{"id":13659,"date":"2026-02-13T10:52:50","date_gmt":"2026-02-13T03:52:50","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=13659"},"modified":"2026-02-13T10:52:50","modified_gmt":"2026-02-13T03:52:50","slug":"phau-thuat-cap-cuu-kip-thoi-cuu-song-nguoi-benh-72-tuoi-thung-dai-trang-sigma-nguy-co-tu-vong-cao-neu-can-thiep-tre","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=13659","title":{"rendered":"PH\u1eaaU THU\u1eacT C\u1ea4P C\u1ee8U K\u1ecaP TH\u1edcI C\u1ee8U S\u1ed0NG NG\u01af\u1edcI B\u1ec6NH 72 TU\u1ed4I TH\u1ee6NG \u0110\u1ea0I TR\u00c0NG SIGMA, NGUY C\u01a0 T\u1eec VONG CAO N\u1ebeU CAN THI\u1ec6P TR\u1ec4"},"content":{"rendered":"\n<p><\/p>\n\n\n\n<p><strong>C\u00e1c b\u00e1c s\u0129 Khoa Ngo\u1ea1i T\u1ed5ng h\u1ee3p, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) v\u1eeba ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi, c\u1eaft \u0111o\u1ea1n \u0111\u1ea1i tr\u00e0ng sigma d\u00e0i kho\u1ea3ng 15cm c\u00f3 t\u00fai th\u1eeba th\u1ee7ng, c\u1ee9u s\u1ed1ng b\u00e0 T.T.T (72 tu\u1ed5i, ng\u1ee5 ph\u01b0\u1eddng X\u00f3m Chi\u1ebfu, TP.HCM) trong t\u00ecnh tr\u1ea1ng vi\u00eam ph\u00fac m\u1ea1c to\u00e0n th\u1ec3, nguy c\u01a1 s\u1ed1c nhi\u1ec5m khu\u1ea9n v\u00e0 t\u1eed vong cao n\u1ebfu ch\u1eadm tr\u1ec5.<\/strong><strong><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-22-1024x683.png\" alt=\"\" class=\"wp-image-13665\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-22-1024x683.png 1024w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-22-300x200.png 300w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-22-768x512.png 768w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-22-600x400.png 600w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-22.png 1063w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Ng\u00e0y 4\/2\/2026, b\u00e0 T.T.T \u0111\u01b0\u1ee3c gia \u0111\u00ecnh chuy\u1ec3n t\u1eeb b\u1ec7nh vi\u1ec7n tuy\u1ebfn d\u01b0\u1edbi \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) trong t\u00ecnh tr\u1ea1ng s\u1ed1t cao, vi\u00eam ph\u00fac m\u1ea1c to\u00e0n th\u1ec3, ch\u1ea9n \u0111o\u00e1n ban \u0111\u1ea7u th\u1ee7ng t\u1ea1ng r\u1ed7ng. T\u00ecnh tr\u1ea1ng di\u1ec5n ti\u1ebfn nhanh, nguy c\u01a1 cao ti\u1ebfn tri\u1ec3n th\u00e0nh nhi\u1ec5m khu\u1ea9n huy\u1ebft v\u00e0 s\u1ed1c nhi\u1ec5m khu\u1ea9n. Qua th\u0103m kh\u00e1m l\u00e2m s\u00e0ng k\u1ebft h\u1ee3p v\u1edbi h\u00ecnh \u1ea3nh h\u1ecdc, \u00ea-k\u00edp ngo\u1ea1i khoa nhanh ch\u00f3ng x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n l\u00e0 th\u1ee7ng t\u00fai th\u1eeba \u0111\u1ea1i tr\u00e0ng sigma.