{"id":11189,"date":"2025-08-21T08:38:18","date_gmt":"2025-08-21T01:38:18","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=11189"},"modified":"2025-08-21T08:38:21","modified_gmt":"2025-08-21T01:38:21","slug":"vuot-qua-thai-ky-hiem-gap-voi-bien-chung-nguy-hiem-me-va-be-an-toan-nho-su-phoi-hop-chuyen-mon-cao-tai-benh-vien-nhan-dan-gia-dinh","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=11189","title":{"rendered":"V\u01af\u1ee2T QUA THAI K\u1ef2 HI\u1ebeM G\u1eb6P V\u1edaI BI\u1ebeN CH\u1ee8NG NGUY HI\u1ec2M, M\u1eb8 V\u00c0 B\u00c9 AN TO\u00c0N NH\u1edc S\u1ef0 PH\u1ed0I H\u1ee2P CHUY\u00caN M\u00d4N CAO T\u1ea0I B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH"},"content":{"rendered":"\n

T\u01b0\u1edfng ch\u1eebng kh\u00f4ng th\u1ec3 gi\u1eef \u0111\u01b0\u1ee3c thai \u0111\u1ebfn ng\u00e0y sinh n\u1edf, m\u1ed9t s\u1ea3n ph\u1ee5 b\u1ecb nhau ti\u1ec1n \u0111\u1ea1o trung t\u00e2m \u0111\u00e3 may m\u1eafn \u0111\u01b0\u1ee3c m\u1ed5 l\u1ea5y thai an to\u00e0n \u1edf tu\u1ea7n thai th\u1ee9 37. Ti\u1ebfng kh\u00f3c kh\u1ecfe m\u1ea1nh c\u1ee7a em b\u00e9 c\u1ea5t l\u00ean trong ph\u00f2ng m\u1ed5 t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a m\u1ed9t h\u00e0nh tr\u00ecnh theo d\u00f5i \u0111\u1ea7y th\u1eed th\u00e1ch v\u00e0 l\u00e0 minh ch\u1ee9ng s\u1ed1ng \u0111\u1ed9ng cho tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n, tinh th\u1ea7n t\u1eadn t\u1ee5y v\u00e0 s\u1ef1 ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd gi\u1eefa nhi\u1ec1u chuy\u00ean khoa t\u1ea1i b\u1ec7nh vi\u1ec7n tuy\u1ebfn cu\u1ed1i. \u0110\u00e2y l\u00e0 m\u1ed9t trong s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh hi\u1ebfm g\u1eb7p \u0111\u01b0\u1ee3c x\u1eed tr\u00ed th\u00e0nh c\u00f4ng, \u0111\u1ec3 l\u1ea1i ni\u1ec1m x\u00fac \u0111\u1ed9ng s\u00e2u s\u1eafc kh\u00f4ng ch\u1ec9 v\u1edbi gia \u0111\u00ecnh s\u1ea3n ph\u1ee5 m\u00e0 c\u1ea3 v\u1edbi \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 tham gia \u0111i\u1ec1u tr\u1ecb.<\/strong><\/p>\n\n\n\n

Ch\u1ecb N.T.P, 36 tu\u1ed5i, ng\u1ee5 t\u1ea1i t\u1ec9nh \u0110\u1ed3ng Nai, mang thai l\u1ea7n hai v\u1edbi nhi\u1ec1u hy v\u1ecdng nh\u01b0ng kh\u00f4ng ng\u1edd ph\u1ea3i \u0111\u1ed1i di\u1ec7n v\u1edbi t\u00ecnh hu\u1ed1ng v\u00f4 c\u00f9ng nguy hi\u1ec3m. Khi thai \u0111\u01b0\u1ee3c 28 tu\u1ea7n tu\u1ed5i, ch\u1ecb P. \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh trong t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u \u00e2m \u0111\u1ea1o. K\u1ebft qu\u1ea3 si\u00eau \u00e2m cho th\u1ea5y ch\u1ecb b\u1ecb nhau ti\u1ec1n \u0111\u1ea1o trung t\u00e2m, m\u1ed9t bi\u1ebfn ch\u1ee9ng s\u1ea3n khoa c\u00f3 th\u1ec3 g\u00e2y ch\u1ea3y m\u00e1u \u1ed3 \u1ea1t b\u1ea5t k\u1ef3 l\u00fac n\u00e0o, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1. Tr\u01b0\u1edbc \u0111\u00f3, c\u00e1c b\u00e1c s\u0129 s\u1ea3n khoa t\u1ea1i \u0111\u1ecba ph\u01b0\u01a1ng khuy\u00ean ch\u1ecb n\u00ean ch\u1ea5m d\u1ee9t thai k\u1ef3 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n. Tuy nhi\u00ean, v\u1edbi t\u00ecnh y\u00eau l\u1edbn d\u00e0nh cho con, ch\u1ecb c\u00f9ng ch\u1ed3ng quy\u1ebft \u0111\u1ecbnh t\u00ecm \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u1ec3 ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

