{"id":13013,"date":"2026-01-02T17:25:36","date_gmt":"2026-01-02T10:25:36","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=13013"},"modified":"2026-01-02T17:34:32","modified_gmt":"2026-01-02T10:34:32","slug":"benh-vien-nhan-dan-gia-dinh-kip-thoi-cuu-song-thanh-nien-bi-viem-co-tim-cap-nguy-kich-khi-dang-choi-cau-long","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=13013","title":{"rendered":"B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH K\u1ecaP TH\u1edcI C\u1ee8U S\u1ed0NG THANH NI\u00caN B\u1eca VI\u00caM C\u01a0 TIM C\u1ea4P NGUY K\u1ecaCH KHI \u0110ANG CH\u01a0I C\u1ea6U L\u00d4NG"},"content":{"rendered":"\n

B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p ng\u1eebng tim ngo\u1ea1i vi\u1ec7n do vi\u00eam c\u01a1 tim t\u1ed1i c\u1ea5p cho anh L.V.H (32 tu\u1ed5i), nh\u00e2n vi\u00ean v\u0103n ph\u00f2ng, ng\u1ee5 ph\u01b0\u1eddng B\u00ecnh Tr\u01b0ng, TP.HCM. Trong l\u00fac \u0111ang ch\u01a1i c\u1ea7u l\u00f4ng, anh H. xu\u1ea5t hi\u1ec7n c\u1ea3m gi\u00e1c h\u1ed3i h\u1ed9p, cho\u00e1ng v\u00e1ng, \u0111au ng\u1ef1c d\u1eef d\u1ed9i r\u1ed3i nhanh ch\u00f3ng m\u1ea5t \u00fd th\u1ee9c v\u00e0 \u0111\u01b0\u1ee3c b\u1ea1n c\u00f9ng ch\u01a1i \u0111\u01b0a \u0111\u1ebfn b\u1ec7nh vi\u1ec7n g\u1ea7n nh\u1ea5t \u0111\u1ec3 \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u. Nh\u1edd k\u00edch ho\u1ea1t b\u00e1o \u0111\u1ed9ng \u0111\u1ecf li\u00ean vi\u1ec7n v\u00e0 can thi\u1ec7p h\u1ed3i s\u1ee9c E-CPR, h\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n k\u1ecbp th\u1eddi b\u1eb1ng V-A ECMO, sau 7 ng\u00e0y \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c \u1edf khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a anh H. \u0111\u00e3 \u1ed5n \u0111\u1ecbnh v\u00e0 c\u00f3 th\u1ec3 ra vi\u1ec7n \u0111\u1ec3 k\u1ecbp v\u1ec1 nh\u00e0, \u0111\u00f3n n\u0103m m\u1edbi v\u1edbi gia \u0111\u00ecnh.<\/strong><\/p>\n\n\n\n

