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Y HOC VIET NAM THANG 2 • SO 2/2014
- Da xac dinh dac tfnh sinh hoc, ddc hpc
ciia
npc
eac loai ran dpc thffdng xuyen gay nan cho ngffdi
tai Viet Nam, Lao va Campuchia, vdi lieu chet
{LD50
yg/g/TM/)/
chudt
ciia
npc ran ho dat (0,4),
npc ho chiia (1,2), npc cap nong (1,4), npc cap
nia Nam (0,1), npc luc xanh mdi trang (0,5) va
npc Choam quap (6,1). Day la cd sd khoa hpc
can ban gdp phan giai quyet van de y khoa con
tdn tai, dong thdi md ra
chi/dng
trinh ve nghien
cffu che tao thudc
mdi ty
npc ran
Viet
Nam.
TAI LIEU THAM
KHAO
1.
Tr^an
Kien, Nguyin Quoc
Th^ng.,
1995. Cac loai
ran doc

6 Viet
Nam. Nha xuat ban
KHKT,7-198.
2.
Au.L.C, Huang, Y.B., Huang, T.F., 1991. A
common precursor for a putative hemorrhagic
protein and
rhodostomin,
a platelet aggregation
inhibitor of the venom of Calloselasma
rhodostoma: Molecular cloning and sequence
analysis. Biochem.
Biophys.
Researdi
Communications, 181-585.
John Coborn., 1991. The Atlas of snakes of the
World.
Distributed in the United States by T.F.H.
Publications, Inc.
1-590.
Smith Sonian; A field guide to the snakes of
south Vietnam, United States National Museum
City
of Washington, 1970.
Tan,
N.H and Fung, SY., 2002. A hemorrhagic
toxin from the venom of
Tn'meresunis
purpureomaculatus
snake. European Journal of

Biochemistry 269, 99.
Warrell,
D.A., Looareesuwan, S., Theakston,
R.D.G.,1983.
Severe neurotoxic envenoming by
the Malayan krait Bungarus candidus. response to
antivenom and anticholinesterase. British Medical
Journal 286:678-680.
WHO Guidelines for the production, control, and
regulation of antivenom immunoglobulins. 2008,
30-210.
NGHIEN CU'U KET QUA
TUY
DO
Of
CAC BENH NHAN THIEU MAU
Nguyen Thi Minh Phuo'ng*,
Tru-ong
Thi Thao Hien*
TOM TAT
Thieu mau la roi loan huyet hpc gap kha thffdng
xuyen
d
tat ca
mgi Iffa
liuoi.
Tuy do dong mot
vai
tro
quan trpng trong chan doan cac nguyen nhan thieu

mau.
Muc tieu nghien cu'u: danh gia mffc do, phan
loai thieu mau va cac roi
loan
huyet hpc gay thieu mau
qua xet nghiem mau ngoai
vi
va
tiiy
do. Doi tffdng va
phu'dng phap nghien cu'u: nghien cffu hoi cffu ket
hdp tien
ciTu
tren 506 benh nhan (BN) thieu mau dieu
tn tai Benh
vien TL/QD
108 tff
1/2008
den 12/2013.
Kham lam sang va tuy do
dUOc
lam cho tat ca cac BN.
Ket qua: thieu mau mffc do nhe
42,1%,
trung binh
45,6%
va
n§ng
11,3%. Thieu mau dang sac hong cau
(HC) binh thu'dng chiem 59,3%;

nhi/pc
sac HC nho
34,6%
va Uu sac HC to
6,1%.
Trong 506 BN thieu mau
dUcfc
lam
tiiy
do tang smh dong piasmocyte
chtem
16,6%.
tang smh dong HC chiem 15,2%; tuy giam
san dong HC
13,1%.
Bach cau cap gap
d
16 BN
(3,1%) trong do 11 BN bach cau tuy cap va 5 BN bach
cau lympho cap. 43,3% thieu mau
nhUng tiiy
do hoan
toan binh
thi/dng.
Ket
luan:
Tiiy
dd la
bUdc
quan trpng