T\u1ea1i \u0111\u00e2y, ch\u1ecb P. \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t sao v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1edfi \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 gi\u00e0u kinh nghi\u1ec7m thu\u1ed9c c\u00e1c khoa S\u1ea3n. Su\u1ed1t thai k\u1ef3, ch\u1ecb ph\u1ea3i tr\u1ea3i qua ba l\u1ea7n nh\u1eadp vi\u1ec7n c\u1ea5p c\u1ee9u v\u00ec ra huy\u1ebft \u00e2m \u0111\u1ea1o. C\u00f3 th\u1eddi \u0111i\u1ec3m c\u00e1c b\u00e1c s\u0129 c\u00f2n nghi ng\u1edd ch\u1ecb m\u1eafc nhau c\u00e0i r\u0103ng l\u01b0\u1ee3c, m\u1ed9t bi\u1ebfn ch\u1ee9ng c\u1ef1c k\u1ef3 nguy hi\u1ec3m khi\u1ebfn vi\u1ec7c m\u1ed5 l\u1ea5y thai tr\u1edf n\u00ean ph\u1ee9c t\u1ea1p h\u01a1n r\u1ea5t nhi\u1ec1u. Tuy nhi\u00ean, nh\u1edd ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd v\u00e0 s\u1ef1 ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd gi\u1eefa c\u00e1c chuy\u00ean khoa, thai k\u1ef3 c\u1ee7a ch\u1ecb \u0111\u01b0\u1ee3c duy tr\u00ec \u0111\u1ebfn tu\u1ea7n th\u1ee9 37.<\/p>\n\n\n\n

Ng\u00e0y 12\/8\/2025, \u00ea-k\u00edp b\u00e1c s\u0129 t\u1ea1i khoa Sanh ch\u1ee7 \u0111\u1ed9ng ti\u1ebfn h\u00e0nh m\u1ed5 l\u1ea5y thai. Trong kho\u1ea3nh kh\u1eafc h\u1ed3i h\u1ed9p ch\u1edd \u0111\u1ee3i, ti\u1ebfng kh\u00f3c trong tr\u1ebbo c\u1ee7a b\u00e9 g\u00e1i vang l\u00ean \u0111\u00e3 khi\u1ebfn c\u1ea3 \u00ea-k\u00edp v\u1ee1 \u00f2a trong ni\u1ec1m vui v\u00e0 nh\u1eb9 nh\u00f5m. Ng\u01b0\u1eddi m\u1eb9 an to\u00e0n, em b\u00e9 kh\u1ecfe m\u1ea1nh, c\u1ea3 gia \u0111\u00ecnh h\u1ea1nh ph\u00fac ngh\u1eb9n ng\u00e0o sau chu\u1ed7i ng\u00e0y d\u00e0i s\u1ed1ng trong lo l\u1eafng v\u00e0 b\u1ea5t an.<\/p>\n\n\n\n

