{"id":16227,"date":"2026-09-09T15:59:28","date_gmt":"2026-09-09T08:59:28","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=16227"},"modified":"2026-09-09T15:59:31","modified_gmt":"2026-09-09T08:59:31","slug":"hanh-trinh-hoi-sinh-sau-ngung-tim-chuoi-song-con-bat-dau-tu-nguoi-than-cho-den-benh-vien-nhan-dan-gia-dinh-co-so-sai-gon","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=16227","title":{"rendered":"H\u00c0NH TR\u00ccNH H\u1ed2I SINH SAU NG\u1eeaNG TIM: CHU\u1ed6I S\u1ed0NG C\u00d2N B\u1eaeT \u0110\u1ea6U T\u1eea NG\u01af\u1edcI TH\u00c2N CHO \u0110\u1ebeN B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH C\u01a0 S\u1ede S\u00c0I G\u00d2N"},"content":{"rendered":"\n

M\u1ed9t b\u1eefa c\u01a1m t\u1ed1i \u0111ang di\u1ec5n ra nh\u01b0 bao ng\u00e0y kh\u00e1c. \u00d4ng T.P.L., 56 tu\u1ed5i, \u0111ang \u0103n th\u00ec b\u1ea5t ng\u1edd ng\u00e3 qu\u1ef5, m\u1ea5t \u00fd th\u1ee9c v\u00e0 kh\u00f4ng c\u00f2n \u0111\u00e1p \u1ee9ng. Ng\u01b0\u1eddi th\u00e2n l\u1eadp t\u1ee9c g\u1ecdi Trung t\u00e2m C\u1ea5p c\u1ee9u 115 v\u00e0 ti\u1ebfn h\u00e0nh h\u1ed3i sinh tim ph\u1ed5i t\u1ea1i ch\u1ed7.<\/p>\n\n\n\n

Trong g\u1ea7n 15 ph\u00fat ch\u1edd \u00ea-k\u00edp c\u1ea5p c\u1ee9u \u0111\u1ebfn, ng\u01b0\u1eddi nh\u00e0 \u0111\u00e3 duy tr\u00ec \u00e9p ng\u1ef1c li\u00ean t\u1ee5c. Ch\u00ednh nh\u1eefng ph\u00fat h\u1ed3i sinh tim ph\u1ed5i s\u1edbm n\u00e0y \u0111\u00e3 g\u00f3p ph\u1ea7n duy tr\u00ec d\u00f2ng m\u00e1u \u0111\u1ebfn n\u00e3o v\u00e0 c\u00e1c c\u01a1 quan quan tr\u1ecdng, t\u1ea1o c\u01a1 h\u1ed9i \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c h\u1ed3i s\u1ee9c chuy\u00ean s\u00e2u.<\/p>\n\n\n\n

Khi \u00ea-k\u00edp Trung t\u00e2m C\u1ea5p c\u1ee9u \u2013 H\u1ed3i s\u1ee9c, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf S\u00e0i G\u00f2n c\u00f3 m\u1eb7t, ng\u01b0\u1eddi b\u1ec7nh v\u1eabn trong t\u00ecnh tr\u1ea1ng ng\u1eebng tu\u1ea7n ho\u00e0n, ng\u1eebng h\u00f4 h\u1ea5p, nghi do r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t nguy hi\u1ec3m. \u00ca-k\u00edp l\u1eadp t\u1ee9c tri\u1ec3n khai h\u1ed3i sinh tim ph\u1ed5i n\u00e2ng cao, ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng th\u1edf, h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p, s\u1eed d\u1ee5ng thu\u1ed1c v\u00e0 duy tr\u00ec h\u1ed3i s\u1ee9c li\u00ean t\u1ee5c trong qu\u00e1 tr\u00ecnh v\u1eadn chuy\u1ec3n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n.<\/p>\n\n\n\n

H\u01a0N 50 PH\u00daT H\u1ed2I S\u1ee8C LI\u00caN T\u1ee4C \u2013 GI\u00c0NH L\u1ea0I NH\u1ecaP \u0110\u1eacP<\/strong><\/p>\n\n\n\n

Sau h\u01a1n 50 ph\u00fat h\u1ed3i s\u1ee9c li\u00ean t\u1ee5c, tu\u1ea7n ho\u00e0n t\u1ef1 ph\u00e1t \u0111\u01b0\u1ee3c kh\u00f4i ph\u1ee5c. Tuy nhi\u00ean, \u0111\u01b0a tr\u00e1i tim \u0111\u1eadp tr\u1edf l\u1ea1i m\u1edbi ch\u1ec9 l\u00e0 b\u01b0\u1edbc \u0111\u1ea7u c\u1ee7a h\u00e0nh tr\u00ecnh.<\/p>\n\n\n\n

