{"id":15594,"date":"2026-07-07T08:15:06","date_gmt":"2026-07-07T01:15:06","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=15594"},"modified":"2026-07-07T08:15:08","modified_gmt":"2026-07-07T01:15:08","slug":"benh-vien-nhan-dan-gia-dinh-phau-thuat-cuu-nguoi-benh-cao-tuoi-khoi-qua-bom-hen-gio-phinh-dong-mach-chu-bung-nguy-hiem","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=15594","title":{"rendered":"B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH PH\u1eaaU THU\u1eacT C\u1ee8U NG\u01af\u1edcI B\u1ec6NH CAO TU\u1ed4I KH\u1eceI \u201cQU\u1ea2 BOM H\u1eb8N GI\u1edc\u201d PH\u00ccNH \u0110\u1ed8NG M\u1ea0CH CH\u1ee6 B\u1ee4NG NGUY HI\u1ec2M"},"content":{"rendered":"\n

M\u1ed9t ng\u01b0\u1eddi b\u1ec7nh cao tu\u1ed5i \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng d\u01b0\u1edbi th\u1eadn v\u1edbi t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u ph\u1ee9c t\u1ea1p do v\u00f4i h\u00f3a n\u1eb7ng nhi\u1ec1u n\u01a1i, \u0111\u1ee9ng tr\u01b0\u1edbc nguy c\u01a1 v\u1ee1 m\u1ea1ch \u0111e d\u1ecda t\u00ednh m\u1ea1ng. C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u00e3 th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng ph\u1eabu thu\u1eadt thay \u0111o\u1ea1n ph\u00ecnh b\u1eb1ng \u1ed1ng gh\u00e9p nh\u00e2n t\u1ea1o, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh h\u1ed3i ph\u1ee5c nhanh ch\u00f3ng v\u00e0 xu\u1ea5t vi\u1ec7n an to\u00e0n ch\u1ec9 sau 7 ng\u00e0y h\u1eadu ph\u1eabu.<\/em><\/strong><\/p>\n\n\n\n

B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba ti\u1ebfp nh\u1eadn \u00f4ng N.T.N, 67 tu\u1ed5i, ng\u1ee5 ph\u01b0\u1eddng X\u00f3m Chi\u1ebfu, TP.HCM trong t\u00ecnh tr\u1ea1ng \u0111au b\u1ee5ng d\u1eef d\u1ed9i v\u00f9ng quanh r\u1ed1n. Tr\u01b0\u1edbc \u0111\u00f3, \u00f4ng N. xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au b\u1ee5ng \u00e2m \u1ec9, \u0111\u1ea7y b\u1ee5ng v\u00e0 ngh\u0129 r\u1eb1ng \u0111\u00e2y c\u00f3 th\u1ec3 ch\u1ec9 l\u00e0 v\u1ea5n \u0111\u1ec1 ti\u00eau h\u00f3a th\u00f4ng th\u01b0\u1eddng. Tuy nhi\u00ean, khi c\u01a1n \u0111au chuy\u1ec3n sang d\u1eef d\u1ed9i, k\u00e9o d\u00e0i v\u00e0 d\u1ed3n d\u1eadp, \u00f4ng \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 nhanh ch\u00f3ng \u0111\u01b0a \u0111\u1ebfn b\u1ec7nh vi\u1ec7n c\u1ea5p c\u1ee9u.<\/p>\n\n\n\n

T\u1ea1i Khoa C\u1ea5p c\u1ee9u, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh c\u01a1 s\u1edf ch\u00ednh, qua th\u0103m kh\u00e1m ban \u0111\u1ea7u, c\u00e1c b\u00e1c s\u0129 nh\u1eadn \u0111\u1ecbnh tri\u1ec7u ch\u1ee9ng \u0111au b\u1ee5ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh c\u00f3 d\u1ea5u hi\u1ec7u g\u1ee3i \u00fd t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u nguy hi\u1ec3m. Quy tr\u00ecnh h\u1ed9i ch\u1ea9n \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t ngay l\u1eadp t\u1ee9c. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u c\u1ea7n thi\u1ebft v\u00e0 ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT Scanner) \u0111a d\u00e3y c\u00f3 c\u1ea3n quang kh\u1ea3o s\u00e1t h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u.<\/p>\n\n\n\n