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Ch\u1ed3ng c\u1ee7a ch\u1ecb P. x\u00fac \u0111\u1ed9ng chia s\u1ebb: \u201cCh\u00fang t\u00f4i \u0111\u00e3 tr\u1ea3i qua nhi\u1ec1u l\u1ea7n s\u1ee3 h\u00e3i khi v\u1ee3 ph\u1ea3i nh\u1eadp vi\u1ec7n li\u00ean t\u1ee5c v\u00ec ch\u1ea3y m\u00e1u. Gi\u1edd \u0111\u00e2y, khi c\u1ea3 m\u1eb9 v\u00e0 con \u0111\u1ec1u b\u00ecnh an, ch\u00fang t\u00f4i ch\u1ec9 bi\u1ebft g\u1eedi l\u1eddi c\u1ea3m \u01a1n ch\u00e2n th\u00e0nh nh\u1ea5t \u0111\u1ebfn \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129, \u0111i\u1ec1u d\u01b0\u1ee1ng t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh. C\u00e1c b\u00e1c s\u0129 kh\u00f4ng ch\u1ec9 c\u1ee9u s\u1ed1ng v\u1ee3 con t\u00f4i m\u00e0 c\u00f2n mang l\u1ea1i cho gia \u0111\u00ecnh t\u00f4i ni\u1ec1m h\u1ea1nh ph\u00fac tr\u1ecdn v\u1eb9n\u201d.<\/p>\n\n\n

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Theo TS.BS Hu\u1ef3nh V\u0129nh Ph\u1ea1m Uy\u00ean – Ph\u00f3 tr\u01b0\u1edfng khoa Sanh, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh – Gi\u1ea3ng vi\u00ean \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c TP.HCM, b\u00e1c s\u0129 tr\u1ef1c ti\u1ebfp ph\u1eabu thu\u1eadt cho ch\u1ecb P., th\u00ec \u0111\u00e2y l\u00e0 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm v\u00e0 \u0111\u1eb7c bi\u1ec7t. S\u1ea3n ph\u1ee5 b\u1ecb nhau ti\u1ec1n \u0111\u1ea1o trung t\u00e2m, m\u1ed9t bi\u1ebfn ch\u1ee9ng s\u1ea3n khoa c\u1ef1c k\u1ef3 nguy hi\u1ec3m c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ch\u1ea3y m\u00e1u nghi\u00eam tr\u1ecdng trong thai k\u1ef3 v\u00e0 khi sinh, \u0111e d\u1ecda \u0111\u1ebfn t\u00ednh m\u1ea1ng c\u1ea3 m\u1eb9 v\u00e0 con. T\u00ecnh tr\u1ea1ng n\u00e0y x\u1ea3y ra v\u1edbi t\u1ef7 l\u1ec7 ch\u1ec9 kho\u1ea3ng 0,4% – 0,5%, t\u1ee9c kho\u1ea3ng 4 \u0111\u1ebfn 5 ng\u01b0\u1eddi trong 1.000 ca thai ngh\u00e9n.<\/p>\n\n\n

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TS.BS Hu\u1ef3nh V\u0129nh Ph\u1ea1m Uy\u00ean cho bi\u1ebft \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 \u0111\u00e3 chu\u1ea9n b\u1ecb k\u1ef9 l\u01b0\u1ee1ng t\u1eeb kh\u00e2u ch\u1ea9n \u0111o\u00e1n ban \u0111\u1ea7u, theo d\u00f5i s\u00e1t thai k\u1ef3 \u0111\u1ebfn th\u1eddi \u0111i\u1ec3m \u1ea5n \u0111\u1ecbnh m\u1ed5 ch\u1ee7 \u0111\u1ed9ng khi thai \u0111\u1ea1t 37 tu\u1ea7n. Song song \u0111\u00f3, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 h\u1ed9i ch\u1ea9n v\u00e0 lo\u1ea1i tr\u1eeb kh\u1ea3 n\u0103ng nhau c\u00e0i r\u0103ng l\u01b0\u1ee3c. Tuy nhi\u00ean, n\u1ebfu trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 nhau c\u00e0i r\u0103ng l\u01b0\u1ee3c th\u00ec b\u1ec7nh vi\u1ec7n \u0111\u00e3 chu\u1ea9n b\u1ecb s\u1eb5n ph\u01b0\u01a1ng \u00e1n can thi\u1ec7p, bao g\u1ed3m ph\u1ed1i h\u1ee3p v\u1edbi khoa Tim m\u1ea1ch can thi\u1ec7p (DSA). Ch\u00ednh s\u1ef1 ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd gi\u1eefa c\u00e1c chuy\u00ean khoa S\u1ea3n, G\u00e2y m\u00ea h\u1ed3i s\u1ee9c v\u00e0 B\u1ec7nh l\u00fd s\u01a1 sinh \u0111\u00e3 gi\u00fap cu\u1ed9c m\u1ed5 di\u1ec5n ra thu\u1eadn l\u1ee3i, an to\u00e0n.<\/p>\n\n\n

