{"id":12317,"date":"2025-11-04T12:07:51","date_gmt":"2025-11-04T05:07:51","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=12317"},"modified":"2025-11-04T13:06:09","modified_gmt":"2025-11-04T06:06:09","slug":"12317","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=12317","title":{"rendered":""},"content":{"rendered":"\n

SAU 1 TU\u1ea6N \u0110\u01af\u1ee2C E-CPR<\/strong>,<\/strong> NG\u01af\u1edcI B\u1ec6NH NG\u01afNG TIM<\/strong> NGO\u1ea0I VI\u1ec6N \u0110\u00c3 \u1ed4N \u0110\u1ecaN<\/strong>H<\/strong> \u0110\u1ec2 RA VI\u1ec6N<\/strong><\/p>\n\n\n\n

M\u1ed9t ca c\u1ea5p c\u1ee9u tim m\u1ea1ch ngo\u1ea1n m\u1ee5c v\u1eeba \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng 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, gi\u00fap c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh n\u1eef 69 tu\u1ed5i b\u1ecb ng\u01b0ng tim <\/strong>tr\u01b0\u1edbc khi k\u1ecbp \u0111\u1ebfn <\/strong>b\u1ec7nh vi\u1ec7n do nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p. \u0110\u00e2y l\u00e0 l\u1ea7n \u0111\u1ea7u ti\u00ean quy tr\u00ecnh E-CPR li\u00ean vi\u1ec7n \u0111\u01b0\u1ee3c 2<\/strong> <\/strong>b\u1ec7nh vi\u1ec7n tri\u1ec3n khai, \u0111\u00e1nh d\u1ea5u b\u01b0\u1edbc ti\u1ebfn m\u1edbi trong c\u1ea5p c\u1ee9u tim m\u1ea1ch chuy\u00ean s\u00e2u <\/strong>t\u1ea1i TP.HCM<\/strong>.<\/strong><\/p>\n\n\n\n

Sau 1 tu\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 h\u1ed3i s\u1ee9c chuy\u00ean s\u00e2u, b\u00e0 L.T.H (69 tu\u1ed5i, ng\u1ee5 ph\u01b0\u1eddng V\u0129nh H\u1ed9i, TP.HCM) hi\u1ec7n c\u00f3 th\u1ec3 t\u1ef1 ng\u1ed3i d\u1eady, \u0103n ch\u00e1o l\u1ecfng, u\u1ed1ng s\u1eefa v\u00e0 giao ti\u1ebfp b\u00ecnh th\u01b0\u1eddng. K\u1ebft qu\u1ea3 si\u00eau \u00e2m tim ng\u00e0y 3\/11\/2025 cho th\u1ea5y ch\u1ee9c n\u0103ng tim \u1ed5n \u0111\u1ecbnh v\u00e0 ng\u00e0y 4\/11, b\u00e0 H. \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe \u1ed5n \u0111\u1ecbnh.<\/p>\n\n\n\n

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ThS.BS Nguy\u1ec5n Thanh Th\u1ea3o, Khoa H\u1ed3i s\u1ee9c Tim m\u1ea1ch cho bi\u1ebft: \u201cHi\u1ec7n t\u1ea1i, ch\u1ee9c n\u0103ng tim, ch\u1ee9c n\u0103ng c\u00e1c t\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec1u \u1ed5n \u0111\u1ecbnh. Ng\u01b0\u1eddi b\u1ec7nh s\u1ebd ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c theo d\u00f5i ngo\u1ea1i tr\u00fa theo quy tr\u00ecnh qu\u1ea3n l\u00fd sau nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p th\u01b0\u1eddng quy\u201d.<\/p>\n\n\n\n

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Kho\u1ea3ng 8 gi\u1edd s\u00e1ng 27\/10, trong l\u00fac di chuy\u1ec3n \u0111\u1ebfn B\u1ec7nh vi\u1ec7n \u0110a khoa S\u00e0i G\u00f2n \u0111\u1ec3 kh\u00e1m b\u1ec7nh, b\u00e0 H. b\u1ea5t ng\u1edd m\u1ea5t \u00fd th\u1ee9c, ng\u01b0ng th\u1edf khi xe ch\u1ec9 c\u00f2n c\u00e1ch b\u1ec7nh vi\u1ec7n kho\u1ea3ng 5 ph\u00fat. Ngay l\u1eadp t\u1ee9c, \u00ea-k\u00edp c\u1ea5p c\u1ee9u c\u1ee7a B\u1ec7nh vi\u1ec7n \u0110a khoa S\u00e0i G\u00f2n 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 ECMO chuy\u00ean tr\u00e1ch 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 t\u1ea1i hi\u1ec7n tr\u01b0\u1eddng. 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 ti\u1ebfn h\u00e0nh 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).<\/p>\n\n\n\n

