{"id":12239,"date":"2025-10-30T15:46:33","date_gmt":"2025-10-30T08:46:33","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=12239"},"modified":"2025-10-30T15:46:35","modified_gmt":"2025-10-30T08:46:35","slug":"nguoi-phu-nu-69-tuoi-song-lai-sau-khi-tim-ngung-dap-nho-phoi-hop-lien-vien","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=12239","title":{"rendered":"NG\u01af\u1edcI PH\u1ee4 N\u1eee 69 TU\u1ed4I S\u1ed0NG L\u1ea0I SAU KHI TIM NG\u1eeaNG \u0110\u1eacP NH\u1edc PH\u1ed0I H\u1ee2P LI\u00caN VI\u1ec6N"},"content":{"rendered":"\n

Sau khi \u0111\u01b0\u1ee3c can thi\u1ec7p m\u1ea1ch v\u00e0nh, khai th\u00f4ng, t\u00e1i t\u01b0\u1edbi m\u00e1u \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i, s\u00e1ng ng\u00e0y 30\/10\/2025, s\u1ee9c kh\u1ecfe c\u1ee7a b\u00e0 L.T.H (69 tu\u1ed5i, ng\u1ee5 ph\u01b0\u1eddng V\u0129nh H\u1ed9i, TP.HCM) \u0111\u00e3 c\u00f3 chuy\u1ec3n bi\u1ebfn t\u00edch c\u1ef1c. Hi\u1ec7n t\u1ea1i, b\u00e0 H. t\u1ec9nh t\u00e1o, \u0103n u\u1ed1ng b\u00ecnh th\u01b0\u1eddng, huy\u1ebft \u00e1p \u1ed5n \u0111\u1ecbnh, ch\u1ee9c n\u0103ng t\u1ea1ng \u1ed5n \u0111\u1ecbnh v\u00e0 \u0111ang ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c, theo d\u00f5i t\u1ea1i Khoa H\u1ed3i s\u1ee9c Tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh.<\/p>\n\n\n\n

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Theo ThS.BS Tr\u1ea7n Thanh Nam, Khoa H\u1ed3i s\u1ee9c Tim m\u1ea1ch, b\u00e0 H. \u0111\u00e3 ng\u01b0ng can thi\u1ec7p ECMO (ng\u01b0ng h\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n – tim ph\u1ed5i nh\u00e2n t\u1ea1o) sau 24 gi\u1edd, v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u cho th\u1ea5y tim c\u1ee7a b\u00e0 \u0111\u00e3 ho\u1ea1t \u0111\u1ed9ng tr\u1edf l\u1ea1i \u0111\u1ed9c l\u1eadp. Sau 48 gi\u1edd E-CPR, b\u00e0 H. \u0111\u00e3 t\u1ec9nh t\u00e1o ho\u00e0n to\u00e0n, c\u00f3 th\u1ec3 t\u1ef1 th\u1edf, ch\u1ee9c n\u0103ng c\u01a1 quan \u1ed5n \u0111\u1ecbnh v\u00e0 d\u1ef1 ki\u1ebfn c\u00f3 th\u1ec3 ra vi\u1ec7n trong 2 – 3 ng\u00e0y t\u1edbi.<\/p>\n\n\n\n

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Tr\u01b0\u1edbc \u0111\u00f3, v\u00e0o ng\u00e0y 27\/10, B\u1ec7nh vi\u1ec7n \u0110a khoa S\u00e0i G\u00f2n v\u00e0 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u00e3 ph\u1ed1i h\u1ee3p tri\u1ec3n khai quy tr\u00ecnh E-CPR li\u00ean vi\u1ec7n, c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh ng\u01b0ng tim, ng\u01b0ng th\u1edf do nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p. \u0110\u00e2y l\u00e0 l\u1ea7n \u0111\u1ea7u ti\u00ean 2 b\u1ec7nh vi\u1ec7n c\u00f9ng th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt n\u00e0y, \u0111\u00e1nh d\u1ea5u b\u01b0\u1edbc ti\u1ebfn m\u1edbi trong c\u1ea5p c\u1ee9u h\u1ed3i s\u1ee9c tim m\u1ea1ch.<\/p>\n\n\n\n

