lung Neoplasms ; Cardiography, Impedance ; diagnosis

173 patients admitted to the Respiratory Department of Bach Mai Hospital between 12/2000 to 7/2001 were underwent flexible bronchoscopy. The results showed that the rate of bronchial cancer was highest (57.8%). Among that, the rate of central bronchial cancer was 87% and the rate of periperal bronchial cancer was 13%. Lung tuberculosis was 8.1% and chronic bronchitis is 9.8%. Bronchoscopy was useful in diagnosing some other conditions such as asthma, sarcoidosis, laryngoptosis etc. Bronchoscopy combined with bronchial fluid aspiration produced high diagnostic value in bronchial tuberculosis. Rate of smokers in bronchial cancer patients was 60%. The higher level of smoking, the more likely to be suffered from lung cancer.
Bronchoscopy ; lung ; Lung Diseases ; diagnosis