{"id":1441,"date":"2025-05-05T11:39:52","date_gmt":"2025-05-05T04:39:52","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=1441"},"modified":"2025-05-05T11:39:52","modified_gmt":"2025-05-05T04:39:52","slug":"khoa-phau-thuat-tim-2","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=1441","title":{"rendered":"Khoa Ph\u1eabu thu\u1eadt tim"},"content":{"rendered":"\n

T\u00ean khoa\/ph\u00f2ng:<\/strong> <\/strong>PH\u1eaaU THU\u1eacT TIM.<\/p>\n\n\n\n

Tr\u01b0\u1edfng khoa\/ph\u00f2ng:<\/strong> <\/strong>TSKH.BS. B\u00f9i Minh Th\u00e0nh.<\/p>\n\n\n\n

Nh\u00e2n s\u1ef1:<\/strong> T\u1ed5ng s\u1ed1 nh\u00e2n vi\u00ean 30. Trong \u0111\u00f3 c\u00f3 04 b\u00e1c s\u0129, 16 \u0111i\u1ec1u d\u01b0\u1ee1ng, 05 k\u1ef9 thu\u1eadt vi\u00ean, 05 h\u1ed9 l\u00fd.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Kh\u1ea3 n\u0103ng chuy\u00ean m\u00f4n c\u1ee7a khoa:<\/strong><\/strong><\/p>\n\n\n\n

Th\u1ef1c h\u00e0nh th\u01b0\u1eddng quy \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt t\u1ea5t c\u1ea3 b\u1ec7nh l\u00fd tim m\u1ea1ch:<\/p>\n\n\n\n

B\u1ec7nh l\u00fd c\u00e1c van tim: van hai l\u00e1, van ba l\u00e1, van ch\u1ee7, van ph\u1ed5i, thay v\u00e0\/ho\u1eb7c s\u1eefa van.<\/p>\n\n\n\n

C\u00e1c b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh: T\u1eafc ngh\u1ebdn hay h\u1eb9p do x\u01a1 v\u1eefa v\u00f4i h\u00f3a g\u00e2y thi\u1ebfu m\u00e1u c\u01a1 tim, c\u00e1c b\u1ea5t th\u01b0\u1eddng m\u1ea1ch v\u00e0nh: b\u1ea5t th\u01b0\u1eddng xu\u1ea5t ph\u00e1t \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, d\u00f2 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh\u2026).<\/p>\n\n\n\n

T\u1ea5t c\u1ea3 c\u00e1c d\u1ea1ng b\u1ec7nh l\u00fd tim b\u1ea9m sinh : Th\u00f4ng li\u00ean nh\u0129, Th\u00f4ng li\u00ean th\u1ea5t, K\u00eanh nh\u0129 th\u1ea5t, T\u1ee9 ch\u1ee9ng Fallot, APSO, APSI, Th\u1ea5t ph\u1ea3i hai \u0111\u01b0\u1eddng ra, Th\u00e2n chung \u0111\u1ed9ng m\u1ea1ch,Chuy\u1ec3n v\u1ecb \u0111\u1ea1i \u0111\u1ed9ng m\u1ea1ch, B\u1ec7nh Ebstein, C\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch, H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c, B\u1ea5t th\u01b0\u1eddng h\u1ed3i l\u01b0u t\u0129nh m\u1ea1ch ph\u1ed5i, Th\u1ea5t \u0111\u1ed9c nh\u1ea5t, H\u1eb9p \u0111\u01b0\u1eddng ra th\u1ea5t ph\u1ea3i, Thi\u1ec3u s\u1ea3n cung \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, Gi\u00e1n \u0111o\u1ea1n quai \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, Heterotaxie\u2026).<\/p>\n\n\n\n

Ph\u1eabu thu\u1eadt s\u1eefa ch\u1eefa c\u00e1c th\u01b0\u01a1ng t\u1ed5n van tim \u1edf tr\u1ebb em v\u00e0 nh\u0169 nhi.<\/p>\n\n\n\n