V\u00e0o kho\u1ea3ng 8g, ng\u00e0y 27\/10, trong qu\u00e1 tr\u00ecnh di chuy\u1ec3n \u0111\u1ebfn B\u1ec7nh vi\u1ec7n \u0110a khoa S\u00e0i G\u00f2n \u0111\u1ec3 kh\u00e1m b\u1ec7nh, b\u00e0 L.T.H b\u1ea5t ng\u1edd ng\u01b0ng th\u1edf, m\u1ea5t \u00fd th\u1ee9c khi xe ch\u1ec9 c\u00f2n c\u00e1ch b\u1ec7nh vi\u1ec7n kho\u1ea3ng 5 ph\u00fat. Ngay l\u1eadp t\u1ee9c, b\u1ec7nh vi\u1ec7n k\u00edch ho\u1ea1t quy tr\u00ecnh E-CPR li\u00ean vi\u1ec7n v\u1edbi B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh – m\u00f4 h\u00ecnh \u201cb\u00e1o \u0111\u1ed9ng \u0111\u1ecf\u201d \u0111\u1eb7c th\u00f9, huy \u0111\u1ed9ng h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3 di \u0111\u1ed9ng (ECMO di \u0111\u1ed9ng) \u0111\u1ebfn h\u1ed7 tr\u1ee3.<\/p>\n\n\n\n

Ch\u1ec9 15 ph\u00fat sau khi k\u00edch ho\u1ea1t, \u00ea-k\u00edp chuy\u00ean tr\u00e1ch ECMO c\u1ee7a Khoa H\u1ed3i s\u1ee9c Tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u00e3 c\u00f3 m\u1eb7t. Trong khi c\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n \u0110a khoa S\u00e0i G\u00f2n ti\u1ebfp t\u1ee5c \u00e9p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c (CPR), \u00ea-k\u00edp ECMO \u0111\u00e3 th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt V-A ECMO (oxy h\u00f3a m\u00e1u qua m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3 theo ph\u01b0\u01a1ng th\u1ee9c \u0111\u1ed9ng – t\u0129nh m\u1ea1ch). Kho\u1ea3ng 15 ph\u00fat sau, tu\u1ea7n ho\u00e0n v\u00e0 tri gi\u00e1c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh c\u00f3 d\u1ea5u hi\u1ec7u h\u1ed3i ph\u1ee5c.<\/p>\n\n\n\n

Ngay khi \u0111\u00e3 \u1ed5n \u0111\u1ecbnh \u0111\u01b0\u1ee3c huy\u1ebft \u0111\u1ed9ng, tim ho\u1ea1t \u0111\u1ed9ng tr\u1edf l\u1ea1i, ekip nh\u00e2n vi\u00ean y t\u1ebf 2 b\u1ec7nh vi\u1ec7n \u0111\u00e3 v\u1eadn chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, tr\u1ef1c ti\u1ebfp v\u00e0o ph\u00f2ng can thi\u1ec7p m\u1ea1ch v\u00e0nh c\u1ea5p c\u1ee9u, khai th\u00f4ng v\u00e0 t\u00e1i t\u01b0\u1edbi m\u00e1u \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u00ean ph\u1ea3i, gi\u00fap kh\u00f4i ph\u1ee5c ch\u1ee9c n\u0103ng tim v\u00e0 duy tr\u00ec huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh.<\/p>\n\n\n\n