de chan doan nhieu rdi loan huyet
hgc
gay thieu mau.
Tu'khda:Tt\\^u
mau, tuy dd
SUMMARY
STUDY ON BONE MARROW ASPIRATION
IN ANEMIC PATIENTS
Anemia
is
hematological disorders that are quite
frequent in all age group. Bone Marrow Aspiration
plays a major role in the diagnosis of its underlying
cause.
Objective: To evaluate the grade, classification
and the causes of anemia through interpret the blood
counts and bone marrow aspiration findings.
Materials and Methods: This was a retrospective
and prospective study carried out at 108 military
central hospital from
1/2008
to 12/2013 on 506
anemic patent, Bone marrow aspiration of all patients
was carried out. Results:
mild
anemia
42,1%,
moderate anemia 46,6% and severe anemia 11,3%.
Normochromic normocytic anemia 59,3%,
microcytc

hypochromic 34,6% and Macrocytic
hyperchromic
6,1%.
Out of 506 anemic patients was performed bone
marrow aspiration,
plasmocytic
hyperplasia was sew
m 16,6%,
erythroid
hyperplasia was seen
in
15,2%).
erythroid
hypoplasia was seen
in
13,1%.
Acute
*
Khoa
Huyet hoc lam sang Benh vien
TWQD
108
Phan bien khoa hgc: PGS.TS VQ Van
KhiSn
Y HQC VlgT NAM THANG 2
- SO
2/2014
leukemia was diagnosed in 16 patients (3,1%) 11
cases acute myeloid and 5 acute lymphoid leukemia.
43,3%

anemic patients with
nornial
bone marrow
aspiration.
Conclusion: Bone marrow aspiration
is
an
important step to arnve at the confirmatory diagnosis
of many hematological disorders causing anemia.
Keywords: Anemia;Bone marrow aspiration
\. DAT VAN OE
Thieu mau la hien tffdng giam so Iffdng hong
au,
hoac nong dp huyet sac to trong mau ngoai
vi.
Day la mpt rdi loan huyet hpc pho bien cd the
gcip d
mpi Iffa tudi va d mpi qudc gia tren toan
the
gidi,
dac biet d cac nffdc dang phat trien nhff
Vi?t
Nam. Tuy nhien cd sff khac biet ddi
chiit
ve
nguyen nhan gay thieu mau giffa cac nffdc dang
phat trien va phat trien
[3].De
chan doan nguyen
nhan thieu mau trffdc tien can kham lam sang va

lam cac xet can thiet. Tuy nhien trong hau het
cac trffdng hdp chi cd xet nghiem tuy xffdng mdi
khSng
djnh
6\Jdc
chan doan. Dac biet trong
trffdng hdp thieu mau kem theo giam cac ddng
te bao mau va benh bach cau cap thi tuy do cd
vai trd khang dinh chan doan [3].
Tiiy
do cho
biet rd hdn phan ffng ve sff sinh san hong cau
ciia
cd quan tao mau trong tinh trang thieu mau
ma xet nghiem mau ngoai vi ddn thuan khdng
the biet dffdc ddng thdi cung phat hien dffdc cac
te bao la [3]. Tuy do dffpc lam thffdng quy trong
bpnh
vien de chan doan va theo ddi dieu trj cac
roi loan huyet hpc [3],[6]. Day la xet nghiem
xam lan nhffng kha an
toan,
rat ft hoac khdng cd
nguy cd chay mau tham chf ca trong trffdng hdp
cd giam tieu
cSu
nang [3]. Nghien cffu nay dffdc
thffc hien vdi muc dfch danh gia mffc dp thieu
III.
Kgt QUA

mau,
phan loai thieu mau va dm nguyen nhan
ciia
cac
rdi
loan huyet hpc gay thieu mau d 506
BN qua xet nghiem mau ngoai vi va
tiiy
dd.
II.
DOI
Tif
ONG VA PHU'ONG PHAP NGHIEN CLTU
2.1.
Ooi tu'dng nghien
cffu;
506 BN thieu
mau chu'a rd nguyen nhan qua kham lam sang va
xet nghiem mau ngoai
vi
sau khi da loai trff
nguyen nhan do xuat huyet cac
phii
tang
dieu
trj
tai Benh vien TL/QO 108 tff
1/2008
den 12/2013
cd chi dinh lam tuy do. Tuy do lam tai khoa Hda

nghiem Benh vien
TIjQO
108.
- Tieu chuan chan doan thieu mau; HC dffdi 3,8
T/l;
HST d nam < 130g/l; d nff < 120g/l;
- Mffc dp thieu mau: Nhe: 90 g/l < HST< binh
thffdng;
trung
binh:
70<HST<90 g/l; Nang: <70 g
- Phan loai thieu mau:
+ Thieu mau HC binh thffdng (normocyte):
kich thffdc HC binh thffdng 7 micromet; HST binh
thffdng (dang sac); mpi tinh chat
ciia
HC binh
thffdng chi
sd
Iffdng giam. The
tich
trung binh
hong cau (MCV): 80-100
femtolit
+ Thieu mau HC to, HST nhieu (ffu sac): HC
to (d= 9-12 mm). (MCV) tang >100 femtolit, Gia
trj
HC Idn
hdn 1.
-1-

