{"id":15556,"date":"2026-07-05T09:10:00","date_gmt":"2026-07-05T02:10:00","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=15556"},"modified":"2026-07-03T15:55:17","modified_gmt":"2026-07-03T08:55:17","slug":"suyt-mat-mang-vi-xuong-ca-xuyen-thung-da-day-dam-vao-gan-dieu-tri-thanh-cong-nho-phoi-hop-lien-chuyen-khoa-tai-benh-vien-nhan-dan-gia-dinh-co-so-2-chi-nhanh-sai-gon","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=15556","title":{"rendered":"SU\u00ddT M\u1ea4T M\u1ea0NG V\u00cc X\u01af\u01a0NG C\u00c1 XUY\u00caN TH\u1ee6NG D\u1ea0 D\u00c0Y, \u0110\u00c2M V\u00c0O GAN \u2013 \u0110I\u1ec0U TR\u1eca TH\u00c0NH C\u00d4NG NH\u1edc PH\u1ed0I H\u1ee2P LI\u00caN CHUY\u00caN KHOA T\u1ea0I B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH C\u01a0 S\u1ede 2 (CHI NH\u00c1NH S\u00c0I G\u00d2N)"},"content":{"rendered":"\n

M\u1ed9t chi\u1ebfc x\u01b0\u01a1ng c\u00e1 d\u00e0i ch\u1ec9 kho\u1ea3ng 2cm \u0111\u00e3 xuy\u00ean th\u1ee7ng d\u1ea1 d\u00e0y, \u0111\u00e2m v\u00e0o gan v\u00e0 t\u1ea1o th\u00e0nh \u1ed5 \u00e1p xe nguy hi\u1ec3m, \u0111\u1ea9y ng\u01b0\u1eddi b\u1ec7nh cao tu\u1ed5i c\u00f3 nhi\u1ec1u b\u1ec7nh n\u1ec1n v\u00e0o t\u00ecnh tr\u1ea1ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng. Nh\u1edd s\u1ef1 ph\u1ed1i h\u1ee3p kh\u1ea9n tr\u01b0\u01a1ng gi\u1eefa Khoa C\u1ea5p c\u1ee9u – H\u1ed3i s\u1ee9c v\u00e0 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), ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c, ph\u1eabu thu\u1eadt k\u1ecbp th\u1eddi v\u00e0 h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c, v\u01b0\u1ee3t qua giai \u0111o\u1ea1n nguy k\u1ecbch.<\/p>\n\n\n\n

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Theo th\u00f4ng tin t\u1eeb c\u00f4 L.T.H.C., con g\u00e1i ng\u01b0\u1eddi b\u1ec7nh, kho\u1ea3ng n\u1eeda th\u00e1ng tr\u01b0\u1edbc khi nh\u1eadp vi\u1ec7n, b\u00e0 N.T.B.T. (69 tu\u1ed5i, ng\u1ee5 ph\u01b0\u1eddng T\u00e2n M\u1ef9, TP. H\u1ed3 Ch\u00ed Minh) \u0111\u00e3 v\u00f4 t\u00ecnh nu\u1ed1t ph\u1ea3i m\u1ed9t m\u1ea3nh x\u01b0\u01a1ng c\u00e1 trong b\u1eefa \u0103n. Do kh\u00f4ng xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng ngay sau \u0111\u00f3 v\u00e0 ngh\u0129 r\u1eb1ng d\u1ecb v\u1eadt \u0111\u00e3 tr\u00f4i xu\u1ed1ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a n\u00ean b\u00e0 kh\u00f4ng \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 th\u0103m kh\u00e1m hay can thi\u1ec7p.<\/p>\n\n\n\n

\u0110\u1ebfn r\u1ea1ng s\u00e1ng ng\u00e0y 13\/6\/2026, khi \u0111ang ng\u1ee7, b\u00e0 b\u1ea5t ng\u1edd xu\u1ea5t hi\u1ec7n c\u01a1n \u0111au nh\u00f3i v\u00f9ng th\u01b0\u1ee3ng v\u1ecb, sau \u0111\u00f3 c\u01a1n \u0111au t\u0103ng d\u1ea7n, qu\u1eb7n t\u1eebng c\u01a1n v\u00e0 lan t\u1eeb v\u00f9ng b\u1ee5ng tr\u00ean l\u00ean ng\u1ef1c. Ban \u0111\u1ea7u, ng\u01b0\u1eddi nh\u00e0 cho r\u1eb1ng b\u00e0 b\u1ecb c\u1ea3m ho\u1eb7c tr\u00fang gi\u00f3 n\u00ean ch\u1ec9 xoa d\u1ea7u v\u00e0 theo d\u00f5i t\u1ea1i nh\u00e0. Tuy nhi\u00ean, t\u00ecnh tr\u1ea1ng kh\u00f4ng thuy\u00ean gi\u1ea3m m\u00e0 di\u1ec5n bi\u1ebfn n\u1eb7ng h\u01a1n, ng\u01b0\u1eddi b\u1ec7nh b\u1eaft \u0111\u1ea7u s\u1ed1t cao, m\u1ec7t l\u1ea3, tay ch\u00e2n run v\u00e0 \u0111au b\u1ee5ng d\u1eef d\u1ed9i. Nh\u1eadn th\u1ea5y t\u00ecnh tr\u1ea1ng ng\u00e0y c\u00e0ng nghi\u00eam tr\u1ecdng, gia \u0111\u00ecnh \u0111\u00e3 nhanh ch\u00f3ng \u0111\u01b0a b\u00e0 N.T.B.T. \u0111\u1ebfn Khoa C\u1ea5p c\u1ee9u – H\u1ed3i s\u1ee9c, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf 2 (Chi nh\u00e1nh S\u00e0i G\u00f2n) \u0111\u1ec3 \u0111\u01b0\u1ee3c c\u1ea5p c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n