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S\u1edf Y t\u1ebf TP.HCM \u0111\u00e3 bi\u1ec3u d\u01b0\u01a1ng tinh th\u1ea7n ph\u1ed1i h\u1ee3p nhanh ch\u00f3ng, ch\u00ednh x\u00e1c v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a 2 b\u1ec7nh vi\u1ec7n trong vi\u1ec7c tri\u1ec3n khai th\u00e0nh c\u00f4ng quy tr\u00ecnh E-CPR li\u00ean vi\u1ec7n, xem \u0111\u00e2y l\u00e0 minh ch\u1ee9ng sinh \u0111\u1ed9ng cho n\u0103ng l\u1ef1c c\u1ea5p c\u1ee9u tim m\u1ea1ch chuy\u00ean s\u00e2u c\u1ee7a ng\u00e0nh y t\u1ebf th\u00e0nh ph\u1ed1.<\/p>\n\n\n\n

TS.BS Giang Minh Nh\u1eadt, Ph\u00f3 Tr\u01b0\u1edfng khoa H\u1ed3i s\u1ee9c Tim m\u1ea1ch khuy\u1ebfn c\u00e1o: \u201cNg\u01b0\u1eddi cao tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd n\u1ec1n nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, m\u1ee1 m\u00e1u, ti\u1ec3u<\/em> \u0111\u01b0\u1eddng<\/em>\u2026 n\u00ean kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm nguy c\u01a1 nh\u1ed3i m\u00e1u c\u01a1 tim. Khi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 m\u1ec7t, n\u1eb7ng ng\u1ef1c, kh\u00f3 th\u1edf\u2026 c\u1ea7n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n s\u1edbm, kh\u00f4ng t\u1ef1 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0<\/em>. R\u1ea5t nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh nh\u1ea7m t\u01b0\u1edfng tri\u1ec7u ch\u1ee9ng nh\u1ed3i m\u00e1u c\u01a1 tim v\u1edbi c\u00e1c b\u1ec7nh l\u00fd ti\u00eau ho\u00e1 \u0111\u01a1n thu\u1ea7n hay c\u1ea3m c\u00fam, d\u1eabn \u0111\u1ebfn ng\u1eebng tim ngo\u00e0i c\u1ed9ng \u0111\u1ed3ng<\/em>\u201d.<\/em><\/p>\n\n\n\n

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E-CPR l\u00e0 s\u1ef1 ph\u1ed1i h\u1ee3p gi\u1eefa h\u1ed3i sinh tim ph\u1ed5i th\u00f4ng th\u01b0\u1eddng v\u00e0 V-A ECMO (oxy h\u00f3a m\u00e1u m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3 ph\u01b0\u01a1ng th\u1ee9c \u0111\u1ed9ng – t\u0129nh m\u1ea1ch). E-CPR gi\u00fap r\u00fat ng\u1eafn th\u1eddi gian c\u00e1c c\u01a1 quan tr\u1ecdng y\u1ebfu c\u01a1 th\u1ec3 b\u1ecb thi\u1ebfu m\u00e1u nu\u00f4i trong qu\u00e1 tr\u00ecnh ng\u1eebng tim, \u1ed5n \u0111\u1ecbnh t\u1ea1m th\u1eddi huy\u1ebft \u0111\u1ed9ng \u0111\u1ec3 x\u1eed tr\u00ed tri\u1ec7t \u0111\u1ec3 nguy\u00ean nh\u00e2n g\u00e2y ng\u1eebng tim. Th\u00e0nh c\u00f4ng ch\u01b0\u01a1ng tr\u00ecnh E-CPR ph\u1ee5 thu\u1ed9c r\u1ea5t nhi\u1ec1u v\u00e0o vi\u1ec7c ph\u00e1t hi\u1ec7n nhanh ch\u00f3ng ng\u1eebng tim, kh\u1edfi \u0111\u1ed9ng h\u1ed3i sinh tim ph\u1ed5i hi\u1ec7u qu\u1ea3 v\u00e0 nhanh ch\u00f3ng, k\u00edch ho\u1ea1t E-CPR k\u1ecbp th\u1eddi, k\u1ef9 n\u0103ng ekip th\u1ef1c hi\u1ec7n ECMO v\u00e0 x\u1eed tr\u00ed th\u00e0nh c\u00f4ng nguy\u00ean nh\u00e2n g\u00e2y ng\u1eebng tim. Th\u00e0nh c\u00f4ng trong vi\u1ec7c c\u1ee9u s\u1ed1ng b\u00e0 L.T.H l\u00e0 minh ch\u1ee9ng cho hi\u1ec7u qu\u1ea3 c\u1ee7a s\u1ef1 ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd gi\u1eefa B\u1ec7nh vi\u1ec7n \u0110a khoa S\u00e0i G\u00f2n v\u00e0 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh trong tri\u1ec3n khai quy tr\u00ecnh E-CPR li\u00ean vi\u1ec7n. Ca c\u1ea5p c\u1ee9u kh\u00f4ng ch\u1ec9 gi\u00fap gi\u00e0nh l\u1ea1i s\u1ef1 s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh m\u00e0 c\u00f2n kh\u1eb3ng \u0111\u1ecbnh n\u0103ng l\u1ef1c chuy\u00ean m\u00f4n, tinh th\u1ea7n d\u1ea5n th\u00e2n v\u00e0 kh\u1ea3 n\u0103ng ph\u1ed1i h\u1ee3p linh ho\u1ea1t c\u1ee7a c\u00e1c b\u1ec7nh vi\u1ec7n t\u1ea1i TP.HCM.<\/p>\n\n\n\n