K\u1ebft qu\u1ea3 ch\u1ee5p CT m\u1ea1ch m\u00e1u cho th\u1ea5y \u00f4ng N. c\u00f3 kh\u1ed1i ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng \u0111o\u1ea1n d\u01b0\u1edbi th\u1eadn v\u1edbi k\u00edch th\u01b0\u1edbc l\u1edbn, th\u00e0nh m\u1ea1ch xu\u1ea5t hi\u1ec7n nhi\u1ec1u v\u1ecb tr\u00ed m\u1ecfng, c\u00f3 d\u1ea5u hi\u1ec7u d\u1ecda v\u1ee1. B\u00ean c\u1ea1nh \u0111\u00f3, h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u li\u00ean quan b\u1ecb v\u00f4i h\u00f3a n\u1eb7ng, khi\u1ebfn t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd tr\u1edf n\u00ean ph\u1ee9c t\u1ea1p h\u01a1n.<\/p>\n\n\n\n

Tuy nhi\u00ean, th\u00e1ch th\u1ee9c l\u1edbn nh\u1ea5t c\u1ee7a ca b\u1ec7nh kh\u00f4ng ch\u1ec9 d\u1eebng l\u1ea1i \u1edf kh\u1ed1i ph\u00ecnh s\u1eafp v\u1ee1, m\u00e0 n\u1eb1m \u1edf t\u1ed5ng th\u1ec3 b\u1ec7nh l\u00fd n\u1ec1n c\u1ef1c k\u1ef3 nghi\u00eam tr\u1ecdng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u00d4ng N. \u0111\u1ed3ng th\u1eddi c\u00f3 c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc bao g\u1ed3m: h\u1eb9p \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh hai b\u00ean tr\u00ean 50% (nguy c\u01a1 tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o r\u1ea5t cao khi huy\u1ebft \u00e1p dao \u0111\u1ed9ng), b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) g\u00e2y suy gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 t\u00ecnh tr\u1ea1ng suy th\u1eadn m\u1ea1n giai \u0111o\u1ea1n 4 – ranh gi\u1edbi c\u1eadn k\u1ec1 c\u1ee7a vi\u1ec7c ph\u1ea3i ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o chu k\u1ef3 v\u00e0 r\u1ea5t nh\u1ea1y c\u1ea3m v\u1edbi c\u00e1c thu\u1ed1c c\u1ea3n quang c\u0169ng nh\u01b0 t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u trong m\u1ed5.<\/p>\n\n\n\n

Tr\u01b0\u1edbc t\u00ecnh th\u1ebf kh\u00f3 kh\u0103n n\u00e0y, m\u1ed9t cu\u1ed9c h\u1ed9i ch\u1ea9n gi\u1eefa c\u00e1c chuy\u00ean khoa Tim m\u1ea1ch, Ph\u1eabu thu\u1eadt L\u1ed3ng ng\u1ef1c – M\u1ea1ch m\u00e1u, N\u1ed9i ti\u1ebft th\u1eadn, N\u1ed9i h\u00f4 h\u1ea5p, N\u1ed9i th\u1ea7n kinh v\u00e0 G\u00e2y m\u00ea h\u1ed3i s\u1ee9c \u0111\u00e3 \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t nh\u1eb1m t\u00ecm ra ph\u01b0\u01a1ng \u00e1n c\u1ee9u ch\u1eefa an to\u00e0n nh\u1ea5t.<\/p>\n\n\n\n