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TS.BS Hu\u1ef3nh V\u0129nh Ph\u1ea1m Uy\u00ean c\u0169ng nh\u1ea5n m\u1ea1nh, nhau ti\u1ec1n \u0111\u1ea1o l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u00e1nh nhau b\u00e1m b\u1ea5t th\u01b0\u1eddng \u1edf \u0111o\u1ea1n d\u01b0\u1edbi t\u1eed cung, c\u00f3 th\u1ec3 che m\u1ed9t ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 c\u1ed5 t\u1eed cung. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn nhi\u1ec1u bi\u1ebfn ch\u1ee9ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng c\u1ee7a m\u1eb9 b\u1ea7u v\u00e0 thai nhi:<\/p>\n\n\n\n

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  • Xu\u1ea5t huy\u1ebft \u1ed3 \u1ea1t: c\u00f3 th\u1ec3 x\u1ea3y ra t\u1ef1 nhi\u00ean, \u0111\u1ed9t ng\u1ed9t, t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n, \u0111\u1eb7c bi\u1ec7t trong 3 th\u00e1ng cu\u1ed1i thai k\u1ef3 ho\u1eb7c khi chuy\u1ec3n d\u1ea1. M\u1ea5t m\u00e1u nhanh ch\u00f3ng khi\u1ebfn s\u1ea3n ph\u1ee5 cho\u00e1ng, suy tu\u1ea7n ho\u00e0n, \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/li>\n\n\n\n
  • B\u0103ng huy\u1ebft sau sinh: do ch\u1ea3y m\u00e1u t\u1eeb n\u01a1i nhau b\u00e1m.<\/li>\n\n\n\n
  • Sinh non: do ch\u1ea3y m\u00e1u ph\u1ea3i ch\u1ea5m d\u1ee9t thai k\u1ef3 s\u1edbm ho\u1eb7c do k\u00edch th\u00edch c\u01a1n g\u00f2 t\u1eed cung.<\/li>\n\n\n\n
  • Nguy c\u01a1 nhau c\u00e0i r\u0103ng l\u01b0\u1ee3c: nh\u1ea5t l\u00e0 \u1edf s\u1ea3n ph\u1ee5 c\u00f3 v\u1ebft m\u1ed5 c\u0169, khi\u1ebfn vi\u1ec7c nhau tr\u00f3c ra kh\u00f3 kh\u0103n, ch\u1ea3y m\u00e1u kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c.<\/li>\n\n\n\n
  • Nguy c\u01a1 c\u1eaft t\u1eed cung: do m\u00e1u ch\u1ea3y nhi\u1ec1u sau sinh ph\u1ea3i c\u1eaft t\u1eed cung \u0111\u1ec3 c\u1ee9u m\u1eb9.<\/li>\n\n\n\n
  • T\u0103ng nguy c\u01a1 t\u1eed vong c\u1ee7a m\u1eb9 b\u1ea7u v\u00e0 thai nhi n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed t\u1ea1i n\u01a1i c\u00f3 \u0111\u1ea7y \u0111\u1ee7 ph\u01b0\u01a1ng ti\u1ec7n v\u00e0 ph\u1ed1i h\u1ee3p \u0111a chuy\u00ean khoa.\u00a0<\/li>\n<\/ul>\n\n\n\n

    Vi\u1ec7c x\u1eed tr\u00ed an to\u00e0n \u0111\u00f2i h\u1ecfi ph\u00e1t hi\u1ec7n s\u1edbm, theo d\u00f5i ch\u1eb7t ch\u1ebd v\u00e0 l\u1ef1a ch\u1ecdn th\u1eddi \u0111i\u1ec3m m\u1ed5 ph\u00f9 h\u1ee3p \u0111\u1ec3 b\u1ea3o v\u1ec7 c\u1ea3 m\u1eb9 v\u00e0 b\u00e9. Quan tr\u1ecdng h\u01a1n, s\u1ea3n ph\u1ee5 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u1eefng c\u01a1 s\u1edf y t\u1ebf c\u00f3 \u0111\u1ea7y \u0111\u1ee7 chuy\u00ean khoa v\u00e0 ph\u01b0\u01a1ng ti\u1ec7n h\u1ed7 tr\u1ee3 hi\u1ec7n \u0111\u1ea1i.<\/p>\n\n\n\n