B\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 : Ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c, ng\u1ef1c-b\u1ee5ng, \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng, B\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c, H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, William-Beuren…).<\/p>\n\n\n\n

Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd thuy\u00ean t\u1eafc ph\u1ed5i c\u1ea5p t\u00ednh, b\u00e1n c\u1ea5p v\u00e0 m\u00e3n t\u00ednh.<\/p>\n\n\n\n

Nhi\u1ec7m v\u1ee5 khoa:<\/strong><\/p>\n\n\n\n

Ti\u1ebfp nh\u1eadn kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd tim b\u1ea9m sinh v\u00e0 m\u1eafc ph\u1ea3i c\u1ee7a ng\u01b0\u1eddi l\u1edbn, tr\u1ebb em v\u00e0 tr\u1ebb nh\u0169 nhi.<\/p>\n\n\n\n

\u0110\u00e0o t\u1ea1o hu\u1ea5n luy\u1ec7n k\u1ef9 n\u0103ng th\u1ef1c h\u00e0nh chuy\u00ean m\u00f4n v\u1ec1 Ngo\u1ea1i tim m\u1ea1ch, G\u00e2y m\u00ea tim m\u1ea1ch, H\u1ed3i s\u1ee9c tim, Si\u00eau \u00e2m tim, Tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3 cho c\u00e1c b\u00e1c s\u0129, nh\u00e2n vi\u00ean th\u1ef1c h\u00e0nh c\u00f4ng t\u00e1c ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd tim m\u1ea1ch t\u1ea1i B\u1ec7nh vi\u1ec7n.<\/p>\n\n\n\n

Gi\u1ea3ng d\u1ea1y \u0110\u1ea1i h\u1ecdc v\u00e0 Sau \u0111\u1ea1i h\u1ecdc (Chuy\u00ean khoa I, Chuy\u00ean khoa II, Th\u1ea1c s\u0129, Nghi\u00ean c\u1ee9u sinh) c\u00e1c h\u1ecdc vi\u00ean c\u1ee7a tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh.<\/p>\n\n\n\n

Nghi\u00ean c\u1ee9u khoa h\u1ecdc, th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ec1 t\u00e0i nghi\u00ean c\u1ee9u v\u00e0 b\u00e1o c\u00e1o c\u00e1c \u0111\u1ec1 t\u00e0i nghi\u00ean c\u1ee9u trong n\u01b0\u1edbc v\u00e0 qu\u1ed1c t\u1ebf v\u1ec1 c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch theo ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n c\u1ee7a khoa.<\/p>\n\n\n\n

C\u1eadp nh\u1eadt v\u00e0 ph\u00e1t tri\u1ec3n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1edbi v\u1ec1 b\u1ec7nh l\u00fd tim m\u1ea1ch.<\/p>\n\n\n\n

T\u0103ng c\u01b0\u1eddng h\u1ee3p t\u00e1c v\u00e0 chuy\u1ec3n giao k\u1ef9 thu\u1eadt v\u1edbi c\u00e1c \u0111\u1ed1i t\u00e1c v\u00e0 \u0111\u1ed3ng nghi\u1ec7p t\u1eeb \u00c2u M\u1ef9.<\/p>\n\n\n\n

Kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh tim \u1edf c\u00e1c t\u1ec9nh t\u1eeb Cao nguy\u00ean, Mi\u1ec1n \u0111\u00f4ng v\u00e0 c\u00e1c t\u1ec9nh \u0110\u1ed3ng b\u1eb1ng s\u00f4ng C\u1eedu Long.<\/p>\n\n\n\n

C\u00e1c k\u1ef9 thu\u1eadt chuy\u00ean m\u00f4n th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c hi\u1ec7n<\/strong> nay<\/p>\n\n\n\n