Ban \u0111\u1ea7u, \u00ea-k\u00edp c\u00e2n nh\u1eafc ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p n\u1ed9i m\u1ea1ch \u0111\u1eb7t Stent Graft (EVAR) – m\u1ed9t k\u1ef9 thu\u1eadt \u00edt x\u00e2m l\u1ea5n, ph\u00f9 h\u1ee3p cho ng\u01b0\u1eddi c\u00f3 nhi\u1ec1u b\u1ec7nh n\u1ec1n. Tuy nhi\u00ean, khi \u0111\u00e1nh gi\u00e1 s\u00e2u tr\u00ean phim d\u1ef1ng h\u00ecnh m\u1ea1ch m\u00e1u, c\u00e1c b\u00e1c s\u0129 nh\u1eadn th\u1ea5y h\u1ec7 \u0111\u1ed9ng m\u1ea1ch c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh b\u1ecb v\u00f4i h\u00f3a r\u1ea5t nhi\u1ec1u, k\u00e8m theo k\u00edch th\u01b0\u1edbc l\u00f2ng m\u1ea1ch kh\u00f4ng ph\u00f9 h\u1ee3p, qu\u00e1 nh\u1ecf v\u00e0 g\u1eadp g\u00f3c, kh\u00f4ng th\u1ec3 \u0111\u01b0a h\u1ec7 th\u1ed1ng gi\u00e1 \u0111\u1ee1 n\u1ed9i m\u1ea1ch qua \u0111\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i l\u00ean \u0111\u1ebfn v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng, nguy c\u01a1 tai bi\u1ebfn cao. \u00ca-k\u00edp ph\u1eabu thu\u1eadt quy\u1ebft \u0111\u1ecbnh l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p m\u1ed5 m\u1edf kinh \u0111i\u1ec3n: c\u1eaft b\u1ecf \u0111o\u1ea1n ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng d\u01b0\u1edbi th\u1eadn v\u00e0 thay th\u1ebf b\u1eb1ng \u1ed1ng gh\u00e9p nh\u00e2n t\u1ea1o.<\/p>\n\n\n\n

Tr\u1ef1c ti\u1ebfp tham gia ca ph\u1eabu thu\u1eadt, PGS.TS.BS Tr\u1ea7n Minh B\u1ea3o Lu\u00e2n, Ph\u00f3 Khoa Ngo\u1ea1i L\u1ed3ng ng\u1ef1c – M\u1ea1ch m\u00e1u chia s\u1ebb v\u1ec1 nh\u1eefng th\u00e1ch th\u1ee9c k\u1ef9 thu\u1eadt trong qu\u00e1 tr\u00ecnh m\u1ed5: \u201cC\u00e1i kh\u00f3 c\u1ee7a ca \u0111\u1ea1i ph\u1eabu n\u00e0y l\u00e0 vi\u1ec7c ki\u1ec3m so\u00e1t v\u00e0 kh\u00e2u n\u1ed1i m\u1ea1ch m\u00e1u t\u1ea1i v\u1ecb tr\u00ed d\u01b0\u1edbi th\u1eadn. Th\u00e0nh m\u1ea1ch c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 b\u1ecb x\u01a1 v\u1eefa, t\u1ed5n th\u01b0\u01a1ng nhi\u1ec1u n\u01a1i n\u00ean r\u1ea5t m\u1ecfng manh, vi\u1ec7c \u0111\u1eb7t t\u1eebng m\u0169i kh\u00e2u ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u1ef1c k\u1ef3 ch\u00ednh x\u00e1c \u0111\u1ec3 tr\u00e1nh l\u00e0m r\u00e1ch th\u00eam th\u00e0nh m\u1ea1ch v\u1ed1n \u0111\u00e3 t\u1ed5n th\u01b0\u01a1ng. Ch\u1ec9 c\u1ea7n m\u1ed9t s\u01a1 su\u1ea5t nh\u1ecf trong ki\u1ec3m so\u00e1t \u00e1p l\u1ef1c d\u00f2ng ch\u1ea3y ho\u1eb7c kh\u00e2u n\u1ed1i kh\u00f4ng k\u00edn, t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u c\u00f3 th\u1ec3 x\u1ea3y ra nghi\u00eam tr\u1ecdng v\u00e0 r\u1ea5t kh\u00f3 ki\u1ec3m so\u00e1t\u201d.<\/p>\n\n\n\n