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Ti\u1ebfp nh\u1eadn ng\u01b0\u1eddi b\u1ec7nh, \u00ea-k\u00edp tr\u1ef1c \u0111\u00e3 nhanh ch\u00f3ng th\u0103m kh\u00e1m, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng v\u00e0 tri\u1ec3n khai c\u00e1c bi\u1ec7n ph\u00e1p x\u1eed tr\u00ed. Qua \u0111\u00e1nh gi\u00e1, b\u00e0 N.T.B.T. l\u00e0 tr\u01b0\u1eddng h\u1ee3p c\u00f3 nguy c\u01a1 cao do tu\u1ed5i cao v\u00e0 m\u1eafc nhi\u1ec1u b\u1ec7nh l\u00fd n\u1ec1n nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9. Tr\u01b0\u1edbc bi\u1ec3u hi\u1ec7n nghi ng\u1edd t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng n\u1eb7ng trong \u1ed5 b\u1ee5ng, \u00ea-k\u00edp \u0111\u00e3 kh\u1ea9n tr\u01b0\u01a1ng th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m c\u1ea7n thi\u1ebft, ch\u1ee5p CT b\u1ee5ng \u0111\u1ec3 t\u00ecm nguy\u00ean nh\u00e2n. K\u1ebft qu\u1ea3 ch\u1ea9n \u0111o\u00e1n cho th\u1ea5y m\u1ed9t d\u1ecb v\u1eadt d\u00e0i kho\u1ea3ng 2cm xuy\u00ean qua th\u00e0nh d\u1ea1 d\u00e0y v\u00e0 \u0111\u00e2m v\u00e0o gan tr\u00e1i, g\u00e2y h\u00ecnh th\u00e0nh \u1ed5 \u00e1p xe l\u1edbn. \u0110\u00e2y l\u00e0 bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p nh\u01b0ng \u0111\u1eb7c bi\u1ec7t nguy hi\u1ec3m, c\u00f3 th\u1ec3 nhanh ch\u00f3ng d\u1eabn \u0111\u1ebfn vi\u00eam ph\u00fac m\u1ea1c, nhi\u1ec5m khu\u1ea9n huy\u1ebft v\u00e0 \u0111e d\u1ecda t\u00ednh m\u1ea1ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/p>\n\n\n\n

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

Ngay sau khi x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n, Khoa C\u1ea5p c\u1ee9u – H\u1ed3i s\u1ee9c \u0111\u00e3 ti\u1ebfn h\u00e0nh h\u1ed9i ch\u1ea9n kh\u1ea9n v\u1edbi Khoa Ngo\u1ea1i T\u1ed5ng h\u1ee3p, \u0111\u1ed3ng th\u1eddi t\u00edch c\u1ef1c h\u1ed3i s\u1ee9c, ki\u1ec3m so\u00e1t \u0111au v\u00e0 \u1ed5n \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc ph\u1eabu thu\u1eadt. Ch\u1ec9 trong v\u00f2ng 2 gi\u1edd k\u1ec3 t\u1eeb khi nh\u1eadp vi\u1ec7n, b\u00e0 N.T.B.T. \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn ph\u00f2ng m\u1ed5 \u0111\u1ec3 can thi\u1ec7p c\u1ea5p c\u1ee9u, m\u1edf \u0111\u1ea7u cho cu\u1ed9c ch\u1ea1y \u0111ua v\u1edbi th\u1eddi gian nh\u1eb1m ki\u1ec3m so\u00e1t \u1ed5 nhi\u1ec5m tr\u00f9ng v\u00e0 lo\u1ea1i b\u1ecf d\u1ecb v\u1eadt g\u00e2y b\u1ec7nh c\u1ee7a \u00ea-k\u00edp Khoa Ngo\u1ea1i T\u1ed5ng h\u1ee3p.<\/p>\n\n\n\n