Theo quy\u1ebft \u0111\u1ecbnh c\u1ee7a UBND TP.HCM, t\u1eeb ng\u00e0y 01\/01\/2026, B\u1ec7nh vi\u1ec7n \u0110a khoa S\u00e0i G\u00f2n ch\u00ednh th\u1ee9c s\u00e1p nh\u1eadp v\u00e0o B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, tr\u1ef1c thu\u1ed9c S\u1edf Y t\u1ebf TP.HCM. Sau khi s\u00e1p nh\u1eadp, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh s\u1ebd ho\u1ea1t \u0111\u1ed9ng v\u1edbi 2 c\u01a1 s\u1edf:<\/p>\n\n\n\n

– C\u01a1 s\u1edf ch\u00ednh: 1 N\u01a1 Trang Long, ph\u01b0\u1eddng Gia \u0110\u1ecbnh, TP.HCM<\/p>\n\n\n\n

– C\u01a1 s\u1edf 2: 125 L\u00ea L\u1ee3i, ph\u01b0\u1eddng B\u1ebfn Th\u00e0nh, TP.HCM (ti\u1ec1n th\u00e2n l\u00e0 B\u1ec7nh vi\u1ec7n \u0110a khoa S\u00e0i G\u00f2n)<\/p>\n\n\n\n

\u0110\u1ecbnh h\u01b0\u1edbng ph\u00e1t tri\u1ec3n c\u01a1 s\u1edf 2 th\u00e0nh Trung t\u00e2m c\u1ea5p c\u1ee9u chuy\u00ean s\u00e2u v\u00e0 kh\u00e1m b\u1ec7nh k\u1ef9 thu\u1eadt cao, g\u00f3p ph\u1ea7n n\u00e2ng cao n\u0103ng l\u1ef1c c\u1ea5p c\u1ee9u, \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi d\u00e2n TP.HCM v\u00e0 khu v\u1ef1c ph\u00eda Nam.<\/p>\n\n\n\n

