{"id":13392,"date":"2026-01-31T08:01:16","date_gmt":"2026-01-31T01:01:16","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=13392"},"modified":"2026-01-31T08:01:18","modified_gmt":"2026-01-31T01:01:18","slug":"phoi-hop-lien-co-so-theo-mo-hinh-stroke-network-benh-vien-nhan-dan-gia-dinh-cuu-song-nguoi-benh-dot-quy-trong-gio-vang","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=13392","title":{"rendered":"PH\u1ed0I H\u1ee2P LI\u00caN C\u01a0 S\u1ede THEO M\u00d4 H\u00ccNH STROKE NETWORK, B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH C\u1ee8U S\u1ed0NG NG\u01af\u1edcI B\u1ec6NH \u0110\u1ed8T QU\u1ef4 TRONG \u201cGI\u1edc V\u00c0NG\u201d"},"content":{"rendered":"\n

Vi\u1ec7c tri\u1ec3n khai hi\u1ec7u qu\u1ea3 m\u00f4 h\u00ecnh Stroke Network li\u00ean c\u01a1 s\u1edf v\u1edbi s\u1ef1 ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng gi\u1eefa B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh c\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) v\u00e0 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh c\u01a1 s\u1edf ch\u00ednh \u0111\u00e3 gi\u00fap 1 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9t qu\u1ef5 nh\u1ed3i m\u00e1u n\u00e3o \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u00e1i th\u00f4ng m\u1ea1ch k\u1ecbp th\u1eddi trong \u201cgi\u1edd v\u00e0ng\u201d, \u0111\u1ea1t k\u1ebft qu\u1ea3 h\u1ed3i ph\u1ee5c ngo\u1ea1n m\u1ee5c, h\u1ea1n ch\u1ebf t\u1ed1i \u0111a nguy c\u01a1 t\u00e0n ph\u1ebf.<\/em><\/strong><\/p>\n\n\n\n

Ng\u00e0y 27\/01\/2026, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh c\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) ti\u1ebfp nh\u1eadn \u00f4ng N.V.B (61 tu\u1ed5i) v\u00e0o c\u1ea5p c\u1ee9u trong t\u00ecnh tr\u1ea1ng y\u1ebfu n\u1eeda ng\u01b0\u1eddi b\u00ean tr\u00e1i, n\u00f3i kh\u00f3, nghi ng\u1edd \u0111\u1ed9t qu\u1ef5 n\u00e3o c\u1ea5p. Th\u1eddi \u0111i\u1ec3m nh\u1eadp vi\u1ec7n l\u00e0 gi\u1edd th\u1ee9 4 sau kh\u1edfi ph\u00e1t, v\u1eabn c\u00f2n trong \u201cc\u1eeda s\u1ed5 v\u00e0ng\u201d \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft.<\/p>\n\n\n\n

Ngay khi ti\u1ebfp nh\u1eadn, Khoa H\u1ed3i s\u1ee9c C\u1ea5p c\u1ee9u – B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh c\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) \u0111\u00e3 nhanh ch\u00f3ng th\u0103m kh\u00e1m, \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng, k\u00edch ho\u1ea1t quy tr\u00ecnh Stroke Code v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh c\u1ea7n thi\u1ebft nh\u1eb1m lo\u1ea1i tr\u1eeb xu\u1ea5t huy\u1ebft n\u00e3o, \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng t\u00e1i th\u00f4ng m\u1ea1ch. Tr\u00ean c\u01a1 s\u1edf \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u00e0 truy\u1ec1n thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft Actilyse (alteplase) ngay t\u1ea1i c\u01a1 s\u1edf 2, b\u1ea3o \u0111\u1ea3m t\u1eadn d\u1ee5ng t\u1ed1i \u0111a th\u1eddi gian v\u00e0ng trong \u0111i\u1ec1u tr\u1ecb \u0111\u1ed9t qu\u1ef5.<\/p>\n\n\n\n

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Sau khi ho\u00e0n t\u1ea5t giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u v\u00e0 t\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u1ed5n \u0111\u1ecbnh, \u00ea-k\u00edp y t\u1ebf ti\u1ebfn h\u00e0nh chuy\u1ec3n tuy\u1ebfn n\u1ed9i b\u1ed9 an to\u00e0n theo m\u00f4 h\u00ecnh Stroke Network v\u1ec1 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh c\u01a1 s\u1edf ch\u00ednh – n\u01a1i \u0111\u00f3ng vai tr\u00f2 trung t\u00e2m \u0111i\u1ec1u tr\u1ecb \u0111\u1ed9t qu\u1ef5 chuy\u00ean s\u00e2u.<\/p>\n\n\n\n