B\u1ec7nh l\u00fd van tim : S\u1eeda van 2 l\u00e1, s\u1eeda van 3 l\u00e1, s\u1eefa van ch\u1ee7, van ph\u1ed5i. Thay van 2 l\u00e1 c\u01a1 h\u1ecdc\/sinh h\u1ecdc, thay van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u01a1 h\u1ecdc\/sinh h\u1ecdc, thay van ph\u1ed5i, thay van ba l\u00e1.<\/p>\n\n\n\n

          Ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u n\u1ed1i ch\u1ee7 v\u00e0nh, c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p \u0111\u1ed3ng th\u1eddi ph\u1eabu thu\u1eadt s\u1eeda van ho\u1eb7c thay van k\u00e8m theo n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh ho\u1eb7c s\u1eefa ch\u1eefa c\u00e1c th\u01b0\u01a1ng t\u1ed5n tim b\u1ea9m sinh, trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh g\u00e2y nh\u1ed3i m\u00e1u c\u01a1 tim hay thi\u1ebfu m\u00e1u c\u01a1 tim.<\/p>\n\n\n\n

Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u00e0 d\u1ecb d\u1ea1ng m\u1ea1ch v\u00e0nh: ALCAPA, Fisstulae\u2026<\/p>\n\n\n\n

          B\u1ec7nh l\u00fd tim b\u1ea9m sinh: \u0111\u00f3ng th\u00f4ng li\u00ean nh\u0129, \u0111\u00f3ng th\u00f4ng li\u00ean th\u1ea5t; s\u1eeda ch\u1eefa ho\u00e0n to\u00e0n b\u1ec7nh l\u00fd k\u00eanh nh\u0129 th\u1ea5t; s\u1eeda ch\u1eefa ho\u00e0n to\u00e0n t\u1ee9 ch\u1ee9ng Fallot, APSO, APSI; s\u1eeda ch\u1eefa ho\u00e0n to\u00e0n b\u1ea5t th\u01b0\u1eddng h\u1ed3i l\u01b0u t\u0129nh m\u1ea1ch ph\u1ed5i, th\u1ea5t ph\u1ea3i hai \u0111\u01b0\u1eddng ra, th\u00e2n chung \u0111\u1ed9ng m\u1ea1ch, h\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb ph\u00ecnh \u1ed1ng \u0111\u1ed9ng m\u1ea1ch \u1edf ng\u01b0\u1eddi l\u1edbn, ph\u1eabu thu\u1eadt Blalock; ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd th\u1ea5t \u0111\u1ed9c nh\u1ea5t (Glenn, Fontan), chuy\u1ec3n v\u1ecb \u0111\u1ea1i \u0111\u1ed9ng m\u1ea1ch, thi\u1ec3u s\u1ea3n cung \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, h\u1eb9p \u0111\u01b0\u1eddng tho\u00e1t th\u1ea5t ph\u1ea3i\u2026<\/p>\n\n\n\n

          B\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch ch\u1ee7: thay quay l\u00ean \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, ph\u1eabu thu\u1eadt Bentall, ph\u1eabu thu\u1eadt Yacoub, ph\u1eabu thu\u1eadt Tyron-David, ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c, b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c.<\/p>\n\n\n\n

Ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 quai \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c: Double arch, gi\u00e1n \u0111o\u1ea1n quai \u0111\u1ed9ng m\u1ea1ch ch\u1ee7\u2026.<\/p>\n\n\n\n

Ph\u1eabu thu\u1eadt l\u1ea5y huy\u1ebft kh\u1ed1i \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd thuy\u00ean t\u1eafc ph\u1ed5i c\u1ea5p, b\u00e1n c\u1ea5p hay m\u00e3n t\u00ednh. Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf c\u00e1c kh\u1ed1i u trong tim: u di c\u0103n, myxome (u nh\u1ea7y).<\/p>\n\n\n\n