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u ngo\u1ea1i khoa \u0111\u1eb7c bi\u1ec7t nguy hi\u1ec3m. Khi \u0111\u1ea1i tr\u00e0ng th\u1ee7ng, d\u1ecbch ph\u00e2n v\u00e0 vi khu\u1ea9n tr\u00e0n v\u00e0o \u1ed5 b\u1ee5ng g\u00e2y vi\u00eam ph\u00fac m\u1ea1c lan t\u1ecfa, c\u00f3 th\u1ec3 nhanh ch\u00f3ng d\u1eabn \u0111\u1ebfn s\u1ed1c nhi\u1ec5m khu\u1ea9n v\u00e0 suy \u0111a c\u01a1 quan. Tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00e0ng n\u1eb7ng n\u1ec1 do ng\u01b0\u1eddi b\u1ec7nh l\u1edbn tu\u1ed5i, c\u00f3 nhi\u1ec1u b\u1ec7nh n\u1ec1n nh\u01b0 hen ph\u1ebf qu\u1ea3n, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, c\u01a1 \u0111\u1ecba suy gi\u1ea3m mi\u1ec5n d\u1ecbch v\u00e0 b\u00e9o ph\u00ec (Cushing), l\u00e0m t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng v\u00e0 t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>Ngay sau khi ch\u1ea9n \u0111o\u00e1n, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u. Trong qu\u00e1 tr\u00ecnh m\u1ed5 n\u1ed9i soi, \u00ea-k\u00edp ti\u1ebfn h\u00e0nh c\u1eaft \u0111o\u1ea1n \u0111\u1ea1i tr\u00e0ng sigma d\u00e0i kho\u1ea3ng 15cm c\u00f3 t\u00fai th\u1eeba th\u1ee7ng, r\u1eeda \u1ed5 b\u1ee5ng tri\u1ec7t \u0111\u1ec3, \u0111\u1eb7t d\u1eabn l\u01b0u v\u00e0 m\u1edf h\u1eadu m\u00f4n nh\u00e2n t\u1ea1o nh\u1eb1m ki\u1ec3m so\u00e1t ngu\u1ed3n nhi\u1ec5m v\u00e0 h\u1ea1n ch\u1ebf nguy c\u01a1 nhi\u1ec5m tr\u00f9ng lan r\u1ed9ng. Ca ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong b\u1ed1i c\u1ea3nh vi\u00eam ph\u00fac m\u1ea1c to\u00e0n th\u1ec3 v\u00e0 nguy c\u01a1 s\u1ed1c nhi\u1ec5m khu\u1ea9n cao, \u0111\u00f2i h\u1ecfi s\u1ef1 ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd gi\u1eefa ngo\u1ea1i khoa, g\u00e2y m\u00ea h\u1ed3i s\u1ee9c v\u00e0 h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c sau m\u1ed5.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>Nh\u1edd ch\u1ea9n \u0111o\u00e1n nhanh, quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt \u0111\u00fang th\u1eddi \u0111i\u1ec3m v\u00e0 ch\u0103m s\u00f3c h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c sau m\u1ed5, b\u00e0 T. \u0111\u00e3 v\u01b0\u1ee3t qua giai \u0111o\u1ea1n nguy k\u1ecbch v\u00e0 h\u1ed3i ph\u1ee5c t\u1ed1t. T\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, c\u00e1c ch\u1ec9 s\u1ed1 sinh t\u1ed3n \u1ed5n \u0111\u1ecbnh d\u1ea7n, cho th\u1ea5y hi\u1ec7u qu\u1ea3 c\u1ee7a vi\u1ec7c can thi\u1ec7p k\u1ecbp th\u1eddi trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u00fac m\u1ea1c n\u1eb7ng do th\u1ee7ng \u0111\u1ea1i tr\u00e0ng. Sau ph\u1eabu thu\u1eadt, b\u00e0 T. \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u0103n th\u1ee9c \u0103n l\u1ecfng. D\u1ef1 ki\u1ebfn sau kho\u1ea3ng 1 th\u00e1ng s\u1ebd ti\u1ebfp t\u1ee5c ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111\u1ec3 ph\u1ee5c h\u1ed3i l\u01b0u th\u00f4ng ru\u1ed9t, gi\u00fap b\u00e0 \u0111\u1ea1i ti\u1ec7n tr\u1edf l\u1ea1i nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-21-1024x683.png\" alt=\"\" class=\"wp-image-13663\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-21-1024x683.png 1024w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-21-300x200.png 300w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-21-768x512.png 768w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-21-600x400.png 600w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-21.png 1063w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Ch\u1ecb