Theo BS.CKI. Th\u00e1i Kh\u00e1nh Ph\u00e1t<\/strong>, th\u00e0nh vi\u00ean \u00ea-k\u00edp ph\u1eabu thu\u1eadt, cho bi\u1ebft qua th\u0103m d\u00f2 n\u1ed9i soi, c\u00e1c b\u00e1c s\u0129 ghi nh\u1eadn m\u1ed9t m\u1ea3nh x\u01b0\u01a1ng c\u00e1 d\u00e0i kho\u1ea3ng 2cm \u0111\u00e3 xuy\u00ean th\u1ee7ng th\u00e0nh d\u1ea1 d\u00e0y, chui ra ngo\u00e0i t\u1ea1o \u1ed5 \u00e1p xe c\u1ea1nh d\u1ea1 d\u00e0y v\u00e0 d\u01b0\u1edbi gan tr\u00e1i, g\u00e2y ra t\u00ecnh tr\u1ea1ng nhi\u1ec5m khu\u1ea9n n\u1eb7ng. \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng r\u1ea5t hi\u1ebfm g\u1eb7p trong l\u00e2m s\u00e0ng, b\u1edfi d\u1ecb v\u1eadt kh\u00f4ng c\u00f2n n\u1eb1m trong \u0111\u01b0\u1eddng ti\u00eau h\u00f3a m\u00e0 di tr\u00fa xuy\u00ean ra ngo\u00e0i th\u00e0nh ru\u1ed9t.<\/p>\n\n\n\n

B\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt n\u1ed9i soi \u00edt x\u00e2m l\u1ea5n, \u00ea-k\u00edp ph\u1eabu thu\u1eadt \u0111\u00e3 ti\u1ebfp c\u1eadn ph\u00e1 b\u1ecf \u1ed5 \u00e1p xe, r\u1eeda b\u1ee5ng d\u1eabn l\u01b0u v\u00f9ng nhi\u1ec5m tr\u00f9ng v\u00e0 g\u1eafp th\u00e0nh c\u00f4ng d\u1ecb v\u1eadt ra ngo\u00e0i.<\/p>\n\n\n\n

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

Sau ph\u1eabu thu\u1eadt, do th\u1ec3 tr\u1ea1ng l\u1edbn tu\u1ed5i \u0111i k\u00e8m nhi\u1ec1u b\u1ec7nh l\u00fd n\u1ec1n, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c chuy\u1ec3n tr\u1edf l\u1ea1i khoa C\u1ea5p c\u1ee9u \u2013 H\u1ed3i s\u1ee9c \u0111\u1ec3 theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb chuy\u00ean s\u00e2u. T\u1ea1i \u0111\u00e2y, b\u00e0 N.T.B.T. \u0111\u01b0\u1ee3c h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c b\u1eb1ng th\u1edf m\u00e1y, h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u00e1c \u0111\u1ed3 kh\u00e1ng sinh m\u1ea1nh \u0111\u1ec3 ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n. Sau 48 gi\u1edd \u0111i\u1ec1u tr\u1ecb, ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1p \u1ee9ng t\u1ed1t, \u0111\u01b0\u1ee3c cai m\u00e1y th\u1edf, r\u00fat n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 ti\u1ebfp t\u1ee5c h\u1ed3i ph\u1ee5c \u1ed5n \u0111\u1ecbnh.<\/p>\n\n\n\n

BS.CKII. V\u00f5 Th\u00fay V\u00e2n<\/strong>, Qu\u1ea3n l\u00fd \u0111i\u1ec1u h\u00e0nh Khoa C\u1ea5p c\u1ee9u – H\u1ed3i s\u1ee9c, 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 tr\u01b0\u1eddng h\u1ee3p n\u00e0y l\u00e0 minh ch\u1ee9ng r\u00f5 n\u00e9t cho th\u1ea5y hi\u1ec7u qu\u1ea3 s\u1ef1 ph\u1ed1i h\u1ee3p li\u00ean chuy\u00ean khoa trong c\u1ea5p c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh n\u1eb7ng. T\u1eeb kh\u00e2u ti\u1ebfp nh\u1eadn, \u0111\u00e1nh gi\u00e1, ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n, h\u1ed9i ch\u1ea9n, h\u1ed3i s\u1ee9c tr\u01b0\u1edbc m\u1ed5, ph\u1ed1i h\u1ee3p ph\u1eabu thu\u1eadt \u0111\u1ebfn ch\u0103m s\u00f3c h\u1ed3i s\u1ee9c sau m\u1ed5 \u0111\u1ec1u \u0111\u01b0\u1ee3c tri\u1ec3n khai li\u00ean t\u1ee5c, gi\u00fap r\u00fat ng\u1eafn th\u1eddi gian x\u1eed tr\u00ed v\u00e0 n\u00e2ng cao c\u01a1 h\u1ed9i c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