Ph\u1eabu thu\u1eadt s\u1eefa ch\u1eefa c\u00e1c th\u01b0\u01a1ng t\u1ed5n van tim b\u1ea9m sinh: h\u1eb9p h\u1edf van hai l\u00e1, h\u1eb9p h\u1edf van ch\u1ee7, h\u1eb9p h\u1edf van ba l\u00e1 v\u00e0 h\u1eb9p h\u1edf van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/p>\n\n\n\n

\u0110\u1ecbnh h\u01b0\u1edbng t\u01b0\u01a1ng lai<\/strong><\/p>\n\n\n\n

\u0110\u1eb7t thi\u1ebft b\u1ecb \u0111i\u1ec1u tr\u1ecb suy t\u00e2m th\u1ea5t tr\u00e1i v\u00e0 ph\u1ea3i: Impella, Thoratex, Heart-ware, Berlinheart.<\/p>\n\n\n\n

C\u1ea5y m\u00f4 c\u01a1 tim\/ t\u1ebf b\u00e0o g\u1ed1c \u0111i\u1ec1u tr\u1ecb di ch\u1ee9ng nh\u1ed3i m\u00e1u c\u01a1 tim.<\/p>\n\n\n\n

Gh\u00e9p tim \u0111\u1ed3ng lo\u1ea1i hay c\u01a1 h\u1ecdc<\/p>\n\n\n\n

Th\u00e0nh t\u00edch chung n\u1ed5i b\u1eadt c\u1ee7a khoa<\/strong><\/p>\n\n\n\n

Ph\u1eabu thu\u1eadt t\u1ed1i kh\u1ea9n c\u1ee9u m\u1ea1ng th\u00e0nh c\u00f4ng tr\u01b0\u1eddng h\u1ee3p Thuy\u00ean t\u1eafc ph\u1ed5i to\u00e0n b\u1ed9 hai b\u00ean, huy\u1ebft kh\u1ed1i nh\u0129 ph\u1ea3i, t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi, \u0111e d\u1ecda \u0111\u1ed9t t\u1eed, huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi\/ K c\u1ed5 t\u1eed cung \u0111\u00e3 ph\u1eabu thu\u1eadt.<\/p>\n\n\n\n

M\u1ed5 c\u1ea5p c\u1ee9u kh\u1ea9n c\u1ee9u m\u1ea1ng b\u1ec7nh nh\u00e2n ng\u01b0ng tim \u0111\u1ed9t ng\u1ed9t tr\u00ean b\u00e0n m\u1ed5 trong b\u1ec7nh h\u1eb9p th\u00e2n chung + 3 nh\u00e1nh m\u1ea1ch v\u00e0nh sau h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u t\u00edch c\u1ef1c kh\u00f4ng hi\u1ec3u qu\u1ea3 trong 30 ph\u00fat v\u1edbi xoa b\u00f3p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c v\u00e0 120 \u1ed1ng Adrenaline ti\u00eam v\u00e0o tim. V\u1eeba xoa b\u00f3p tim tr\u1ef1c ti\u1ebfp v\u1eeba c\u01b0a x\u01b0\u01a1ng \u1ee9c m\u1edf ng\u1ef1c,  kh\u1edfi \u0111\u1ed9ng tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3, schock tim tr\u1ef1c ti\u1ebfp, th\u1ef1c hi\u1ec7n c\u00e1c c\u1ea7u n\u1ed1i ch\u1ee7-v\u00e0nh\u2026 c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n

\u1ea2nh \u0111\u00ednh k\u00e8m<\/strong> : t\u1eadp th\u1ec3 khoa, tr\u01b0\u1edfng khoa, h\u00ecnh \u1ea3nh ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n n\u1ed5i b\u1eadt c\u1ee7a khoa<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n v\u1edbi \u0111o\u00e0n ph\u1eabu thu\u1eadt tim Hoa K\u1ef3<\/p>\n\n\n\n