N.T.P.D, con g\u00e1i c\u1ee7a b\u00e0 T.T.T chia s\u1ebb: \u201cV\u1eeba nghe b\u00e1c s\u0129 gi\u1ea3i th\u00edch t\u00ecnh tr\u1ea1ng nguy k\u1ecbch c\u1ee7a m\u1eb9, t\u00f4i c\u00f9ng ch\u1ecb \u0111\u00e3 \u0111\u1ed3ng \u00fd ph\u1eabu thu\u1eadt ngay. May m\u1eafn \u0111\u01b0\u1ee3c can thi\u1ec7p k\u1ecbp th\u1eddi n\u00ean m\u1eb9 t\u00f4i \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ee9u s\u1ed1ng. T\u00f4i xin c\u1ea3m \u01a1n c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 r\u1ea5t t\u1eadn t\u00ecnh c\u1ee9u ch\u1eefu cho m\u1eb9 c\u1ee7a t\u00f4i\u201d.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-19-1024x683.png\" alt=\"\" class=\"wp-image-13661\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-19-1024x683.png 1024w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-19-300x200.png 300w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-19-768x512.png 768w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-19-600x400.png 600w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-19.png 1063w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>BS.CK1 Th\u00e1i Kh\u00e1nh Ph\u00e1t, Khoa Ngo\u1ea1i T\u1ed5ng h\u1ee3p, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) cho bi\u1ebft, \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n c\u00f3 b\u1ec7nh t\u00fai th\u1eeba \u0111\u1ea1i tr\u00e0ng, vi\u1ec7c theo d\u00f5i s\u1ee9c kh\u1ecfe v\u00e0 t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 l\u00e0 r\u1ea5t quan tr\u1ecdng. Khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au b\u1ee5ng, s\u1ed1t ho\u1eb7c r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0 x\u1eed tr\u00ed s\u1edbm. Ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi gi\u00fap h\u1ea1n ch\u1ebf nguy c\u01a1 bi\u1ebfn ch\u1ee9ng n\u1eb7ng nh\u01b0 vi\u00eam t\u00fai th\u1eeba, \u00e1p xe, th\u1ee7ng \u0111\u1ea1i tr\u00e0ng v\u00e0 vi\u00eam ph\u00fac m\u1ea1c to\u00e0n th\u1ec3, g\u00f3p ph\u1ea7n b\u1ea3o \u0111\u1ea3m an to\u00e0n v\u00e0 c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-20-1024x683.png\" alt=\"\" class=\"wp-image-13662\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-20-1024x683.png 1024w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-20-300x200.png 300w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-20-768x512.png 768w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-20-600x400.png 600w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2026\/02\/image-20.png 1063w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c b\u00e1c s\u0129 Khoa Ngo\u1ea1i T\u1ed5ng h\u1ee3p, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) v\u1eeba ph\u1eabu thu\u1eadt n\u1ed9i soi c\u1ea5p c\u1ee9u k\u1ecbp th\u1eddi, c\u1eaft \u0111o\u1ea1n \u0111\u1ea1i tr\u00e0ng sigma d\u00e0i kho\u1ea3ng 15cm c\u00f3 t\u00fai th\u1eeba th\u1ee7ng, c\u1ee9u s\u1ed1ng b\u00e0 T.T.T (72 tu\u1ed5i, ng\u1ee5 ph\u01b0\u1eddng X\u00f3m Chi\u1ebfu, TP.HCM) trong t\u00ecnh tr\u1ea1ng 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