Thieu mau HC nhd va HST it (nhffdc sac):
HC nhd (d=5 - 6mm)
MCV<80
femtolit. Gia trj
hdng cau be hdn 1.
2.2.
Phu'dng phap nghien cu'u: Hdi cffu
ket hdp tien
cffu,
md ta, cat ngang.
xy
ly so lieu bang chffdng trinh SPSS 20.0
Bang
1:
Dac
diem ve tuoi va
gicfi
cua cac
BN
nghien cu'u
Tuoi
Gicli
<15
15-30
31-45
46-60
>6C
Nam
NO-
Tonq so

So lu'dng BN
2
53
124
129
198
280
226
506
Ty
le
%
0,4
10,5
24,5
25,4
39,2
55,3
44,7
100
Tuoi
trung binh
57,8
tuoi (11-91
tuoi).
280 BN (55,3%) la nam va 226 BN (44,7%) la nd: ty le nam:
nit
1,2:1.
SoBN
tren 60

tuoi
chiem ty le cao nhat 39,2%.
Y HOC VIET NAM THANG
2 -
SO 2/2014
Bang
2:
Piian
ioai
ttiieu
mau va
miTc
do tliieu mau
d
cac
BN
nqiiien culj
i^LTc
do
tinieu
mau
Piian loai thieu
mau
Nhe
Trung binh
Nang
Dang sac HC binh thu'dng
Nhu'dc sac HC nho
U'u sac
HC to

So lu'dng BN
n=506
213
236
57
300
175
31
Ty le
%
42,1
46,6
11,3
59,3
34,6
6,1
Ba so BN thieu mau mdc do nhe (42,1%) va trung binh (46,6%). Chi 11,3% cd thieu mau
mdc
d.
nang.
Loai thieu
mau
dang
sac
hong
cau
binh
thddng
chiem
hdn mot

nua
so
BN
(59,3%).
Bang 3:
i^at
dp te bao
tiJy
xu'dng d cac
BN
nghien ciru
So lu'dng te bao tuy (G/L) So iu'dng BN
Ty le
(%)
So lu'dng binh
thtfdng
( 30-100 G/L) 304
60,1
Tiiy
tang
sS
lu'dng te bao (
> 100
G/L)
18,2
Tijy giam so iu'dng te bao ( <30 G/L )
21,7
Tong so
Ba so
cac BN

cd so Iddng ti bao tuy xddng trong gidi
han
binh thddng
(60,1
%).
Co 18,2%
BN
tii/
tang
so
Iddng tebao
va
21,7% tuy
ngheo
tebao.
Bang
4: Ket qua
tiiy
do
ciia
cac
BN
nghien cifu
Chan doan
Tiiy
xu'dng binh thudng
Tang sinh dong hong cau dap irng thieu mau ngoai vi
Tiiy
tang sinh dong piasmocyte
Hoi chirng roi ioan sinh

tiiy
Bach cau lympho cap (ALL)
Bach cau
tiJy
cap (AML)
Bach cau lympho man
Bach cau
tiiy
man
Benh huyet sac to
Tiiy
giam san dong HC
Tang sinh bach cau hat (sot keo dai)
Di can ung thu' vao
tiiy
xu'dng
long
so
So
lu'dng BN
219
77
84
8
5
11
5
5
8
66

12
6
506
Ty le
%
43,3
15,2
16,6
1,6
0,9
2,2
0,9
0,9
1,6
13,1
2,4
1,3
100
Ket qua
tiiy
do cho thay
tiiy
tang sinh ddng
piasmocyte trong benh canh da u tuy xffdng la
phd bien nhat chiem 16,6% BN trong dd
b/
le
piasmocyte chiem tff 16% den 77% so Iffdng te
bao cd nhan trong
tiiy

kem bien doi hinh
thai.
Tiep theo la tang sinh dong
HC
dap ffng vdi thieu
mau ngoai vi (15,2%). Trong tat ca 66 BN thieu
mau do
tiiy
giam san ddng HC thi sd Iffdng te
bao
tiiy
deu giam va hau het cd ffc che 3 ddng.
Thieu mau trong benh canh sdt keo dai d 12 BN
vdi tang sinh ddng BC hat va so Iffdng te
bao
tuy
binh thffdng hoac tang nhe. Bach cau cap
gSpti
16 BN (3,1%) trong sd do 11 BN bach cau tuy
cap va
5
BN bach cau lympho cap. Trong
11 BN
bach cau tuy cap cd 3 BN
AML-M2;
2 BN AML-
Ml;
2 BN
AML-M4
, 1 AML-M3; 1