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V\u1edbi l\u1ed1i s\u1ed1ng ho\u00e0n to\u00e0n kho\u1ebb m\u1ea1nh, kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1 v\u00e0 th\u01b0\u1eddng xuy\u00ean luy\u1ec7n t\u1eadp th\u1ec3 thao 2 gi\u1edd\/ng\u00e0y, anh L.V.H ch\u01b0a t\u1eebng ghi nh\u1eadn b\u1ec7nh l\u00fd tim m\u1ea1ch tr\u01b0\u1edbc \u0111\u00e2y. S\u00e1ng ng\u00e0y 20\/12\/2025, nh\u01b0 th\u01b0\u1eddng l\u1ec7, anh H. c\u00f9ng v\u00e0i \u0111\u1ed3ng nghi\u1ec7p ch\u01a1i \u0111\u00e1nh c\u1ea7u l\u00f4ng t\u1ea1i m\u1ed9t s\u00e2n t\u1eadp \u1edf ph\u01b0\u1eddng An Kh\u00e1nh, TP.HCM. Khi \u0111ang ch\u01a1i c\u1ea7u l\u00f4ng \u0111\u01b0\u1ee3c kho\u1ea3ng 30 ph\u00fat, anh H. b\u1ed7ng c\u1ea3m th\u1ea5y h\u1ed3i h\u1ed9p, cho\u00e1ng v\u00e1ng, kh\u00f3 th\u1edf v\u00e0 \u0111au d\u1eef d\u1ed9i \u1edf v\u00f9ng ng\u1ef1c v\u00e0 m\u1ea5t \u00fd th\u1ee9c nhanh ch\u00f3ng. Anh H. \u0111\u01b0\u1ee3c c\u00e1c b\u1ea1n c\u00f9ng ch\u01a1i c\u1ea7u l\u00f4ng \u0111\u01b0a ngay \u0111\u1ebfn m\u1ed9t b\u1ec7nh vi\u1ec7n g\u1ea7n nh\u1ea5t. Khi \u0111\u1ebfn \u0111\u00e2y, anh ng\u1ea5t v\u00e0 m\u1ea5t \u00fd th\u1ee9c, ng\u01b0ng tu\u1ea7n ho\u00e0n. Ngay l\u1eadp t\u1ee9c, anh H. \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t, \u0111\u01b0\u1ee3c h\u1ed3i sinh tim ph\u1ed5i v\u00e0 k\u00edch ho\u1ea1t b\u00e1o \u0111\u1ed9ng \u0111\u1ecf li\u00ean vi\u1ec7n v\u1edbi B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh. Sau 15 ph\u00fat, anh H. \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn khoa C\u1ea5p c\u1ee9u, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, v\u1edbi s\u1ef1 chu\u1ea9n b\u1ecb s\u1eb5n s\u00e0ng c\u1ee7a \u00ea-k\u00edp ECMO (oxy ho\u00e1 m\u00e1u m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3) c\u1ee7a khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch. Ngay khi \u0111\u01b0\u1ee3c ti\u1ebfp nh\u1eadn, anh H. v\u1eeba \u0111\u01b0\u1ee3c h\u1ed3i s\u1ee9c r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t, v\u1eeba \u0111\u01b0\u1ee3c can thi\u1ec7p V-A ECMO c\u1ea5p c\u1ee9u (oxy ho\u00e1 m\u00e1u m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3 ph\u01b0\u01a1ng th\u1ee9c \u0111\u1ed9ng – t\u0129nh m\u1ea1ch). Sau khi \u1ed5n \u0111\u1ecbnh tu\u1ea7n ho\u00e0n, anh H. \u0111\u01b0\u1ee3c ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh to\u00e0n th\u00e2n \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n \u0111\u1ed9t t\u1eed do tim th\u01b0\u1eddng g\u1eb7p nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p, thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i hay b\u1ec7nh l\u00fd c\u1ea5p t\u00ednh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. Ch\u1ec9 trong v\u00f2ng 48 gi\u1edd h\u1ed3i s\u1ee9c sau ng\u1eebng tim chuy\u00ean s\u00e2u b\u1eb1ng V-A ECMO, ki\u1ec3m so\u00e1t th\u00e2n nhi\u1ec7t, s\u1eed d\u1ee5ng coriticosteroid li\u1ec1u cao v\u00ec nghi ng\u1edd vi\u00eam c\u01a1 tim c\u1ea5p do vi-r\u00fat v\u00e0 l\u1ecdc m\u00e1u li\u00ean t\u1ee5c, anh H. t\u1ec9nh t\u00e1o ho\u00e0n to\u00e0n, kh\u00f4ng c\u00f2n r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t, ch\u1ee9c n\u0103ng tim h\u1ed3i ph\u1ee5c v\u00e0 ng\u1eebng V-A ECMO. Sau 7 ng\u00e0y nh\u1eadp vi\u1ec7n, hi\u1ec7n t\u00ecnh tr\u1ea1ng ch\u1ee9c n\u0103ng anh H. g\u1ea7n nh\u01b0 \u1ed5n \u0111\u1ecbnh ho\u00e0n to\u00e0n v\u00e0 c\u00f3 th\u1ec3 xu\u1ea5t vi\u1ec7n. K\u1ebft qu\u1ea3 ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim sau \u0111\u00f3 kh\u1eb3ng \u0111\u1ecbnh anh H. c\u00f3 t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ea5p t\u00ednh trong c\u01a1 tim v\u00e0 m\u00e0ng ngo\u00e0i tim.<\/p>\n\n\n\n

