This is an automatically translated article.
Cerebral dengue hemorrhagic fever is a severe hemorrhagic fever, with manifestations of mental disturbances and convulsions. Treatment of cerebral hemorrhagic fever requires urgency and caution, which includes anticonvulsant and anti-cerebral edema for the patient.
1. How dangerous is cerebral Dengue hemorrhagic fever?
In general, dengue fever is quite a dangerous disease because:
Occurs all year round, can break out into epidemics, threatening lives and public health. Progression can suddenly become severe dengue fever, high risk of death. Dengue fever currently has no specific treatment and preventive vaccine. The cause of death in dengue cases was shock and severe bleeding, especially cerebral and gastrointestinal bleeding. One of the manifestations of severe dengue fever is cognitive dysfunction, also known as cerebral hemorrhagic fever.
Cerebral dengue hemorrhagic fever is difficult to recognize because the initial manifestations are not clear, but it is easy to cause death. Initially, the patient had a fever and headache as usual, then the hand gradually became numb and could not move. Eventually, the patient will go into a coma and die. Doctors said that these cases could not be cured in time because the disease progressed too quickly.
Sốt xuất huyết Dengue thể não gây nguy hiểm nghiêm trọng đến sức khỏe của người bệnh
2. Diagnosis and treatment of cerebral dengue hemorrhagic fever
2.1. Diagnose
Patients with suspected signs of Dengue hemorrhagic fever need to be diagnosed early and treated promptly. Manifestations that help diagnose the disease include:
Convulsions Convulsions There are neurological signs
Người bệnh có thể xuất hiện tình trạng co giật
2.2. Treatment
Dengue fever caused by dengue virus cannot be treated with specific antibiotics. On the other hand, antiviral drugs are also not indicated for this disease. Thus, the treatment of the disease is mainly to reduce related symptoms and signs, including:
Place the patient in a position of about 30 degrees of head elevation; Respiratory support: Apply mechanical ventilation, if failed, use low-pressure CPAP; Ensure the patient's circulation: If the patient shows signs of shock, then treat with an anti-shock regimen based on CVP; Anticonvulsant treatment (if any): The doctor prescribes diazepam 0.2 mg/kg/intravenous dose, which can be injected through the anus at a dose of 0.5 mg/kg when intravenous injection is not possible. If ineffective, repeat 2nd dose every 10 minutes, up to 3 doses. In case of failure with diazepam, add phenobarbital 10-20 mg/kg IV for 15 - 30 minutes; Treat hypoglycemia (if any) with 30% dextrose, apply dose 1-2ml/kg (for children <1 year old, use 10% dextrose dose 2ml/kg); Regulating acid-base and electrolyte balance is an essential treatment step for patients with cerebral dengue hemorrhagic fever; Anti-cerebral edema: Indicated when clinically the patient has symptoms of increased intracranial pressure. Conduct infusion of mannitol 20% 0.5g/kg/time or/and sodium chloride solution 3% 4ml/kg/time IV for 30 minutes, repeat every 8 hours; Intubation to maintain airway patency: Increase ventilation to keep PaCO2 at 30 - 35 mmHg; Reduce fever (if any) with rectal paracetamol at a dose of 10-15mg/kg/time, 4 times a day. Support liver if there is local damage; Ensure care and nutrition for patients; Rehabilitation, helping patients quickly regain normal health.
Bác sĩ sẽ chỉ định người bệnh dùng máy thở nhằm cải thiện tình trạng bệnh
Cerebral Dengue hemorrhagic fever is a dangerous disease that can happen to anyone, especially in epidemic areas. When experiencing any symptoms that suspect cerebral hemorrhagic fever, patients need to visit a medical facility for timely diagnosis and treatment.
At Vinmec International General Hospital, emergency and treatment of many cases of dengue fever with severe complications, seriously affecting life. Accordingly, the process of examination and treatment of dengue fever at Vinmec is carried out methodically and intensively under the guidance of qualified and experienced doctors. In addition, with the support of modern facilities and advanced medical equipment, the treatment process has achieved positive results, providing a good prognosis and restoring health to patients. sick.
If you have a need to examine and treat dengue fever at Vinmec, please book an appointment directly at the website or contact the hotline for service.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