T\u1ea1i c\u01a1 s\u1edf ch\u00ednh, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c \u0111\u00e1nh gi\u00e1 chuy\u00ean s\u00e2u b\u1eb1ng c\u00e1c k\u1ef9 thu\u1eadt hi\u1ec7n \u0111\u1ea1i nh\u01b0: MRI n\u00e3o, CT t\u01b0\u1edbi m\u00e1u v\u00e0 ch\u1ee5p m\u1ea1ch m\u00e1u s\u1ed1 h\u00f3a x\u00f3a n\u1ec1n (DSA). K\u1ebft qu\u1ea3 cho th\u1ea5y v\u00f9ng n\u00e3o thi\u1ebfu m\u00e1u c\u00f2n nhi\u1ec1u nh\u01b0ng v\u00f9ng ho\u1ea1i t\u1eed \u00edt, ph\u00f9 h\u1ee3p ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p h\u00fat huy\u1ebft kh\u1ed1i b\u1eb1ng d\u1ee5ng c\u1ee5. Th\u1ee7 thu\u1eadt \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh k\u1ecbp th\u1eddi, gi\u00fap t\u00e1i th\u00f4ng m\u1ea1ch m\u00e1u n\u00e3o hi\u1ec7u qu\u1ea3. Sau can thi\u1ec7p, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c chuy\u1ec3n v\u1ec1 \u0110\u01a1n v\u1ecb H\u1ed3i s\u1ee9c th\u1ea7n kinh – Khoa N\u1ed9i th\u1ea7n kinh \u0111\u1ec3 theo d\u00f5i v\u00e0 ch\u0103m s\u00f3c chuy\u00ean s\u00e2u.<\/p>\n\n\n\n

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Ch\u1ec9 sau 24 gi\u1edd \u0111i\u1ec1u tr\u1ecb, t\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t, g\u1ea7n nh\u01b0 h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n, ch\u1ec9 c\u00f2n t\u00ea y\u1ebfu nh\u1eb9 tay tr\u00e1i, gi\u1ecdng n\u00f3i ph\u1ee5c h\u1ed3i g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng. Ng\u01b0\u1eddi b\u1ec7nh ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng nh\u1eb1m gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t.<\/p>\n\n\n\n

\u00d4ng N.V.B, qu\u00ea \u1edf t\u1ec9nh An Giang, k\u1ec3 l\u1ea1i: \u201cT\u00f4i l\u00e0m ngh\u1ec1 th\u01b0\u01a1ng h\u1ed3, r\u00e0y \u0111\u00e2y mai \u0111\u00f3. Kho\u1ea3ng 13 gi\u1edd ng\u00e0y 27\/1, khi \u0111ang ng\u1ee7 tr\u01b0a tr\u00ean ghe neo \u0111\u1eadu gi\u1eefa s\u00f4ng \u0110\u1ed3ng Nai, t\u00f4i b\u1ecb y\u1ebfu tay ch\u00e2n, t\u00e9 ng\u00e3 v\u00e0 nhanh ch\u00f3ng \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o b\u1edd t\u1ea1i khu v\u1ef1c C\u1ea3ng C\u00e1t L\u00e1i \u0111\u1ec3 \u0111i c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi\u201d.<\/p>\n\n\n\n