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H\u00ecnh c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim c\u1ee7a anh L.V.H ghi nh\u1eadn nh\u1eadn nhi\u1ec1u t\u00edn hi\u1ec7u vi\u00eam c\u01a1 tim (M\u0169i t\u00ean m\u00e0u tr\u1eafng)<\/strong><\/mark><\/em><\/p>\n\n\n\n

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Vui m\u1eebng sau khi h\u1ed3i ph\u1ee5c, anh H. chia s\u1ebb: \u201cKhi ch\u01a1i th\u1ec3 thao, n\u1ebfu xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u m\u1ec7t hay \u0111au, n\u00ean d\u1eebng l\u1ea1i v\u00e0 \u0111\u1ebfn b\u1ec7nh vi\u1ec7n th\u0103m kh\u00e1m, kh\u00f4ng n\u00ean c\u1ed1 g\u1eafng qu\u00e1 s\u1ee9c v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ee7 quan v\u1edbi s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh. T\u00f4i xin ch\u00e2n th\u00e0nh c\u1ea3m \u01a1n c\u00e1c y b\u00e1c s\u0129 \u0111\u00e3 t\u1eadn t\u00ecnh c\u1ee9u ch\u1eefa\u201d.<\/p>\n\n\n\n

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Th\u1ea1c s\u0129 – B\u00e1c s\u0129 V\u00f5 V\u0103n Tr\u1eafng, khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch, b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ch\u00ednh cho anh H. cho bi\u1ebft: \u201cVi\u00eam c\u01a1 tim c\u1ea5p do vi-r\u00fat th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n nhi\u1ec1u trong c\u00e1c th\u00e1ng kh\u00ed h\u1eadu tr\u1edf l\u1ea1nh hay m\u00f9a m\u01b0a t\u1ea1i Vi\u1ec7t Nam, v\u1edbi tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p gi\u1ed1ng nh\u01b0 c\u1ea3m c\u00fam, vi\u00eam d\u1ea1 d\u00e0y – ru\u1ed9t\u2026 khi\u1ebfn cho ng\u01b0\u1eddi b\u1ec7nh, nh\u1ea5t l\u00e0 ng\u01b0\u1eddi tr\u1ebb, th\u01b0\u1eddng ch\u1ee7 quan. Ngo\u00e0i c\u00e1c tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p hay ti\u00eau ho\u00e1, ng\u01b0\u1eddi b\u1ec7nh vi\u00eam c\u01a1 tim c\u1ea5p c\u0169ng c\u00f3 tri\u1ec7u ch\u1ee9ng tim m\u1ea1ch nh\u01b0 \u0111au ng\u1ef1c (>80% ng\u01b0\u1eddi b\u1ec7nh), kh\u00f3 th\u1edf (20% – 50% ng\u01b0\u1eddi b\u1ec7nh), h\u1ed3i h\u1ed9p… M\u1ed9t s\u1ed1 \u00edt ng\u01b0\u1eddi b\u1ec7nh vi\u00eam c\u01a1 tim c\u1ea5p c\u00f3 th\u1ec3 di\u1ec5n ti\u1ebfn vi\u00eam c\u01a1 tim t\u1ed1i c\u1ea5p v\u1edbi r\u1ed1i lo\u1ea1n nh\u1ecbp tim, t\u1ee5t huy\u1ebft \u00e1p do s\u1ee9c co b\u00f3p c\u01a1 tim y\u1ebfu v\u00e0 d\u1eabn \u0111\u1ebfn \u0111\u1ed9t t\u1eed n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed tr\u00ed k\u1ecbp th\u1eddi. Ph\u1ea7n l\u1edbn vi\u00eam c\u01a1 tim t\u1ed1i c\u1ea5p c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c nhanh sau 1 tu\u1ea7n khi \u0111\u01b0\u1ee3c can thi\u1ec7p h\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n c\u01a1 h\u1ecdc k\u1ecbp th\u1eddi v\u00e0 ph\u00f9 h\u1ee3p\u201d.<\/p>\n\n\n\n