T\u1ea1i Trung t\u00e2m C\u1ea5p c\u1ee9u \u2013 H\u1ed3i s\u1ee9c, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c h\u1ed3i s\u1ee9c sau ng\u1eebng tim to\u00e0n di\u1ec7n v\u1edbi th\u1edf m\u00e1y, h\u1ed7 tr\u1ee3 huy\u1ebft \u0111\u1ed9ng, ki\u1ec3m so\u00e1t th\u00e2n nhi\u1ec7t v\u00e0 theo d\u00f5i s\u00e1t ch\u1ee9c n\u0103ng tim, n\u00e3o, th\u1eadn c\u00f9ng c\u00e1c c\u01a1 quan quan tr\u1ecdng.<\/p>\n\n\n\n

\u0110\u00e1nh gi\u00e1 chuy\u00ean s\u00e2u sau h\u1ed3i s\u1ee9c ghi nh\u1eadn ng\u01b0\u1eddi b\u1ec7nh c\u00f3 b\u1ec7nh c\u01a1 tim gi\u00e3n v\u1edbi ch\u1ee9c n\u0103ng co b\u00f3p c\u1ee7a tim gi\u1ea3m \u0111\u00e1ng k\u1ec3, LVEF kho\u1ea3ng 30%. \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng c\u01a1 tim b\u1ecb gi\u00e3n, suy y\u1ebfu v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng b\u01a1m m\u00e1u. Tr\u00ean n\u1ec1n b\u1ec7nh l\u00fd n\u00e0y, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 xu\u1ea5t hi\u1ec7n r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t nguy hi\u1ec3m, c\u00f3 th\u1ec3 khi\u1ebfn tim \u0111\u1ed9t ng\u1ed9t m\u1ea5t kh\u1ea3 n\u0103ng b\u01a1m m\u00e1u v\u00e0 d\u1eabn \u0111\u1ebfn ng\u1eebng tu\u1ea7n ho\u00e0n.<\/p>\n\n\n\n

\u0110\u00e2y c\u0169ng l\u00e0 y\u1ebfu t\u1ed1 khi\u1ebfn qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb kh\u00f4ng d\u1eebng l\u1ea1i \u1edf vi\u1ec7c h\u1ed3i s\u1ee9c th\u00e0nh c\u00f4ng sau ng\u1eebng tim, m\u00e0 c\u00f2n ph\u1ea3i ti\u1ebfp t\u1ee5c \u0111\u00e1nh gi\u00e1 nguy\u00ean nh\u00e2n r\u1ed1i lo\u1ea1n nh\u1ecbp, \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u suy tim v\u00e0 b\u1ec7nh c\u01a1 tim n\u1ec1n, \u0111\u1ed3ng th\u1eddi x\u00e2y d\u1ef1ng chi\u1ebfn l\u01b0\u1ee3c d\u1ef1 ph\u00f2ng nguy c\u01a1 t\u00e1i ph\u00e1t r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t v\u00e0 \u0111\u1ed9t t\u1eed tim.<\/p>\n\n\n\n

Sau giai \u0111o\u1ea1n ng\u1eebng tu\u1ea7n ho\u00e0n k\u00e9o d\u00e0i, ch\u1ee9c n\u0103ng th\u1eadn c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh c\u0169ng b\u1ecb \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng. Khi th\u1eadn ch\u01b0a th\u1ec3 \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng, \u00ea-k\u00edp h\u1ed3i s\u1ee9c tri\u1ec3n khai \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn li\u00ean t\u1ee5c, h\u1ed7 tr\u1ee3 ki\u1ec3m so\u00e1t d\u1ecbch, \u0111i\u1ec7n gi\u1ea3i v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a trong giai \u0111o\u1ea1n nguy k\u1ecbch.<\/p>\n\n\n\n

Hai ng\u00e0y sau, nh\u1eefng t\u00edn hi\u1ec7u t\u00edch c\u1ef1c b\u1eaft \u0111\u1ea7u xu\u1ea5t hi\u1ec7n. Huy\u1ebft \u0111\u1ed9ng v\u00e0 ch\u1ee9c n\u0103ng c\u00e1c c\u01a1 quan d\u1ea7n c\u1ea3i thi\u1ec7n, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f2n c\u1ea7n \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn li\u00ean t\u1ee5c.<\/p>\n\n\n\n

\u0110\u1ebfn ng\u00e0y th\u1ee9 t\u01b0, thu\u1ed1c v\u1eadn m\u1ea1ch \u0111\u01b0\u1ee3c ng\u01b0ng v\u00e0 ng\u01b0\u1eddi b\u1ec7nh cai m\u00e1y th\u1edf, r\u00fat \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n th\u00e0nh c\u00f4ng.<\/p>\n\n\n\n

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

Kho\u1ea3ng m\u1ed9t tu\u1ea7n sau bi\u1ebfn c\u1ed1, \u00f4ng L. \u0111\u00e3 t\u1ec9nh t\u00e1o, ti\u1ebfp x\u00fac t\u1ed1t v\u00e0 c\u00f3 th\u1ec3 t\u1ef1 \u0111i l\u1ea1i \u2013 m\u1ed9t k\u1ebft qu\u1ea3 \u0111\u1eb7c bi\u1ec7t \u00fd ngh\u0129a sau m\u1ed9t cu\u1ed9c ng\u1eebng tu\u1ea7n ho\u00e0n k\u00e9o d\u00e0i.<\/p>\n\n\n\n