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Theo TS.BS V\u00f5 V\u0103n T\u00e2n, Tr\u01b0\u1edfng khoa N\u1ed9i Th\u1ea7n kinh, \u0111\u1ed9t qu\u1ef5 n\u00e3o l\u00e0 t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u t\u1ed1i kh\u1ea9n, trong \u0111\u00f3 m\u1ed7i ph\u00fat tr\u00f4i qua c\u00f3 th\u1ec3 khi\u1ebfn h\u00e0ng tri\u1ec7u t\u1ebf b\u00e0o th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng h\u1ed3i ph\u1ee5c. Tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh n\u00f3i tr\u00ean l\u00e0 minh ch\u1ee9ng r\u00f5 n\u00e9t cho hi\u1ec7u qu\u1ea3 c\u1ee7a m\u00f4 h\u00ecnh Stroke Network li\u00ean c\u01a1 s\u1edf, trong \u0111\u00f3 c\u01a1 s\u1edf 2 \u0111\u00f3ng vai tr\u00f2 ti\u1ebfp nh\u1eadn s\u1edbm, x\u1eed tr\u00ed ban \u0111\u1ea7u v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00e1i th\u00f4ng m\u1ea1ch k\u1ecbp th\u1eddi, c\u00f2n c\u01a1 s\u1edf ch\u00ednh \u0111\u1ea3m nhi\u1ec7m \u0111i\u1ec1u tr\u1ecb chuy\u00ean s\u00e2u v\u00e0 can thi\u1ec7p m\u1ea1ch n\u00e3o, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9t qu\u1ef5 \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u, li\u00ean t\u1ee5c v\u00e0 an to\u00e0n.<\/p>\n\n\n\n

TS.BS V\u00f5 V\u0103n T\u00e2n khuy\u1ebfn c\u00e1o, ng\u01b0\u1eddi d\u00e2n c\u1ea7n nh\u1eadn bi\u1ebft s\u1edbm c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o \u0111\u1ed9t qu\u1ef5 nh\u01b0: m\u00e9o mi\u1ec7ng, y\u1ebfu li\u1ec7t tay ch\u00e2n, n\u00f3i kh\u00f3, r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c \u0111\u1ed9t ng\u1ed9t. Khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y, c\u1ea7n nhanh ch\u00f3ng \u0111\u01b0a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf c\u00f3 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb \u0111\u1ed9t qu\u1ef5 c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t \u0111\u1ec3 kh\u00f4ng b\u1ecf l\u1ee1 \u201cgi\u1edd v\u00e0ng\u201d.<\/p>\n\n\n\n

\u0110\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5, c\u1ea7n ki\u1ec3m so\u00e1t t\u1ed1t c\u00e1c b\u1ec7nh l\u00fd n\u1ec1n nh\u01b0: t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n lipid m\u00e1u; duy tr\u00ec v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c \u0111\u1ec1u \u0111\u1eb7n (\u0111i b\u1ed9 kho\u1ea3ng 30 ph\u00fat m\u1ed7i ng\u00e0y, t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 3 km); gi\u1ea3m c\u0103ng th\u1eb3ng; x\u00e2y d\u1ef1ng ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh, gi\u00e0u vitamin v\u00e0 kho\u00e1ng ch\u1ea5t.<\/p>\n\n\n\n

Th\u00e0nh c\u00f4ng c\u1ee7a ca b\u1ec7nh n\u00e0y m\u1ed9t l\u1ea7n n\u1eefa kh\u1eb3ng \u0111\u1ecbnh th\u00f4ng \u0111i\u1ec7p: \u201c\u0110\u1ed9t qu\u1ef5 kh\u00f4ng ch\u1edd \u0111\u1ee3i – ph\u1ed1i h\u1ee3p li\u00ean c\u01a1 s\u1edf gi\u00fap c\u1ee9u n\u00e3o k\u1ecbp th\u1eddi trong t\u1eebng ph\u00fat qu\u00fd gi\u00e1\u201d, \u0111\u1ed3ng th\u1eddi th\u1ec3 hi\u1ec7n cam k\u1ebft c\u1ee7a B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh trong vi\u1ec7c kh\u00f4ng ng\u1eebng n\u00e2ng cao n\u0103ng l\u1ef1c c\u1ea5p c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ed9t qu\u1ef5, mang l\u1ea1i c\u01a1 h\u1ed9i s\u1ed1ng v\u00e0 ph\u1ee5c h\u1ed3i t\u1ed1t h\u01a1n cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u1ec7c tri\u1ec3n khai hi\u1ec7u qu\u1ea3 m\u00f4 h\u00ecnh Stroke Network li\u00ean c\u01a1 s\u1edf v\u1edbi s\u1ef1 ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng gi\u1eefa B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh c\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) v\u00e0 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh c\u01a1 s\u1edf ch\u00ednh \u0111\u00e3 gi\u00fap 1 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9t qu\u1ef5 nh\u1ed3i m\u00e1u n\u00e3o \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb 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