 (Mount Sinai Hospital v\u00e0 Queen Hospital \u2013 New York)<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n v\u1edbi \u0111o\u00e0n ph\u1eabu thu\u1eadt tim Hoa K\u1ef3<\/p>\n\n\n\n

 (Mount Sinai Hospital v\u00e0 Queen Hospital \u2013 New York)<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n v\u1edbi \u0111o\u00e0n ph\u1eabu thu\u1eadt tim Hoa K\u1ef3<\/p>\n\n\n\n

 (Mount Sinai Hospital v\u00e0 Queen Hospital \u2013 New York)<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

G\u00e2y m\u00ea tim \u1edf tr\u1ebb nh\u0169 nhi<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ho\u1ea1t \u0111\u1ed9ng chuy\u00ean m\u00f4n v\u1edbi \u0111o\u00e0n ph\u1eabu thu\u1eadt tim Hoa K\u1ef3<\/p>\n\n\n\n

 (Mount Sinai Hospital v\u00e0 Queen Hospital \u2013 New York)<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Kh\u00e1m s\u00e0ng l\u1ecdc t\u1ea1i BV V\u0129nh Long<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Kh\u00e1m s\u00e0ng l\u1ecdc t\u1ea1i BV \u0110\u1ed3ng Nai<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

H\u00ecnh \u1ea3nh huy\u1ebft kh\u1ed1i nh\u0129 tr\u00e1i \u201ckh\u1ed5ng l\u1ed3\u201d<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Th\u01b0\u01a1ng t\u1ed5n van 2 l\u00e1 v\u00e0 van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Thay quai l\u00ean \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ph\u1eabu thu\u1eadt u trung th\u1ea5t l\u1edbn + th\u00f4ng li\u00ean nh\u0129 (tr\u1ebb 3 th\u00e1ng), t\u0103ng \u00e1p ph\u1ed5i<\/p>\n\n\n\n

 qua \u0111\u01b0\u1eddng m\u1edf ng\u1ef1c b\u00ean ph\u1ea3i<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

U trung th\u1ea5t l\u1edbn + th\u00f4ng li\u00ean nh\u0129 (tr\u1ebb 3 th\u00e1ng) qua \u0111\u01b0\u1eddng m\u1edf ng\u1ef1c b\u00ean ph\u1ea3i<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n
\"\"<\/figure><\/div>\n\n\n\n

Ca hi\u1ebfm g\u1eb7p: \u0111inh kirschner k\u1ebft h\u1ee3p x\u01b0\u01a1ng di l\u1ec7ch v\u00e0o trong quai l\u00ean \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ca hi\u1ebfm g\u1eb7p: \u0111inh kirschner k\u1ebft h\u1ee3p x\u01b0\u01a1ng di l\u1ec7ch v\u00e0o trong quai l\u00ean \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ca hi\u1ebfm g\u1eb7p: Huy\u1ebft kh\u1ed1i b\u00e1m th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u01b0c l\u1ea5p v\u00e0o l\u1ed7 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i, \u1edf ph\u00eda \u0111\u1ea7u \u0111inh kirschner di l\u1ec7ch v\u00e0o trong quai l\u00ean \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Huy\u1ebft kh\u1ed1i trong tim<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ph\u1eabu thu\u1eadt l\u1ea5y huy\u1ebft kh\u1ed1i trong tim<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Huy\u1ebft kh\u1ed1i \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i 2 b\u00ean, huy\u1ebft kh\u1ed1i nh\u0129 ph\u1ea3i v\u00e0 t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ph\u1eabu thu\u1eadt s\u1eeda van hai l\u00e1<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

