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

A retrospective study was performed in 51 children under 15 years old with bronchial asthma hospitalized at pediatrics department of Thanh Nhan Hospital from January 1st 2001 to December 31st 2003. Results: the bronchial asthma accounted for 2.1% of respiratory diseases. Children under 12 months of age (3.9%), from 37 months to 6 years 37.3%, from 7 to 10 and 11 to 15 years 23.5%. The attack of acute asthma usually occurred at night (84.3%). The symptoms including: coughs, sputum exudation in throat -nose (86.3%), increased frequency of breathe (82.3%), respiratory muscular contraction (76.5%), dyspnea at exhale stage (60.8%), and cyanosis (35.3%)... There were change in blood count, X-ray of the lungs-bronchia and the electrocardiography. The drugs used are salbutamol (100%), antibiotics (96.1%), and depersolon (90.2%). Some patients were taken antihistamine (phenergan) and Digoxin. Most of patients discharged from hospital after being treated (96.1%), there were only 3.9% of the patients had to go to the national children hospital
Asthma ; Child

Investigation of 72 patients with diabetics who were ≥ 16 years old, in 20 communes of Gia Lam, Soc Son and Dong Da districts, Ha Noi, from June to September 2001. Results: the common eye complications included retinopathy, cataract, uveites, and conjunctivitis. In diabetic’s subjects, three common ophthalmic diseases such as amblyopia, retinopathy and cataract in males were more distinct than in females. But ophthalmitis (uveites, conjunctivitis) in females were more than in males. The old age and the long duration of diabetics were the risk factor related to increase of retinopathies and amblyopia
Diabetes Mellitus ; Diabetes Complications

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

1412 inpatient cases of the Department of Occupational diseases at Thanh Nhan Hospital in 1997-1999 year period showed an increasing tendency of the incidence of occupational diseases from 22.09% in the year 1997, to 29.5% in 1998 and 47.96% in 1999. The most common diseases were pneumoconiosis 17.35%; occupational bronchitis 10.34%; occupational saturnism 3.88%. The incidence was more in male than in female, and increased with the age. Patients were admitted in all months of the year but with the highest frequency from April to August. 70.75% of the patient were exposed to harmful enviroment, especially with silica dust - 36.53%, then the dust of cotton, wool, chemicals, lead and noise.
Occupational Diseases ; Disease ; Vietnam

All 566 infants from 1-60 months of age treated at Thanh Nhan Hospital in the period Nov. 2001 – August 2002 underwent a culture of urine, among them 45 were infected urinarily (7.95%) with common symptoms such as fever, urinary disturbances. Their paraclinical signs were an increase of blood sedimentation, increase of neutrophile mononuclear white blood cells, in almost urinary proteins, urinary white blood cells were appeared; the younger age the higher rate of urinary infection (64.44% among 1-24 months of age subjects), the rate infection in boys is higher than in girls, in rural this rate is higher than urban subjects. In most urinary infections, there is a combination with other various conditions such as acute glomerulo-nephritis, fever with unknown causes, diarrhoea, especially in malnutritions infants
Urinary Tract Infections ; Infant ; Child ; diagnosis

Among 1227 cardiovascular patients at Thanh Nhan Hospital (Hanoi) in the year 2001, there were 33 with ventricular extrasystole (2.69%), a common pathology, third rank of causes of arrhythmia usually, left ventricular extrasystole, aparse occurrence, type of compensative rest, uniform, monofocus. The most common causes are high blood pressure, diseases of, heart ischemia, occuring in female more than in male, the incidence increases with the age. Most common complication is ventricular tachycardia; ventricular fibrillation and apical twisting are less common but the more dangerous leading to death
Cardiac Complexes, Premature ; Cardiology ; Diseases ; complications ; etiology

45 infants aged 1-60 months were treated in Thanh Nhan Hospital (Ha Noi) from Nov 2001 to August 2002. Urine culture showed  105 microorganisms/ml, their 100% were gram (-) bacteria, including E. coli, the most, then Enterobacter, Proteus, Pseudomonas, Citrobacter, Klebsiella and Morganella. Only 3 infants had only urinary infection, other 42 had urinary infections combining with various diseases. Most of these microorganisms had resistance to common antibiotics of the groups of aminosid and betalactamin. Combining factors causing antibiotic resistance were the history of using one or more antibiotics, using antibiotics when the cause is not confirmed in initial diagnosis or lack of antibiograms
Urinary Tract Infections ; Urinary Tract ; Child