AML-M5 vi
1
ML-M6.
Tat ca
5
BN bach cau lympho cap
deu
li
ALL-L2.
Cd
219
BN chiem 43,3% thieu mau
wB
giam HC hoac huyet sac to nhffng tuy do
hoan
toan binh thffdng.
Y HQC VlgT NAM THANG
2 -
SO 2/2014
IV.
BAN
LU/kN
Tuoi trung binh
ciia
cac BN trong nghien cffu
ciia
Chung tdi la 57,8 tudi (11-91 tuoi) cao hdn
nghien cffu
ciia
Pudasaini d Nepal vdi dp tuoi

trung binh 37,9 tudi [7]. Nghien cffu
ciia
chung
tdi thay 327/506 BN chiem 64,6% cd dd tudi tren
45 tudi trong dd 39,2% > 60
tudi.
Trong
khi
dd
nghien
cyu ciia
Pudasaini tren 57 BN thieu mau d
Nepal thay hau het
ty
31-45 tudi.Ty le nam; nff
1,2: 1 trong khi
ciia
Pudasaini nam; nff 1; 1,1.
Oa sd BN thieu mau mffc dp nhe (42,1%) va
trung binh (46,6%). Chi 11,3% cd thieu mau
mffc dp nang. Loai thieu mau dang sac hdng cau
binh thffdng chiem hdn mdt nffa so BN (59,3%)
va thieu mau ffu sac HC to
6,1%.
Ty le nay thap
hdn nghien cffu
ciia
Pudasaini lan Iffdt la 80,7%
va 12,3%. Tffdng tff nhff nghien cffu
ciia

Pudasaini,
Jha va cs ddi vdi cac BN cd thieu mau
ffu
she
hong cau to
chimg
tdi khdng dinh Iffdng
dffdc axit folic va vitamin B12 [4]. Ty le thieu
mau ffu sac HC to
ciia
Pudasaini cao hdn kha
nSng
do ty le thieu hut dinh dffSng cao hdn trong
cac doi tffdng nghien
cffu.
Ty le thieu mau nhffdc
sSc
HC nhd 34,6% cao hdn cua Pudasaini ia 7%
va tffdng ty nhff cua Ahmad va cs 23.8% da sd
liin
quan tdi thieu mau do thieu sat [1].
Chi djnh chpc
tiiy
dd phd bien nhat trong
nghien
culi
nay la thieu mau trong nhieu benh canh
khac nhau 202/506 BN chiem 48 % sau khi 6a loai
ffff nguyen nhan mat mau do xuat huyet cac
phii

tang trong do thieu mau chffa ro nguyen nhan
chiem hdn mdt
r\ifa,
AsimMomani va cs d Jordan
nghien cffu tren 200 BN thieu mau thay chi djnh
pho bien lam
tiiy
do la thieu mau
chu^
rd nguyen
nhan chiem tdi 60% [2]. Benh mau ac tfnh la chf
dinh phd bien thff hai chiem 26.5% trong dd nghi
ngd benh da u
tiiy
xffdng 14,8%. Nghien cifu
ciia
AsimMomani benh mau ac tinh cung la chi djnh phd
bien thff 2 vdi
t^
le gan 30% [2].
Cac ket qua
tiiy
do
chii
yeu
ciia
nghien
cffu:
thieu mau khdng phai do benh mau vdi
tiiy

do
hoan toan
binh
thffdng chiem tdi 43,3% va tang
sinh lanh tinh ddng HC dap ffng vdi thieu mau
ngo^l
vi chiem 15,2%. Tang sinh ddng
piasmocyte trong benh canh da u tuy xffdng
chigm
16,6% vdi ty le piasmocyte chiem tff 16%
den 77% so
Iffdng
te bao cd nhan trong
tiiy
kem
bien doi hinh
thai.
Cac nghien
ciili
khac thay ty le
tang piasmocyte trong benh canh da u tuy xffdng
dao dpng tff 9,04% (Jha va cs den 20,5%
(Laishram va cs) [3], [6]. AsimMomani va cs bao
cao ty le tuy do binh thu'dng d cac BN cd thieu
mau do cac benh ly man tfnh thap hdn trong
nghien cffu
ciia
chung tdi (18%) [2]. Tang sinh
ddng HC dap ffng vdi thieu mau ngoai vi chiem
15,2%.