H\u00ecnh \u1ea3nh X-Quang tr\u01b0\u1edbc v\u00e0 sau ph\u1eabu thu\u1eadt thay van hai l\u00e1<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u n\u1ed1i ch\u1ee7 v\u00e0nh<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00ean khoa\/ph\u00f2ng: PH\u1eaaU THU\u1eacT TIM. Tr\u01b0\u1edfng khoa\/ph\u00f2ng: TSKH.BS. B\u00f9i Minh Th\u00e0nh. Nh\u00e2n s\u1ef1: T\u1ed5ng s\u1ed1 nh\u00e2n vi\u00ean 30. Trong \u0111\u00f3 c\u00f3 04 b\u00e1c s\u0129, 16 \u0111i\u1ec1u d\u01b0\u1ee1ng, 05 k\u1ef9 thu\u1eadt vi\u00ean, 05 h\u1ed9 l\u00fd. Kh\u1ea3 n\u0103ng chuy\u00ean m\u00f4n c\u1ee7a khoa: Th\u1ef1c h\u00e0nh th\u01b0\u1eddng quy \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt t\u1ea5t c\u1ea3 b\u1ec7nh l\u00fd tim m\u1ea1ch: B\u1ec7nh […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"inline_featured_image":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[12,18],"tags":[15,19],"class_list":["post-1441","post","type-post","status-publish","format-standard","hentry","category-khoa-lam-sang","category-khoa-lam-sang-ngoai","tag-khoalamsang","tag-khoingoai"],"aioseo_notices":[],"post_slider_layout_featured_media_urls":{"thumbnail":"","post_slider_layout_landscape_large":"","post_slider_layout_portrait_large":"","post_slider_layout_square_large":"","post_slider_layout_landscape":"","post_slider_layout_portrait":"","post_slider_layout_square":"","full":""},"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"PVGM_gallery_admin_thumb":false,"PVGM_gallery_admin_circle":false,"PVGM_gallery_admin_medium":false,"1536x1536":false,"2048x2048":false,"post_slider_layout_landscape_large":false,"post_slider_layout_portrait_large":false,"post_slider_layout_square_large":false,"post_slider_layout_landscape":false,"post_slider_layout_portrait":false,"post_slider_layout_square":false,"ultp_layout_landscape_large":false,"ultp_layout_landscape":false,"ultp_layout_portrait":false,"ultp_layout_square":false,"elixar_section_extra_thumb":false,"elixar_gallery_thumb":false,"elixar_blog_home_thumb":false,"elixar_blog_full_thumb":false,"elixar_blog_sidebar_thumb":false,"woocommerce_thumbnail":false,"woocommerce_single":false,"woocommerce_gallery_thumbnail":false},"uagb_author_info":{"display_name":"quantri","author_link":"https:\/\/bvndgiadinh.org.vn\/?author=1"},"uagb_comment_info":0,"uagb_excerpt":"T\u00ean khoa\/ph\u00f2ng: PH\u1eaaU THU\u1eacT TIM. Tr\u01b0\u1edfng khoa\/ph\u00f2ng: TSKH.BS. B\u00f9i Minh Th\u00e0nh. Nh\u00e2n s\u1ef1: T\u1ed5ng s\u1ed1 nh\u00e2n vi\u00ean 30. Trong \u0111\u00f3 c\u00f3 04 b\u00e1c s\u0129, 16 \u0111i\u1ec1u d\u01b0\u1ee1ng, 05 k\u1ef9 thu\u1eadt vi\u00ean, 05 h\u1ed9 l\u00fd. Kh\u1ea3 n\u0103ng chuy\u00ean m\u00f4n c\u1ee7a khoa: Th\u1ef1c h\u00e0nh th\u01b0\u1eddng quy \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt t\u1ea5t c\u1ea3 b\u1ec7nh l\u00fd tim m\u1ea1ch: B\u1ec7nh…","_links":{"self":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/1441","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1441"}],"version-history":[{"count":3,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/1441\/revisions"}],"predecessor-version":[{"id":9674,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/1441\/revisions\/9674"}],"wp:attachment":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1441"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1441"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}