T\u1eeb tr\u01b0\u1eddng h\u1ee3p tr\u00ean, ThS.BS. \u0110\u1ed7 Th\u1ecb Thu Ph\u01b0\u01a1ng<\/strong>, Qu\u1ea3n l\u00fd \u0111i\u1ec1u h\u00e0nh 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), khuy\u1ebfn c\u00e1o d\u1ecb v\u1eadt \u0111\u01b0\u1eddng ti\u00eau h\u00f3a nh\u01b0 v\u00f4 t\u00ecnh nu\u1ed1t x\u01b0\u01a1ng c\u00e1, x\u01b0\u01a1ng g\u00e0 hay t\u0103m x\u1ec9a r\u0103ng tuy th\u01b0\u1eddng g\u1eb7p nh\u01b0ng c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng r\u1ea5t nghi\u00eam tr\u1ecdng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm. Ng\u01b0\u1eddi cao tu\u1ed5i l\u00e0 nh\u00f3m c\u00f3 nguy c\u01a1 cao do ch\u1ee9c n\u0103ng nhai nu\u1ed1t suy gi\u1ea3m, c\u1ea3m gi\u00e1c nu\u1ed1t v\u01b0\u1edbng kh\u00f4ng r\u00f5 r\u00e0ng v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m, khi\u1ebfn nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p ch\u1ec9 \u0111\u1ebfn b\u1ec7nh vi\u1ec7n khi \u0111\u00e3 x\u1ea3y ra th\u1ee7ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, \u00e1p xe ho\u1eb7c nhi\u1ec5m khu\u1ea9n huy\u1ebft.<\/p>\n\n\n\n

\u0110\u1ec3 ph\u00f2ng tr\u00e1nh nh\u1eefng tai n\u1ea1n \u0111\u00e1ng ti\u1ebfc, ng\u01b0\u1eddi d\u00e2n, \u0111\u1eb7c bi\u1ec7t l\u00e0 ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, c\u1ea7n \u0103n ch\u1eadm, nhai k\u1ef9 v\u00e0 ki\u1ec3m tra k\u1ef9 th\u1ef1c ph\u1ea9m tr\u01b0\u1edbc khi \u0103n, nh\u1ea5t l\u00e0 c\u00e1c m\u00f3n c\u00f3 nhi\u1ec1u x\u01b0\u01a1ng. Khi nghi ng\u1edd nu\u1ed1t ph\u1ea3i d\u1ecb v\u1eadt ho\u1eb7c xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 nu\u1ed1t v\u01b0\u1edbng, \u0111au ng\u1ef1c, \u0111au b\u1ee5ng, s\u1ed1t ho\u1eb7c kh\u00f3 ch\u1ecbu k\u00e9o d\u00e0i sau b\u1eefa \u0103n, c\u1ea7n \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m. Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng t\u1ef1 \u00e1p d\u1ee5ng c\u00e1c m\u1eb9o d\u00e2n gian nh\u01b0 nu\u1ed1t c\u01a1m ngu\u1ed9i hay u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc v\u1edbi hy v\u1ecdng \u0111\u1ea9y d\u1ecb v\u1eadt xu\u1ed1ng d\u1ea1 d\u00e0y, b\u1edfi \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 khi\u1ebfn d\u1ecb v\u1eadt c\u1eafm s\u00e2u h\u01a1n, l\u00e0m t\u0103ng nguy c\u01a1 th\u1ee7ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 d\u1eabn \u0111\u1ebfn nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m, th\u1eadm ch\u00ed \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/p>\n","protected":false},"excerpt":{"rendered":"

M\u1ed9t chi\u1ebfc x\u01b0\u01a1ng c\u00e1 d\u00e0i ch\u1ec9 kho\u1ea3ng 2cm \u0111\u00e3 xuy\u00ean th\u1ee7ng d\u1ea1 d\u00e0y, \u0111\u00e2m v\u00e0o gan v\u00e0 t\u1ea1o th\u00e0nh \u1ed5 \u00e1p xe nguy hi\u1ec3m, \u0111\u1ea9y ng\u01b0\u1eddi b\u1ec7nh cao tu\u1ed5i c\u00f3 nhi\u1ec1u b\u1ec7nh n\u1ec1n v\u00e0o t\u00ecnh tr\u1ea1ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng. Nh\u1edd s\u1ef1 ph\u1ed1i h\u1ee3p kh\u1ea9n tr\u01b0\u01a1ng gi\u1eefa Khoa C\u1ea5p c\u1ee9u – H\u1ed3i s\u1ee9c v\u00e0 Khoa […]<\/p>\n","protected":false},"author":5,"featured_media":15557,"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,"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[56],"tags":[],"class_list":["post-15556","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t