Đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị viêm tụy cấp ở trẻ em tại Bệnh viện Nhi đồng Cần Thơ

Abstract

Acute pancreatitis is an acute inflammatory condition of the pancreas characterized by diverse clinical manifestations and the potential for severe disease progression. This cross-sectional descriptive study enrolled 61 children diagnosed with acute pancreatitis at Can Tho Children's Hospital between June 2024 and May 2026. 67% of the study population included children older than 10 years old. Abdominal pain (96.7%) and vomiting (75.4%) were common in all patients, while fever was more frequently observed in patients with moderately severe–severe acute pancreatitis. White blood cell count, neutrophil percentage, and C-reactive protein levels were significantly higher in the moderately severe–severe group than the mild group. The mean length of hospital stay was 9.8 ± 3.3 days. Patients with moderately severe–severe acute pancreatitis had longer fasting periods and higher fluid requirements compared to patients with mild disease. These findings indicate that abdominal pain and vomiting are the predominant clinical manifestations of pediatric acute pancreatitis, while elevated white blood cell count, neutrophil percentage, and C-reactive protein levels are associated with greater disease severity.