Trong nhffng trffdng hdp nay
tiiy
dd chi
tang sinh ddng HC ngoai ra khdng thay cac bat
thu'dng nao khac. Ty le nay trong nghien ciru
tu'dng ty
nhu'
ciia
Khodke va cs la 14% [5] va
thap hdn
ciia
Pudasaini va Jha lan Iffdt la 21% va
19,6%
[4], Bach cau cap gap d 16 BN (3,1%)
thap hdn nghien cffu cua Pudasaini la 12,3%.
trong sd dd 11 BN bach cau
tiiy
cap va 5 BN
bach cau lympho cap. Trong 11 BN bach cau
tiiy
cap cd 3 BN AML-M2; 2 BN AML-Ml; 2 BN AML-
M4 , 1 AML-M3; 1 AML-M5 va 1 ML-M6. Tat ca 5
BN bach cau lympho cap deu la ALL-L2. Cac
nghien
cyu
khac cung thay trong benh bach cau
cap thi bach cau
tiiy
cap chiem ty le cao hdn
bach cau lympho cap [3], [4].

Trong tat ca 66 BN (13,1%) thieu mau do
tiiy
giam san ddng HC thi sd Iffdng te bao tuy
deu giam va hau het cd ffc che 3 ddng. Ket qua
nay tffdng ty nhff cac nghien cffu khac la 19%,
29%,
14% [4], [5]. Pudasaini va cs phat hien
thieu mau do giam san ddng HC chi d 5,3%. Ca
nghien cffu
ciia
chiing tdi va cua Pudasaini chan
doan giam san
chii
yeu dya tren
tiiy
do ma chffa
cd
dieu kien
lam dffdc smh thiet tuy. Cac khuyen
cao
ciia
cac Hdi Huyet hpc truyen mau Hoa ky va
chau au thi trong trffdng hdp nghi ngd thieu mau
do
giam
san
tiiy
hoac suy
tiiy
can phai lam ddng

thdi ca
tiiy
dd va sinh thiet
tiiy
vi
tiiy
dd chi cho
thdng tin ve hinh thai te bao cdn sinh thiet
tiiy
cdn cho biet chi tiet hdn ve mat dp te bao
tiiy
xffdng va cac bat thffdng khac nhff tham nhiem
tiiy
xffdng, xd
tiiy ,
ma
tiiy
do khdng the phat
hien dffdc [4]. Thieu mau trong benh canh sdt
keo dai d 12 BN (2,4%)
vdi
tang smh ddng BC
hat va sd Iffdng te bao
tiiy
binh thffdng hoac
tang nhe thap hdn
ciia
Pudasaini (12,3%). Trong
nghien ciru nay tac gia cdn phat hien trong
12,3%

cd 1,8% benh Leishmaniasis.
V. KET LUAN
Qua nghien cffu tren 506 BN thieu mau tai
Benh vien
TTjQD
108 chung tdi
riit
ra mpt sd ket
luan sau: thieu mau
myc
dd nhe (42,1%) va
Y HOC VIET
NAM
THANG 2 - SO 2/2014
trung binh (46,6%).
Loai
thieu
mau
dang
sac
hong cau binh thffdng chiem 59,3%. 62.5% thieu
mau khdng
do cac
benh
ly
tiiy
xffdng
vdi
tiiy
dd

binh thffdng hoac tang sinh lanh tfnh dong
HC.
Benh mau
ac
tinh
la
nguyen nhan
gay
thieu
mau
chiem
23,1%.
Tiiy
dd la
bffdc quan trong
de
chan
doan nhieu
rdi
loan huyet hoc gay thieu mau.
TAI UEU THAM
KHAO
1.
Ahmad
SQ,
Khan
OU,
Zafar
N.
Utility