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\u201cTuy nhi\u00ean, kh\u00f4ng ph\u1ea3i ng\u01b0\u1eddi b\u1ec7nh vi\u00eam c\u01a1 tim c\u1ea5p do vi-r\u00fat n\u00e0o c\u0169ng may m\u1eafn nh\u01b0 anh H. khi \u0111\u1ed9t t\u1eed \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 c\u1ea5p c\u1ee9u nhanh ch\u00f3ng nh\u1edd s\u1ef1 ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng li\u00ean vi\u1ec7n. V\u1edbi \u0111\u1eb7c \u0111i\u1ec3m vi\u00eam lan to\u1ea3 tr\u00ean c\u01a1 tim qua c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t, t\u1ea7m so\u00e1t c\u00e1c \u0111\u1ed9t bi\u1ebfn gene b\u1ec7nh c\u01a1 tim v\u00e0 sinh thi\u1ebft c\u01a1 tim n\u1ebfu di\u1ec5n ti\u1ebfn vi\u00eam c\u01a1 tim dai d\u1eb3ng. Ng\u01b0\u1eddi b\u1ec7nh c\u0169ng c\u1ea7n h\u1ea1n ch\u1ebf g\u1eafng s\u1ee9c trong 3 th\u00e1ng \u0111\u1ea7u, \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 \u0111\u1ed9t t\u1eed v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp t\u00e1i ph\u00e1t\u201d, Th\u1ea1c s\u0129 – B\u00e1c s\u0129 Nguy\u1ec5n Thanh Th\u1ea3o, khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh cung c\u1ea5p th\u00eam th\u00f4ng tin.<\/p>\n\n\n\n

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B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p ng\u1eebng tim ngo\u1ea1i vi\u1ec7n do vi\u00eam c\u01a1 tim t\u1ed1i c\u1ea5p cho anh L.V.H (32 tu\u1ed5i), nh\u00e2n vi\u00ean v\u0103n ph\u00f2ng, ng\u1ee5 ph\u01b0\u1eddng B\u00ecnh Tr\u01b0ng, TP.HCM. Trong l\u00fac \u0111ang ch\u01a1i c\u1ea7u l\u00f4ng, anh H. xu\u1ea5t hi\u1ec7n c\u1ea3m gi\u00e1c h\u1ed3i h\u1ed9p, cho\u00e1ng v\u00e1ng, \u0111au ng\u1ef1c d\u1eef d\u1ed9i r\u1ed3i nhanh ch\u00f3ng m\u1ea5t \u00fd th\u1ee9c v\u00e0 \u0111\u01b0\u1ee3c b\u1ea1n c\u00f9ng ch\u01a1i \u0111\u01b0a \u0111\u1ebfn b\u1ec7nh vi\u1ec7n g\u1ea7n nh\u1ea5t \u0111\u1ec3 \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u. Nh\u1edd k\u00edch ho\u1ea1t b\u00e1o \u0111\u1ed9ng \u0111\u1ecf li\u00ean vi\u1ec7n v\u00e0 can thi\u1ec7p h\u1ed3i s\u1ee9c E-CPR, h\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n k\u1ecbp th\u1eddi b\u1eb1ng V-A ECMO, sau 7 ng\u00e0y \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c \u1edf khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a anh H. \u0111\u00e3 \u1ed5n \u0111\u1ecbnh v\u00e0 c\u00f3 th\u1ec3 ra vi\u1ec7n \u0111\u1ec3 k\u1ecbp v\u1ec1 nh\u00e0, \u0111\u00f3n n\u0103m m\u1edbi v\u1edbi gia \u0111\u00ecnh.<\/p>\n","protected":false},"author":5,"featured_media":13018,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"inline_featured_image":true,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":true,"_monsterinsights_sitenote_note":"Published: B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH 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