\u201cMay m\u1eafn, nh\u1edd s\u1ef1 ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng gi\u1eefa c\u00e1c ph\u1eabu thu\u1eadt vi\u00ean v\u00e0 \u00ea-k\u00edp g\u00e2y m\u00ea h\u1ed3i s\u1ee9c trong vi\u1ec7c duy tr\u00ec huy\u1ebft \u00e1p \u1ed5n \u0111\u1ecbnh, ch\u00fang t\u00f4i \u0111\u00e3 ho\u00e0n th\u00e0nh vi\u1ec7c kh\u00e2u n\u1ed1i \u1ed1ng gh\u00e9p nh\u00e2n t\u1ea1o an to\u00e0n. Ngay sau khi m\u1edf k\u1eb9p t\u00e1i th\u00f4ng, m\u1ea1ch m\u00e1u ngo\u1ea1i vi \u1edf hai ch\u00e2n ng\u01b0\u1eddi b\u1ec7nh b\u1eaft t\u1ed1t, chi h\u1ed3ng h\u00e0o tr\u1edf l\u1ea1i, v\u00f9ng t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng ghi nh\u1eadn ch\u1ea3y m\u00e1u\u201d, PGS.TS.BS Tr\u1ea7n Minh B\u1ea3o Lu\u00e2n cho bi\u1ebft th\u00eam.<\/p>\n\n\n

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Sau g\u1ea7n 4 gi\u1edd t\u1eadp trung cao \u0111\u1ed9, ca \u0111\u1ea1i ph\u1eabu k\u1ebft th\u00fac th\u00e0nh c\u00f4ng. Kh\u1ed1i ph\u00ecnh nguy hi\u1ec3m \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n, d\u00f2ng m\u00e1u \u0111\u01b0\u1ee3c t\u00e1i l\u1eadp qua \u1ed1ng gh\u00e9p nh\u00e2n t\u1ea1o. Nh\u1eefng ng\u00e0y ti\u1ebfp theo, \u00f4ng N. \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t t\u1ea1i ph\u00f2ng H\u1ed3i S\u1ee9c T\u00edch C\u1ef1c tr\u01b0\u1edbc khi chuy\u1ec3n ra khoa \u0111i\u1ec1u tr\u1ecb v\u00e0 xu\u1ea5t vi\u1ec7n sau 7 ng\u00e0y.<\/p>\n\n\n\n

S\u1ef1 h\u1ed3i ph\u1ee5c nhanh ch\u00f3ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh sau m\u1ed9t ca \u0111\u1ea1i ph\u1eabu m\u1ea1ch m\u00e1u l\u1edbn l\u00e0 minh ch\u1ee9ng cho s\u1ef1 ph\u1ed1i h\u1ee3p hi\u1ec7u qu\u1ea3 gi\u1eefa c\u00e1c chuy\u00ean khoa, c\u00f9ng n\u0103ng l\u1ef1c l\u00e0m ch\u1ee7 c\u00e1c k\u1ef9 thu\u1eadt ngo\u1ea1i khoa ph\u1ee9c t\u1ea1p t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh.<\/p>\n\n\n

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ThS.BS Nguy\u1ec5n H\u01b0ng Tr\u01b0\u1eddng, Khoa Ngo\u1ea1i L\u1ed3ng ng\u1ef1c – M\u1ea1ch m\u00e1u cho bi\u1ebft: \u201c\u0110\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng l\u00e0 m\u1ea1ch m\u00e1u l\u1edbn nh\u1ea5t \u0111\u01b0a m\u00e1u t\u1eeb tim \u0111\u1ebfn nu\u00f4i d\u01b0\u1ee1ng c\u00e1c c\u01a1 quan trong \u1ed5 b\u1ee5ng v\u00e0 ph\u1ea7n d\u01b0\u1edbi c\u01a1 th\u1ec3. Ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng l\u00e0 t\u00ecnh tr\u1ea1ng th\u00e0nh m\u1ea1ch b\u1ecb gi\u00e3n khu tr\u00fa, m\u1ea5t t\u00ednh \u0111\u00e0n h\u1ed3i v\u00e0 t\u1ea1o th\u00e0nh m\u1ed9t kh\u1ed1i ph\u00ecnh l\u1edbn\u201d.<\/p>\n\n\n\n