Sau kho\u1ea3ng 15 ph\u00fat, tu\u1ea7n ho\u00e0n v\u00e0 tri gi\u00e1c c\u1ee7a b\u00e0 H. b\u1eaft \u0111\u1ea7u h\u1ed3i ph\u1ee5c. Khi tim ho\u1ea1t \u0111\u1ed9ng tr\u1edf l\u1ea1i \u1ed5n \u0111\u1ecbnh, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c chuy\u1ec3n ngay \u0111\u1ebfn ph\u00f2ng can thi\u1ec7p m\u1ea1ch v\u00e0nh c\u1ea5p c\u1ee9u c\u1ee7a B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, khai th\u00f4ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i b\u1ecb t\u1eafc ngh\u1ebdn, gi\u00fap kh\u00f4i ph\u1ee5c ho\u00e0n to\u00e0n ch\u1ee9c n\u0103ng tim v\u00e0 huy\u1ebft \u0111\u1ed9ng.<\/p>\n\n\n\n

Do \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi v\u00e0 x\u1eed tr\u00ed hi\u1ec7u qu\u1ea3 nguy\u00ean nh\u00e2n g\u00e2y ng\u1eebng tim, b\u00e0 H. \u0111\u01b0\u1ee3c ng\u01b0ng ECMO ch\u1ec9 sau 24 gi\u1edd, khi tim \u0111\u00e3 c\u00f3 th\u1ec3 t\u1ef1 co b\u00f3p \u0111\u1ed9c l\u1eadp. Sau 48 gi\u1edd E-CPR, ng\u01b0\u1eddi b\u1ec7nh t\u1ec9nh t\u00e1o ho\u00e0n to\u00e0n, t\u1ef1 th\u1edf v\u00e0 \u1ed5n \u0111\u1ecbnh c\u00e1c ch\u1ee9c n\u0103ng c\u01a1 quan – m\u1ed9t k\u1ebft qu\u1ea3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 r\u1ea5t \u1ea5n t\u01b0\u1ee3ng. Sau 1 tu\u1ea7n can thi\u1ec7p ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 g\u1ea7n nh\u01b0 h\u1ed3i ph\u1ee5c, c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng ng\u00e0y nh\u01b0 tr\u01b0\u1edbc khi xu\u1ea5t hi\u1ec7n bi\u1ebfn c\u1ed1 ng\u1eebng tim do nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p.<\/p>\n\n\n\n

S\u1edf Y t\u1ebf TP.HCM \u0111\u00e3 bi\u1ec3u d\u01b0\u01a1ng tinh th\u1ea7n ph\u1ed1i h\u1ee3p kh\u1ea9n tr\u01b0\u01a1ng, ch\u00ednh x\u00e1c v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a 2 b\u1ec7nh vi\u1ec7n trong vi\u1ec7c tri\u1ec3n khai 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

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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 \u0111\u01b0\u1eddng\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, c\u1ea7n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n ngay, tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng t\u1ef1 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0\u201d.<\/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 s\u1ebd 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 s\u00e1p nh\u1eadp, b\u1ec7nh vi\u1ec7n s\u1ebd ho\u1ea1t \u0111\u1ed9ng v\u1edbi 2 c\u01a1 s\u1edf:<\/p>\n\n\n\n

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

    \u0110\u1ecbnh h\u01b0\u1edbng ph\u00e1t tri\u1ec3n C\u01a1 s\u1edf 2 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, 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

    Ca c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng gi\u1eefa 2 b\u1ec7nh vi\u1ec7n l\u00e0 minh ch\u1ee9ng r\u00f5 n\u00e9t cho hi\u1ec7u qu\u1ea3 c\u1ee7a m\u00f4 h\u00ecnh ph\u1ed1i h\u1ee3p li\u00ean vi\u1ec7n, \u0111\u1ed3ng th\u1eddi kh\u1eb3ng \u0111\u1ecbnh s\u1ef1 ch\u1ee7 \u0111\u1ed9ng, chuy\u00ean nghi\u1ec7p v\u00e0 t\u1eadn t\u00e2m c\u1ee7a \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 TP.HCM trong c\u00f4ng t\u00e1c c\u1ea5p c\u1ee9u h\u1ed3i s\u1ee9c tim m\u1ea1ch chuy\u00ean s\u00e2u. B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u00e0 B\u1ec7nh vi\u1ec7n \u0110a khoa S\u00e0i G\u00f2n s\u1ebd ti\u1ebfp t\u1ee5c ph\u00e1t huy tinh th\u1ea7n h\u1ee3p l\u1ef1c, s\u1eb5n s\u00e0ng \u1ee9ng c\u1ee9u ng\u01b0\u1eddi b\u1ec7nh trong m\u1ecdi t\u00ecnh hu\u1ed1ng kh\u1ea9n c\u1ea5p, mang l\u1ea1i ni\u1ec1m tin v\u00e0 s\u1ef1 s\u1ed1ng cho ng\u01b0\u1eddi d\u00e2n th\u00e0nh ph\u1ed1.<\/p>\n","protected":false},"excerpt":{"rendered":"

    SAU 1 TU\u1ea6N \u0110\u01af\u1ee2C E-CPR, NG\u01af\u1edcI B\u1ec6NH NG\u01afNG TIM NGO\u1ea0I VI\u1ec6N \u0110\u00c3 \u1ed4N \u0110\u1ecaNH \u0110\u1ec2 RA VI\u1ec6N M\u1ed9t ca c\u1ea5p c\u1ee9u tim m\u1ea1ch ngo\u1ea1n m\u1ee5c v\u1eeba \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng 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, gi\u00fap c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh n\u1eef 69 tu\u1ed5i 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