Anh N.T.D, con r\u1ec3 c\u1ee7a b\u00e0 L.T.H x\u00fac \u0111\u1ed9ng chia s\u1ebb: \u201cGia \u0111\u00ecnh c\u1ee7a t\u00f4i th\u1eadt s\u1ef1 kh\u00f4ng bi\u1ebft n\u00f3i g\u00ec h\u01a1n ngo\u00e0i l\u00f2ng bi\u1ebft \u01a1n s\u00e2u s\u1eafc g\u1eedi \u0111\u1ebfn c\u00e1c y b\u00e1c s\u0129 c\u1ee7a 2 b\u1ec7nh vi\u1ec7n. Nh\u1edd s\u1ef1 ph\u1ed1i h\u1ee3p nhanh ch\u00f3ng v\u00e0 chuy\u00ean nghi\u1ec7p c\u1ee7a c\u00e1c y b\u00e1c s\u0129 m\u00e0 m\u1eb9 t\u00f4i m\u1edbi c\u00f3 th\u1ec3 s\u1ed1ng l\u1ea1i sau khi tim ng\u1eebng \u0111\u1eadp. T\u00f4i tin r\u1eb1ng khi B\u1ec7nh vi\u1ec7n \u0110a khoa S\u00e0i G\u00f2n tr\u1edf th\u00e0nh c\u01a1 s\u1edf 2 c\u1ee7a B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, n\u01a1i \u0111\u00e2y s\u1ebd ph\u00e1t tri\u1ec3n m\u1ea1nh m\u1ebd, tr\u1edf th\u00e0nh Trung t\u00e2m c\u1ea5p c\u1ee9u chuy\u00ean s\u00e2u v\u00e0 kh\u00e1m b\u1ec7nh k\u1ef9 thu\u1eadt cao, gi\u00fap nhi\u1ec1u ng\u01b0\u1eddi kh\u00e1c \u0111\u01b0\u1ee3c c\u1ee9u s\u1ed1ng nh\u01b0 m\u1eb9 t\u00f4i\u201d.<\/p>\n\n\n\n

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Th\u00e0nh c\u00f4ng c\u1ee7a ca c\u1ea5p c\u1ee9u li\u00ean vi\u1ec7n l\u1ea7n n\u00e0y kh\u00f4ng ch\u1ec9 th\u1ec3 hi\u1ec7n b\u01b0\u1edbc ti\u1ebfn trong chuy\u00ean m\u00f4n c\u1ee7a ng\u00e0nh y t\u1ebf th\u00e0nh ph\u1ed1 m\u00e0 c\u00f2n l\u00e0 ti\u1ec1n \u0111\u1ec1 quan tr\u1ecdng cho vi\u1ec7c h\u00ecnh th\u00e0nh Trung t\u00e2m c\u1ea5p c\u1ee9u chuy\u00ean s\u00e2u t\u1ea1i c\u01a1 s\u1edf 2 c\u1ee7a B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, n\u01a1i k\u1ef3 v\u1ecdng s\u1ebd tr\u1edf th\u00e0nh \u0111i\u1ec3m \u0111\u1ebfn y t\u1ebf ch\u1ea5t l\u01b0\u1ee3ng cao, c\u1ee9u s\u1ed1ng nhi\u1ec1u h\u01a1n n\u1eefa nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh trong t\u00ecnh hu\u1ed1ng nguy k\u1ecbch.<\/p>\n\n\n\n

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Sau khi \u0111\u01b0\u1ee3c can thi\u1ec7p m\u1ea1ch v\u00e0nh, khai th\u00f4ng, t\u00e1i t\u01b0\u1edbi m\u00e1u \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i, s\u00e1ng ng\u00e0y 30\/10\/2025, s\u1ee9c kh\u1ecfe c\u1ee7a b\u00e0 L.T.H (69 tu\u1ed5i, ng\u1ee5 ph\u01b0\u1eddng V\u0129nh H\u1ed9i, TP.HCM) \u0111\u00e3 c\u00f3 chuy\u1ec3n bi\u1ebfn t\u00edch c\u1ef1c. Hi\u1ec7n t\u1ea1i, b\u00e0 H. t\u1ec9nh t\u00e1o, \u0103n u\u1ed1ng b\u00ecnh th\u01b0\u1eddng, huy\u1ebft \u00e1p \u1ed5n \u0111\u1ecbnh, ch\u1ee9c n\u0103ng t\u1ea1ng \u1ed5n 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