\u201cB\u1ec7nh \u0111\u01b0\u1ee3c v\u00ed nh\u01b0 m\u1ed9t \u201cqu\u1ea3 bom n\u1ed5 ch\u1eadm\u201d v\u00ec di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m, g\u1ea7n nh\u01b0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng trong giai \u0111o\u1ea1n \u0111\u1ea7u. Tuy nhi\u00ean, khi kh\u1ed1i ph\u00ecnh v\u1ee1, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 b\u1ecb m\u1ea5t m\u00e1u \u1ed3 \u1ea1t, d\u1eabn \u0111\u1ebfn t\u1eed vong nhanh ch\u00f3ng. N\u1ebfu kh\u1ed1i ph\u00ecnh v\u1ee1 v\u00e0o khoang ph\u00fac m\u1ea1c, t\u1ef7 l\u1ec7 t\u1eed vong th\u1ef1c t\u1ebf c\u00f3 th\u1ec3 l\u00ean \u0111\u1ebfn h\u01a1n 80%, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng k\u1ecbp \u0111\u1ebfn b\u00e0n m\u1ed5\u201d, ThS.BS Nguy\u1ec5n H\u01b0ng Tr\u01b0\u1eddng c\u1ea3nh b\u00e1o.<\/p>\n\n\n

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

Nh\u1eb1m gi\u00fap c\u1ed9ng \u0111\u1ed3ng nh\u1eadn bi\u1ebft v\u00e0 ch\u1ee7 \u0111\u1ed9ng ph\u00f2ng ng\u1eeba c\u0103n b\u1ec7nh nguy hi\u1ec3m n\u00e0y, PGS.TS.BS Tr\u1ea7n Minh B\u1ea3o Lu\u00e2n khuy\u1ebfn c\u00e1o: \u201cPh\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng th\u01b0\u1eddng kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n r\u00f5 r\u00e0ng \u1edf giai \u0111o\u1ea1n s\u1edbm. B\u1ec7nh nhi\u1ec1u khi \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd khi ng\u01b0\u1eddi b\u1ec7nh si\u00eau \u00e2m b\u1ee5ng ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 ho\u1eb7c kh\u00e1m m\u1ed9t b\u1ec7nh l\u00fd kh\u00e1c\u201d.<\/p>\n\n\n\n

\u201cNh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao nh\u01b0 tr\u00ean 50 tu\u1ed5i, c\u00f3 ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p, r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u, x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c h\u00fat thu\u1ed1c l\u00e1 l\u00e2u n\u0103m c\u1ea7n ch\u1ee7 \u0111\u1ed9ng t\u1ea7m so\u00e1t. Si\u00eau \u00e2m \u1ed5 b\u1ee5ng \u0111\u1ecbnh k\u1ef3 m\u1ed7i 6 th\u00e1ng \u0111\u1ebfn 1 n\u0103m l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u01a1n gi\u1ea3n, kh\u00f4ng x\u00e2m l\u1ea5n v\u00e0 chi ph\u00ed th\u1ea5p gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm kh\u1ed1i ph\u00ecnh. Khi \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n ch\u01b0a qu\u00e1 l\u1edbn, b\u00e1c s\u0129 c\u00f3 th\u1ec3 theo d\u00f5i ho\u1eb7c can thi\u1ec7p ch\u1ee7 \u0111\u1ed9ng, an to\u00e0n h\u01a1n thay v\u00ec x\u1eed tr\u00ed trong t\u00ecnh hu\u1ed1ng c\u1ea5p c\u1ee9u nguy hi\u1ec3m\u201d, PGS.TS.BS Tr\u1ea7n Minh B\u1ea3o Lu\u00e2n nh\u1ea5n m\u1ea1nh.<\/p>\n\n\n\n

Ti\u1ebfp l\u1eddi, ThS.BS Nguy\u1ec5n H\u01b0ng Tr\u01b0\u1eddng cho bi\u1ebft ng\u01b0\u1eddi d\u00e2n c\u1ea7n l\u01b0u \u00fd c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o khi b\u1ec7nh ti\u1ebfn tri\u1ec3n: \u201cNg\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u0111au \u00e2m \u1ec9 v\u00f9ng b\u1ee5ng, quanh r\u1ed1n ho\u1eb7c \u0111au lan ra sau l\u01b0ng. M\u1ed9t d\u1ea5u hi\u1ec7u \u0111\u1eb7c tr\u01b0ng kh\u00e1c l\u00e0 c\u1ea3m gi\u00e1c c\u00f3 kh\u1ed1i u \u0111\u1eadp theo nh\u1ecbp tim trong b\u1ee5ng khi n\u1eb1m ng\u1eeda\u201d.<\/p>\n\n\n\n