    Khuy\u1ebfn c\u00e1o cho thai ph\u1ee5:<\/p>\n\n\n\n

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    • Kh\u00e1m thai \u0111\u1ecbnh k\u1ef3 \u0111\u1ea7y \u0111\u1ee7 theo l\u1ecbch h\u1eb9n.<\/li>\n\n\n\n
    • Th\u1ef1c hi\u1ec7n si\u00eau \u00e2m t\u1ea7m so\u00e1t, nh\u1ea5t l\u00e0 \u1edf giai \u0111o\u1ea1n gi\u1eefa v\u00e0 cu\u1ed1i thai k\u1ef3.<\/li>\n\n\n\n
    • V\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nhau ti\u1ec1n \u0111\u1ea1o, \u0111\u1eb7c bi\u1ec7t l\u00e0 nhau c\u00e0i r\u0103ng l\u01b0\u1ee3c, s\u1ea3n ph\u1ee5 n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n c\u00f3 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c chuy\u00ean khoa: S\u1ea3n, G\u00e2y m\u00ea h\u1ed3i s\u1ee9c, S\u01a1 sinh v\u00e0 Can thi\u1ec7p m\u1ea1ch m\u00e1u.<\/li>\n<\/ul>\n\n\n\n

      L\u00e0 b\u1ec7nh vi\u1ec7n \u0111a khoa h\u1ea1ng 1, tuy\u1ebfn cu\u1ed1i, \u0111\u01b0\u1ee3c x\u1ebfp c\u1ea5p chuy\u00ean m\u00f4n k\u1ef9 thu\u1eadt chuy\u00ean s\u00e2u t\u1ea1i TP.HCM, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh ti\u1ebfp t\u1ee5c kh\u1eb3ng \u0111\u1ecbnh n\u0103ng l\u1ef1c chuy\u00ean m\u00f4n v\u00e0 s\u1ef1 ph\u1ed1i h\u1ee3p hi\u1ec7u qu\u1ea3 gi\u1eefa c\u00e1c chuy\u00ean khoa trong x\u1eed tr\u00ed c\u00e1c ca b\u1ec7nh s\u1ea3n khoa nguy c\u01a1 cao. B\u1ec7nh vi\u1ec7n cam k\u1ebft ti\u1ebfp t\u1ee5c n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb, \u0111\u1ea7u t\u01b0 trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i v\u00e0 ph\u00e1t tri\u1ec3n chuy\u00ean m\u00f4n \u0111\u1ec3 mang l\u1ea1i s\u1ef1 an to\u00e0n t\u1ed1i \u0111a cho m\u1eb9 v\u00e0 b\u00e9 trong m\u1ecdi thai k\u1ef3, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh ph\u1ee9c t\u1ea1p nh\u01b0 nhau ti\u1ec1n \u0111\u1ea1o trung t\u00e2m.<\/p>\n","protected":false},"excerpt":{"rendered":"

      T\u01b0\u1edfng ch\u1eebng kh\u00f4ng th\u1ec3 gi\u1eef \u0111\u01b0\u1ee3c thai \u0111\u1ebfn ng\u00e0y sinh n\u1edf, m\u1ed9t s\u1ea3n ph\u1ee5 b\u1ecb nhau ti\u1ec1n \u0111\u1ea1o trung t\u00e2m \u0111\u00e3 may m\u1eafn \u0111\u01b0\u1ee3c m\u1ed5 l\u1ea5y thai an to\u00e0n \u1edf tu\u1ea7n thai th\u1ee9 37. Ti\u1ebfng kh\u00f3c kh\u1ecfe m\u1ea1nh c\u1ee7a em b\u00e9 c\u1ea5t l\u00ean trong ph\u00f2ng m\u1ed5 t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh l\u00e0 k\u1ebft 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