of
Bone
Marrow Examination
in
a
Secondary Care Hospital
JRMC
2011;15:40-1.
2.
AsimMomani,
RameKhasawneh
(2012).
Spectrum
of
Bone
Man-ow
aspirabon test resultsat
Prince
Rashid
Hospital/Jordan.
A 3
Year
Experienceint J
Biol Med Res. 2012; 3(2):
1648-1650
Egesie OJ, Joseph DE, Egesie UG,
Ewuga
03.
Epidemiology
of

anemia necessitating bone
marrow aspiration cytology
in
Jos. Niger Med
J.
2009;50:61-1.
Jha
A,
Sayami
G,
Adhikari RC, Panta D, Jha
R. Bone marrow examination
In
cases
of
pancytopenia,
J
Nepal Med Assoc 2008;47:12-7.
Khodke
K,
Marwah
S,
Buxi
G,
Yadav
RB,
Chaturvedi
NK.
Bone Marrow Examination
in

Cases
of
Pancytopenia.
JIACM
2001;2;55-9.
Laishram
S,
Shimray
R,
Sharma
AB,
Pukhrambam
G,
Singh
AM,
Sharma
LDC
Neoplastic lesions
in the
bone marrow:
a
10 year
study in a teaching hospital. JIACM 2008;9;175-8.
Pudasaini, Prasad
KBR
(2012). Interpretation
of bone marrow aspiration
in
hematological
disorder Journal

of
Pathology
of
Nepal (2012) Vol.
2,
309 -312
MO TA HANH VI NGUY
Ca
NHIEM HIV VA XAC
DINH
TY LE NHIEM HIV
COA
NHOM
NGHIEN CHICH MA TUY THAM GIA
CHU'ffNG
TRINH
DUNG THUOC THAY THE METHADONE TAI
THANH
PHO HA NOI
T6M TAT
Nghien ciTu mo
ta cat
ngang dffpc thffc hien tren
400
ngi/di
nghien chfch
ma tuy tai 02 co sd
dieu
trj
Methadone

tai
thanh phd Ha
Npi.
Ket qua nghien
cyu
cho thay: Ngffdi nghien chfch ma tuy dang doi mat vdi
cac hanh
vi
nguy
cd lay
nhiem
HIV
nhi/
tud'i
bat
d'au
tiem chich
ma
tuy,
sff
dung chung bdm kim tiem
khi
hem chfch
ma tuy va
khdng
sy dyng
bao cao
su cho
tat ca cac lan quan he tinh
dye.

Day chfnh
la
cac hanh
vi nguy cd can
dupe
can thiep
nhSm
lam giam
ty le lay
nhiem HIV trong nhdm ngffdi nghien chich ma tuy.
SUMMARY
EVALUTION ON
INJECHON
DRUGS USERS
(IDUS)
IN
TWO METHADONE TREATMENT
CENTERS
IN
HANOI CITY
The cross
-
sectional descnptive study was done
on
400
injecction
drug users
in 02
methadone
treatment centers

in
Hanoi city.
The
study results
showed
that;
injection drug users who are facing risks
behavior
for
HIV injection such as
mibabon
of
injection
daig
use, sharing needles used
to
inject drugs and
not
Bui Thi Nga*, Nguyen Anh Quang*,
Nguyen Thanh Long**
using condoms
for all sex
times. This
is the
risk
behavior interventions should be aimed
at
reducing the
prevalence
of

HIV infection among drug injectors.
Tit khoa:
HIV/AIDS,
Nghien chich
ma
tuy,
Hanli
VI
nguy
cd.
Ha Npi
I.
OJ^TVANDE
Theo
bao cao cua Bp Y te
tinh
den
ngay
30/6/2013
so cac
trffdng
hdp
nhiem
HIV con
sdng
la
213.413 ngffdi, trong do cd 63.373
ngufli
bi AIDS
va

65.133 ngffdi
tff
vong
do
AIDS
[1).
Cac dffdng lay truyen HIV
chii
yeu
d
Vi|t
Nam la
diing chung bdm kim tiem (BKT)
khi
tiem chich
ma
tuy
(TCMT)
va
hanh
vi
hoat dpng tinh
due
khdng
an
toan. Khdng
chi co
hanh
vi
tiem chich

va tinh
due
khdng
an
toan
la cd
nguy
ai lay
nhiem
HIV ma
tinh trang nguy
cd
cua ban tinh
hoac ban chich cung
cd vai trd dff
bao nguy
aJ
*
Trung tam phdng chdng HIV/AIDS
Ha Ngi
**BdYti
Phan
bign
khoa
hgc:lS.
Nguyen Quoc Trffdng