\u201c\u0110\u1eb7c bi\u1ec7t, n\u1ebfu \u0111\u1ed9t ng\u1ed9t xu\u1ea5t hi\u1ec7n \u0111au b\u1ee5ng d\u1eef d\u1ed9i, v\u00e3 m\u1ed3 h\u00f4i, da t\u00e1i xanh, cho\u00e1ng v\u00e1ng ho\u1eb7c ng\u1ea5t x\u1ec9u, \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u kh\u1ed1i ph\u00ecnh \u0111\u00e3 r\u00e1ch ho\u1eb7c v\u1ee1. Ng\u01b0\u1eddi nh\u00e0 c\u1ea7n \u0111\u01b0a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf c\u00f3 kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt m\u1ea1ch m\u00e1u \u0111\u1ec3 t\u1eadn d\u1ee5ng th\u1eddi gian v\u00e0ng c\u1ee9u s\u1ed1ng. Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng t\u1ef1 \u00fd d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au ho\u1eb7c ch\u1ea7n ch\u1eeb theo d\u00f5i t\u1ea1i nh\u00e0\u201d, b\u00e1c s\u0129 khuy\u1ebfn c\u00e1o.<\/p>\n\n\n\n

B\u00ean c\u1ea1nh vi\u1ec7c t\u1ea7m so\u00e1t s\u1edbm, c\u00e1c b\u00e1c s\u0129 c\u0169ng khuy\u1ebfn c\u00e1o ng\u01b0\u1eddi d\u00e2n c\u1ea7n duy tr\u00ec l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh \u0111\u1ec3 b\u1ea3o v\u1ec7 h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u: kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1; ki\u1ec3m so\u00e1t t\u1ed1t huy\u1ebft \u00e1p, \u0111\u01b0\u1eddng huy\u1ebft; duy tr\u00ec ch\u1ebf \u0111\u1ed9 \u0103n gi\u1ea3m mu\u1ed1i, h\u1ea1n ch\u1ebf ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a; t\u0103ng c\u01b0\u1eddng rau xanh, tr\u00e1i c\u00e2y v\u00e0 t\u1eadp luy\u1ec7n th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n \u00edt nh\u1ea5t 30 ph\u00fat m\u1ed7i ng\u00e0y.<\/p>\n\n\n\n

Ca ph\u1eabu thu\u1eadt th\u00e0nh c\u00f4ng kh\u1ed1i ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng d\u01b0\u1edbi th\u1eadn m\u1ed9t l\u1ea7n n\u1eefa kh\u1eb3ng \u0111\u1ecbnh n\u0103ng l\u1ef1c chuy\u00ean m\u00f4n s\u00e2u, kh\u1ea3 n\u0103ng ch\u1ea9n \u0111o\u00e1n nhanh ch\u00f3ng v\u00e0 l\u00e0m ch\u1ee7 c\u00e1c k\u1ef9 thu\u1eadt ngo\u1ea1i khoa ph\u1ee9c t\u1ea1p c\u1ee7a \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129 c\u1ee7a B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, ti\u1ebfp t\u1ee5c l\u00e0 \u0111i\u1ec3m t\u1ef1a ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe tin c\u1eady cho ng\u01b0\u1eddi d\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"

M\u1ed9t ng\u01b0\u1eddi b\u1ec7nh cao tu\u1ed5i \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng d\u01b0\u1edbi th\u1eadn v\u1edbi t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u ph\u1ee9c t\u1ea1p do v\u00f4i h\u00f3a n\u1eb7ng nhi\u1ec1u n\u01a1i, \u0111\u1ee9ng tr\u01b0\u1edbc nguy c\u01a1 v\u1ee1 m\u1ea1ch \u0111e d\u1ecda t\u00ednh m\u1ea1ng. C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u00e3 th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng ph\u1eabu thu\u1eadt thay 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