S\u1ef0 S\u1ed0NG \u0110\u01af\u1ee2C GI\u1eee L\u1ea0I T\u1eea NH\u1eeeNG PH\u00daT \u0110\u1ea6U TI\u00caN<\/strong><\/p>\n\n\n\n

H\u00e0nh tr\u00ecnh h\u1ed3i ph\u1ee5c c\u1ee7a \u00f4ng L. l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a c\u1ea3 m\u1ed9t chu\u1ed7i s\u1ed1ng c\u00f2n: ng\u01b0\u1eddi th\u00e2n nh\u1eadn bi\u1ebft s\u1edbm t\u00ecnh tr\u1ea1ng ng\u1eebng tu\u1ea7n ho\u00e0n, g\u1ecdi c\u1ea5p c\u1ee9u 115, h\u1ed3i sinh tim ph\u1ed5i ngay t\u1ea1i ch\u1ed7; ti\u1ebfp n\u1ed1i b\u1eb1ng h\u1ed3i s\u1ee9c tim ph\u1ed5i n\u00e2ng cao c\u1ee7a \u00ea-k\u00edp c\u1ea5p c\u1ee9u ngo\u1ea1i vi\u1ec7n v\u00e0 h\u1ed3i s\u1ee9c chuy\u00ean s\u00e2u sau ng\u1eebng tim t\u1ea1i b\u1ec7nh vi\u1ec7n.<\/p>\n\n\n\n

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

Theo BS.CKII. V\u00f5 Th\u00fay V\u00e2n \u2013 Qu\u1ea3n l\u00fd \u0111i\u1ec1u h\u00e0nh Khoa C\u1ea5p c\u1ee9u \u2013 H\u1ed3i s\u1ee9c<\/strong>, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh C\u01a1 s\u1edf S\u00e0i G\u00f2n:\u201cKhi m\u1ed9t ng\u01b0\u1eddi \u0111\u1ed9t ng\u1ed9t b\u1ea5t t\u1ec9nh v\u00e0 kh\u00f4ng th\u1edf b\u00ecnh th\u01b0\u1eddng, ng\u01b0\u1eddi ch\u1ee9ng ki\u1ebfn c\u1ea7n g\u1ecdi Trung t\u00e2m C\u1ea5p c\u1ee9u 115 v\u00e0 b\u1eaft \u0111\u1ea7u h\u1ed3i sinh tim ph\u1ed5i ngay. \u00c9p ng\u1ef1c s\u1edbm, li\u00ean t\u1ee5c v\u00e0 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a gi\u00e1n \u0111o\u1ea1n c\u00f3 vai tr\u00f2 \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng trong nh\u1eefng ph\u00fat \u0111\u1ea7u ti\u00ean.\u201d<\/p>\n\n\n\n

V\u1edbi \u00f4ng L., nh\u1eefng l\u1ea7n \u00e9p ng\u1ef1c \u0111\u1ea7u ti\u00ean c\u1ee7a ng\u01b0\u1eddi th\u00e2n \u0111\u00e3 gi\u00fap duy tr\u00ec c\u01a1 h\u1ed9i s\u1ed1ng cho \u0111\u1ebfn khi \u00ea-k\u00edp c\u1ea5p c\u1ee9u chuy\u00ean nghi\u1ec7p ti\u1ebfp nh\u1eadn v\u00e0 ti\u1ebfp t\u1ee5c h\u1ed3i s\u1ee9c.<\/p>\n\n\n\n

Ng\u1eebng tim kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng l\u00e0 d\u1ea5u ch\u1ea5m h\u1ebft. Nh\u1eadn bi\u1ebft s\u1edbm \u2013 g\u1ecdi 115 \u2013 h\u1ed3i sinh tim ph\u1ed5i ngay c\u00f3 th\u1ec3 t\u1ea1o n\u00ean s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa s\u1ef1 s\u1ed1ng v\u00e0 c\u00e1i ch\u1ebft.<\/p>\n","protected":false},"excerpt":{"rendered":"

M\u1ed9t b\u1eefa c\u01a1m t\u1ed1i \u0111ang di\u1ec5n ra nh\u01b0 bao ng\u00e0y kh\u00e1c. \u00d4ng T.P.L., 56 tu\u1ed5i, \u0111ang \u0103n th\u00ec b\u1ea5t ng\u1edd ng\u00e3 qu\u1ef5, m\u1ea5t \u00fd th\u1ee9c v\u00e0 kh\u00f4ng c\u00f2n \u0111\u00e1p \u1ee9ng. Ng\u01b0\u1eddi th\u00e2n l\u1eadp t\u1ee9c g\u1ecdi Trung t\u00e2m C\u1ea5p c\u1ee9u 115 v\u00e0 ti\u1ebfn h\u00e0nh h\u1ed3i sinh tim ph\u1ed5i t\u1ea1i ch\u1ed7. Trong g\u1ea7n 15 ph\u00fat ch\u1edd \u00ea-k\u00edp […]<\/p>\n","protected":false},"author":5,"featured_media":16230,"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":[255,56],"tags":[],"class_list":["post-16227","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-co-so-2","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